pbp_a_hnumber	pbp_a_plan_identifier	segment_id	pbp_a_ben_cov	pbp_a_plan_type	orgtype	bid_id	version	pbp_c_pos_outpt_group_num_id	pbp_c_pos_group_lbl	pbp_c_pos_oupt_bencat_bens	pbp_c_pos_outpt_mc_bencats	pbp_c_pos_outpt_nmc_bencats	pbp_c_pos_outpt_coins_yn	pbp_c_pos_outpt_coins_min_pct	pbp_c_pos_outpt_coins_max_pct	pbp_c_pos_outpt_copay_yn	pbp_c_pos_outpt_copay_min_amt	pbp_c_pos_outpt_copay_max_amt	pbp_c_pos_outpt_maxplan_yn	pbp_c_pos_outpt_maxplan_amt	pbp_c_pos_outpt_maxplan_per	pbp_c_pos_outpt_deduct_yn	pbp_c_pos_outpt_deduct_amt	pbp_c_pos_outpt_cost_share	pbp_c_pos_outpt_cs_coins_yn	pbp_c_pos_outpt_cs_coins_min	pbp_c_pos_outpt_cs_coins_max	pbp_c_pos_outpt_cs_copay_yn	pbp_c_pos_outpt_cs_copay_min	pbp_c_pos_outpt_cs_copay_max
H0150	808	0	1	02	01	H0150_808_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H0150	808	0	1	02	01	H0150_808_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H0150	811	0	1	02	01	H0150_811_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H0150	811	0	1	02	01	H0150_811_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H0150	812	0	1	02	01	H0150_812_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H0150	812	0	1	02	01	H0150_812_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H0316	002	0	1	02	01	H0316_002_0	5	6	Group 6	01	0000100000000000000000000000000000000		2			1	75.00	75.00	2			2								
H0316	002	0	1	02	01	H0316_002_0	5	7	Group 7	01	0000000000000000000000001000000000000		2			1	250.00	250.00	2			2								
H0316	002	0	1	02	01	H0316_002_0	5	8	Group 8	01	0000000000100100000000100000000000000		2			1	35.00	45.00	2			2								
H0316	002	0	1	02	01	H0316_002_0	5	5	Group 5	01	0000000000001000000000000000000000000		2			1	35.00	70.00	2			2								
H0316	002	0	1	02	01	H0316_002_0	5	4	Group 4	01	0000000000000001111100000000000000000		1	40	40	1	13.00	21.00	2			2		1	2			1	35.00	70.00
H0316	002	0	1	02	01	H0316_002_0	5	3	Group 3	11	0000000000000000000011000011001110010	000000000000000000000100000000	1	40	40	2			2			2		2						
H0316	002	0	1	02	01	H0316_002_0	5	2	Group 2	11	0111000111010010000000000000000000101	000000010000000000000000001010	2			1	70.00	70.00	2			2		2						
H0316	002	0	1	02	01	H0316_002_0	5	10	Group 10	01	0000000000000000000000000000010000000		1	0	40	2			2			2								
H0316	002	0	1	02	01	H0316_002_0	5	1	Group 1	01	0000001000000000000000000000000000000		2			1	35.00	35.00	2			2								
H0316	002	0	1	02	01	H0316_002_0	5	9	Group 9	11	0000000000000000000000010000000000000	000000000100000000000000000000	2			1	0.00	0.00	2			2								
H0332	003	0	1	02	01	H0332_003_0	4	2	Group 2	01	0111111010101110000000111111111101010		1	50	50	2			2			2		2						
H0332	003	0	1	02	01	H0332_003_0	4	1	Group 1	01	0000000101010001111111000000000010101		1	20	20	2			2			2		2						
H0332	004	0	1	02	01	H0332_004_0	7	1	Group 1	01	0000000101010001111111000000000010101		1	20	20	2			2			2		2						
H0332	004	0	1	02	01	H0332_004_0	7	2	Group 2	01	0111111010101110000000111111111101010		1	50	50	2			2			2		2						
H0408	002	0	1	02	01	H0408_002_0	5	3	Group 3	11	0000000000000000000000000000000000010	000000000000000000000000000100	2			1	0.00	0.00	2			2								
H0408	002	0	1	02	01	H0408_002_0	5	2	Group 2	01	0000000000000000000000000000010000000		1	0	30	2			2			2								
H0408	002	0	1	02	01	H0408_002_0	5	1	Group 1	11	0111111111111110000011110111001111101	000000010100000000000000001000	1	30	30	2			2			2		2						
H0408	002	0	1	02	01	H0408_002_0	5	4	Group 4	01	0000000000000000000000001000100000000		1	20	20	2			2			2								
H0408	002	0	1	02	01	H0408_002_0	5	5	Group 5	01	0000000000000001111100000000000000000		1	0	30	2			2			2		1	1	30	30	2		
H0439	802	0	1	02	01	H0439_802_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H0439	802	0	1	02	01	H0439_802_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H0439	804	0	1	02	01	H0439_804_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H0439	804	0	1	02	01	H0439_804_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H0439	806	0	1	02	01	H0439_806_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H0439	806	0	1	02	01	H0439_806_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H0811	001	0	1	49	05	H0811_001_0	5	1		01	0100110111111111111111111111011100000		2			2			2			2		2						
H1032	002	0	1	02	01	H1032_002_0	5	1	Group 1	01	0111111111111111111111111111111111111		1	45	45	2			2			2		2						
H1032	025	0	1	02	01	H1032_025_0	6	1	Group 1	01	0111111111111111111111111111111111111		1	45	45	2			2			2		2						
H1032	032	0	1	02	01	H1032_032_0	6	1		01	0111111111111111111111111111111111111		1	45	45	2			2			2		2						
H1032	035	0	1	02	01	H1032_035_0	6	1		01	0111111111111111111111111111111111111		1	45	45	2			2			2		2						
H1032	040	0	1	02	01	H1032_040_0	6	1	Group 1	01	0111111111111111111111111111111111111		1	45	45	2			2			2		2						
H1032	133	0	1	02	01	H1032_133_0	7	1	Group 1	01	0111111111111111111111111111111111111		1	45	45	2			2			2		2						
H1032	181	0	1	02	01	H1032_181_0	6	1	Group 1	01	0111111111111111111111111111111111111		1	45	45	2			2			2		2						
H1035	002	0	1	02	01	H1035_002_0	12	1	Group 1	01	0000010000000001111111000111010010000		1	20	20	2			2			2		2						
H1035	002	0	1	02	01	H1035_002_0	12	2	Group 2	01	0111001111110110000000100000010001000		2			1	40.00	40.00	2			2								
H1035	007	0	1	02	01	H1035_007_0	5	1	Group 1	01	0000010000000001111111000111010010000		1	20	20	2			2			2		2						
H1035	007	0	1	02	01	H1035_007_0	5	2	Group 2	01	0111001111110110000000100000010001000		2			1	40.00	40.00	2			2								
H1035	011	0	1	02	01	H1035_011_0	10	1	Group 1	01	0000010000000001111111000111010010000		1	20	20	2			2			2		2						
H1035	011	0	1	02	01	H1035_011_0	10	2	Group 2	01	0111001111110110000000100000010001000		2			1	40.00	40.00	2			2								
H1045	001	0	1	02	01	H1045_001_0	5	1	Group 1	11	0100000001000000000010010000010000000	000000000100000000000000000000	2			1	0.00	0.00	2			2								
H1045	001	0	1	02	01	H1045_001_0	5	2	Group 2	01	0011111110110110000001101111101111111		1	20	20	2			2			2		2						
H1045	001	0	1	02	01	H1045_001_0	5	3	Group 3	01	0000000000001000000000000000000000000		1	0	20	2			2			2								
H1045	001	0	1	02	01	H1045_001_0	5	4	Group 4	01	0000000000000001111100000000000000000		2			1	0.00	0.00	2			2		1	1	0	20	2		
H1045	012	0	1	02	01	H1045_012_0	4	1	Group 1	11	0100000001000001111110010000010000000	000000000100000000000000000000	2			1	0.00	0.00	2			2		2						
H1099	001	0	1	02	01	H1099_001_0	5	1	Medicare Covered	01	0111111111111111111111111111011111101		1	20	20	2			2			2		2						
H1099	016	0	1	02	01	H1099_016_0	4	1	Physician Specialist Services	01	0000000001000000000000000000000000000		1	20	20	2			1	2500.00	3	2								
H1099	017	0	1	02	01	H1099_017_0	5	1	Medicare Covered	01	0111111111111111111111111111011111101		1	20	20	2			2			2		2						
H1099	804	0	1	02	01	H1099_804_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H1099	804	0	1	02	01	H1099_804_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H1264	004	0	1	02	01	H1264_004_0	6	1		01	0111111111111111111111111111111111111		1	35	35	2			2			2		2						
H1350	001	0	1	02	01	H1350_001_0	5	12	$100 Maximum Benefit	10		000000000000000000000000000100	2			2			1	100.00	3	2								
H1350	001	0	1	02	01	H1350_001_0	5	11	$0 Copayment	01	0000000000000000001000000000000000000		2			2			2			2		1	2			1	0.00	25.00
H1350	001	0	1	02	01	H1350_001_0	5	10	15% Coinsurance	01	0000000000000000000000000000000010000		1	15	15	2			2			2								
H1350	001	0	1	02	01	H1350_001_0	5	1	$0 Copayment	01	0000000000000000000000010000010000000		2			2			2			2								
H1350	001	0	1	02	01	H1350_001_0	5	13	10% Coinsurance	01	0000000000000000000000000111000000000		1	10	10	2			2			2								
H1350	001	0	1	02	01	H1350_001_0	5	9	$200 Copayment	01	0000000000000000010000000000000000000		2			1	200.00	200.00	2			2		2						
H1350	001	0	1	02	01	H1350_001_0	5	8	$150 Copayment	01	0000000000000000000000001000000000000		2			1	150.00	150.00	2			2								
H1350	001	0	1	02	01	H1350_001_0	5	7	$100 Copayment	01	0000000000000000000011000000000000000		2			1	100.00	100.00	2			2								
H1350	001	0	1	02	01	H1350_001_0	5	6	$25 Copayment	01	0000000001111100000000100000000000101		2			1	25.00	25.00	2			2		2						
H1350	001	0	1	02	01	H1350_001_0	5	5	$20 Copayment	01	0000000100000000000100000000000000000		2			1	20.00	20.00	2			2		2						
H1350	001	0	1	02	01	H1350_001_0	5	4	$15 Copayment	01	0111000000000010000000000000000000000		2			1	15.00	15.00	2			2								
H1350	001	0	1	02	01	H1350_001_0	5	3	$10 Copayment	01	0000000000000001100000000000000000000		2			1	0.00	10.00	2			2		1	2			1	0.00	25.00
H1350	001	0	1	02	01	H1350_001_0	5	2	$10 Copayment	01	0000001000000000000000000000000000000		2			1	0.00	10.00	2			2								
H1415	021	0	1	02	01	H1415_021_0	5	1	30% Coinsurance	01	0111111111111110000011110111111111111		1	30	30	2			2			2		2						
H1415	021	0	1	02	01	H1415_021_0	5	2	Air and Ground Ambulance	01	0000000000000000000000001000000000000		1	20	20	2			2			2								
H1415	021	0	1	02	01	H1415_021_0	5	3	30% Coinsurance with Separate Cost Share	01	0000000000000001111100000000000000000		1	30	30	2			2			2		1	1	30	30	2		
H1416	009	0	1	02	01	H1416_009_0	7	1		01	0111111111111111111111111111111111111		1	40	40	2			2			2		2						
H1961	801	0	1	02	01	H1961_801_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H1961	801	0	1	02	01	H1961_801_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H1961	802	0	1	02	01	H1961_802_0	3	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H1961	802	0	1	02	01	H1961_802_0	3	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H1994	001	0	1	02	01	H1994_001_0	9	1		11	0111111011111111111111111111111111111	000000000000000000000100000000	1	40	40	2			2			2		2						
H1994	002	0	1	02	01	H1994_002_0	8	1		11	0111111011111111111111111111111111111	000000000000000000000100000000	1	40	40	2			2			2		2						
H1994	003	0	1	02	01	H1994_003_0	10	1		11	0111111011111111111111111111111111111	000000000000000000000100000000	1	40	40	2			2			2		2						
H1994	004	0	1	02	01	H1994_004_0	10	1		11	0111111011111111111111111111111111111	000000000000000000000100000000	1	40	40	2			2			2		2						
H1994	005	0	1	02	01	H1994_005_0	8	1		11	0111111011111111111111111111111111111	000000000000000000000100000000	1	40	40	2			2			2		2						
H1994	006	0	1	02	01	H1994_006_0	8	1		11	0111111011111111111111111111111111111	000000000000000000000100000000	1	40	40	2			2			2		2						
H1994	801	0	1	02	01	H1994_801_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H1994	801	0	1	02	01	H1994_801_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H1994	802	0	1	02	01	H1994_802_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H1994	802	0	1	02	01	H1994_802_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H1994	803	0	1	02	01	H1994_803_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H1994	803	0	1	02	01	H1994_803_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2012	030	0	1	02	01	H2012_030_0	5	1		11	0000000000000000000000010000000000010	000000000100000000000000000000	2			1	0.00	0.00	2			2								
H2012	030	0	1	02	01	H2012_030_0	5	2		01	0000000000000000000000000000010000000		1	0	50	2			2			2								
H2012	030	0	1	02	01	H2012_030_0	5	3		01	0000000000000000000000000000100000000		1	20	20	2			2			2								
H2012	030	0	1	02	01	H2012_030_0	5	4		11	0111001111111111111101000000001111101	000000000000000000000100000000	1	50	50	2			2			2		2						
H2108	802	0	1	02	01	H2108_802_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2108	802	0	1	02	01	H2108_802_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2108	805	0	1	02	01	H2108_805_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2108	805	0	1	02	01	H2108_805_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2108	806	0	1	02	01	H2108_806_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2108	806	0	1	02	01	H2108_806_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2165	011	0	1	02	01	H2165_011_0	4	1		01	0111111111111111111111110111111111111		1	30	30	2			2			2		2						
H2165	011	0	1	02	01	H2165_011_0	4	2		01	0000000000000000000000001000000000000		1	20	20	1	100.00	100.00	2			2								
H2165	806	0	1	02	01	H2165_806_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2165	806	0	1	02	01	H2165_806_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2165	809	0	1	02	01	H2165_809_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2165	809	0	1	02	01	H2165_809_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2165	810	0	1	02	01	H2165_810_0	1	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2165	810	0	1	02	01	H2165_810_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2312	007	0	1	02	01	H2312_007_0	10	1	POS Covered Services	11	0111111111111111111111111111111111111	000000000100000000000010001110	1	20	20	2			2			2		2						
H2312	010	0	1	02	01	H2312_010_0	11	1	POS Covered Services	11	0111111111111111111111111111111111111	000000000100000000000010001010	1	20	20	2			2			2		2						
H2312	012	0	1	02	01	H2312_012_0	10	1	POS Covered Services	11	0111111111111111111111111111111111101	000000000100000000000010001010	1	20	20	2			1	800.00	3	2		2						
H2320	007	0	1	02	01	H2320_007_0	7	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	007	0	1	02	01	H2320_007_0	7	4	40% Coinsurance	01	0000100000000000000000000000000000000		1	40	40	2			2			2								
H2320	007	0	1	02	01	H2320_007_0	7	2	30% (+ physician coins)	01	0000000000000001111100000000000100000		1	30	30	2			2			2		1	1	30	30	2		
H2320	007	0	1	02	01	H2320_007_0	7	1	30% Coinsurance	11	0111001111111110000011100111111001101	000000000000000000000100000000	1	30	30	2			2			2		2						
H2320	007	0	1	02	01	H2320_007_0	7	5	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000001	2			2			2			2								
H2320	007	0	1	02	01	H2320_007_0	7	6	$125 Copayment	01	0000000000000000000000001000000000000		2			1	125.00	125.00	2			2								
H2320	008	0	1	02	01	H2320_008_0	5	1	30% Coinsurance	11	0111001111111110000011100111111001101	000000000000000000000100000000	1	30	30	2			2			2		2						
H2320	008	0	1	02	01	H2320_008_0	5	2	30% (+ physician coins)	01	0000000000000001111100000000000100000		1	30	30	2			2			2		1	1	30	30	2		
H2320	008	0	1	02	01	H2320_008_0	5	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	008	0	1	02	01	H2320_008_0	5	4	40% Coinsurance	01	0000100000000000000000000000000000000		1	40	40	2			2			2								
H2320	008	0	1	02	01	H2320_008_0	5	5	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000001	2			2			2			2								
H2320	008	0	1	02	01	H2320_008_0	5	6	$125 Copayment	01	0000000000000000000000001000000000000		2			1	125.00	125.00	2			2								
H2320	011	0	1	02	01	H2320_011_0	7	1	40% Coinsurance	11	0111101111111110000011100001111001101	000000000000000000000100000000	1	40	40	2			2			2		2						
H2320	011	0	1	02	01	H2320_011_0	7	6	30% Coinsurance	01	0000000000000000000000000110000000000		1	30	30	2			2			2								
H2320	011	0	1	02	01	H2320_011_0	7	5	$150 Copayment	01	0000000000000000000000001000000000000		2			1	150.00	150.00	2			2								
H2320	011	0	1	02	01	H2320_011_0	7	4	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000000	2			2			2			2								
H2320	011	0	1	02	01	H2320_011_0	7	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	011	0	1	02	01	H2320_011_0	7	2	40% Coinsurance (+ physician coins)	01	0000000000000001111100000000000100000		1	40	40	2			2			2		1	1	40	40	2		
H2320	012	0	1	02	01	H2320_012_0	7	5	$150 Copayment	01	0000000000000000000000001000000000000		2			1	150.00	150.00	2			2								
H2320	012	0	1	02	01	H2320_012_0	7	4	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000000	2			2			2			2								
H2320	012	0	1	02	01	H2320_012_0	7	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	012	0	1	02	01	H2320_012_0	7	2	40% Coinsurance (+ physician coins)	01	0000000000000001111100000000000100000		1	40	40	2			2			2		1	1	40	40	2		
H2320	012	0	1	02	01	H2320_012_0	7	1	40% Coinsurance	11	0111101111111110000011100001111001101	000000000000000000000100000000	1	40	40	2			2			2		2						
H2320	012	0	1	02	01	H2320_012_0	7	6	30% Coinsurance	01	0000000000000000000000000110000000000		1	30	30	2			2			2								
H2320	013	0	1	02	01	H2320_013_0	5	5	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000001	2			2			2			2								
H2320	013	0	1	02	01	H2320_013_0	5	4	40% Coinsurance	01	0000100000000000000000000000000000000		1	40	40	2			2			2								
H2320	013	0	1	02	01	H2320_013_0	5	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	013	0	1	02	01	H2320_013_0	5	2	30% (+ physician coins)	01	0000000000000001111100000000000100000		1	30	30	2			2			2		1	1	30	30	2		
H2320	013	0	1	02	01	H2320_013_0	5	1	30% Coinsurance	11	0111001111111110000011100111111001101	000000000000000000000100000000	1	30	30	2			2			2		2						
H2320	013	0	1	02	01	H2320_013_0	5	6	$125 Copayment	01	0000000000000000000000001000000000000		2			1	125.00	125.00	2			2								
H2320	015	0	1	02	01	H2320_015_0	6	1	40% Coinsurance	11	0111101111111110000011100001111001101	000000000000000000000100000000	1	40	40	2			2			2		2						
H2320	015	0	1	02	01	H2320_015_0	6	2	40% Coinsurance (+ physician coins)	01	0000000000000001111100000000000100000		1	40	40	2			2			2		1	1	40	40	2		
H2320	015	0	1	02	01	H2320_015_0	6	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	015	0	1	02	01	H2320_015_0	6	4	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000000	2			2			2			2								
H2320	015	0	1	02	01	H2320_015_0	6	5	$150 Copayment	01	0000000000000000000000001000000000000		2			1	150.00	150.00	2			2								
H2320	015	0	1	02	01	H2320_015_0	6	6	30% Coinsurance	01	0000000000000000000000000110000000000		1	30	30	2			2			2								
H2320	016	0	1	02	01	H2320_016_0	6	5	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000001	2			2			2			2								
H2320	016	0	1	02	01	H2320_016_0	6	4	40% Coinsurance	01	0000100000000000000000000000000000000		1	40	40	2			2			2								
H2320	016	0	1	02	01	H2320_016_0	6	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	016	0	1	02	01	H2320_016_0	6	2	30% (+ physician coins)	01	0000000000000001111100000000000100000		1	30	30	2			2			2		1	1	30	30	2		
H2320	016	0	1	02	01	H2320_016_0	6	1	30% Coinsurance	11	0111001111111110000011100111111001101	000000000000000000000100000000	1	30	30	2			2			2		2						
H2320	016	0	1	02	01	H2320_016_0	6	6	$125 Copayment	01	0000000000000000000000001000000000000		2			1	125.00	125.00	2			2								
H2320	018	0	1	02	01	H2320_018_0	6	6	30% Coinsurance	01	0000000000000000000000000110000000000		1	30	30	2			2			2								
H2320	018	0	1	02	01	H2320_018_0	6	1	40% Coinsurance	11	0111101111111110000011100001111001101	000000000000000000000100000000	1	40	40	2			2			2		2						
H2320	018	0	1	02	01	H2320_018_0	6	2	40% Coinsurance (+ physician coins)	01	0000000000000001111100000000000100000		1	40	40	2			2			2		1	1	40	40	2		
H2320	018	0	1	02	01	H2320_018_0	6	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	018	0	1	02	01	H2320_018_0	6	4	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000000	2			2			2			2								
H2320	018	0	1	02	01	H2320_018_0	6	5	$150 Copayment	01	0000000000000000000000001000000000000		2			1	150.00	150.00	2			2								
H2320	019	0	1	02	01	H2320_019_0	5	1	30% Coinsurance	11	0111001111111110000011100111111001101	000000000000000000000100000000	1	30	30	2			2			2		2						
H2320	019	0	1	02	01	H2320_019_0	5	2	30% (+ physician coins)	01	0000000000000001111100000000000100000		1	30	30	2			2			2		1	1	30	30	2		
H2320	019	0	1	02	01	H2320_019_0	5	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	019	0	1	02	01	H2320_019_0	5	4	40% Coinsurance	01	0000100000000000000000000000000000000		1	40	40	2			2			2								
H2320	019	0	1	02	01	H2320_019_0	5	5	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000001	2			2			2			2								
H2320	019	0	1	02	01	H2320_019_0	5	6	$125 Copayment	01	0000000000000000000000001000000000000		2			1	125.00	125.00	2			2								
H2320	021	0	1	02	01	H2320_021_0	6	1	40% Coinsurance	11	0111101111111110000011100001111001101	000000000000000000000100000000	1	40	40	2			2			2		2						
H2320	021	0	1	02	01	H2320_021_0	6	6	30% Coinsurance	01	0000000000000000000000000110000000000		1	30	30	2			2			2								
H2320	021	0	1	02	01	H2320_021_0	6	2	40% Coinsurance (+ physician coins)	01	0000000000000001111100000000000100000		1	40	40	2			2			2		1	1	40	40	2		
H2320	021	0	1	02	01	H2320_021_0	6	3	0-20% Coinsurance	11	0000000000000000000000000000000010000	000000000000000000000001000000	1	0	20	2			2			2								
H2320	021	0	1	02	01	H2320_021_0	6	4	$0 Copayment	11	0000010000000000000000010000000000000	000000000100000000000000000000	2			2			2			2								
H2320	021	0	1	02	01	H2320_021_0	6	5	$150 Copayment	01	0000000000000000000000001000000000000		2			1	150.00	150.00	2			2								
H2320	802	0	1	02	01	H2320_802_0	4	1	20% Coinsurance	01	0111111111111110000011111111111011011		1	20	20	2			2			2								
H2320	802	0	1	02	01	H2320_802_0	4	2	20% Coinsurance (+ physician coins)	01	0000000000000001111100000000000100100		1	20	20	2			2			2		1	1	20	20	2		
H2320	803	0	1	02	01	H2320_803_0	4	1	20% Coinsurance	01	0111111111111110000011111111111011011		1	20	20	2			2			2								
H2320	803	0	1	02	01	H2320_803_0	4	2	20% Coinsurance (+ physician coins)	01	0000000000000001111100000000000100100		1	20	20	2			2			2		1	1	20	20	2		
H2354	802	0	1	02	01	H2354_802_0	4	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2354	802	0	1	02	01	H2354_802_0	4	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2354	805	0	1	02	01	H2354_805_0	4	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2354	805	0	1	02	01	H2354_805_0	4	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2459	001	0	1	02	01	H2459_001_0	9	2	Group 2	01	0000000000000000100000000000110000000		2			2			2			2		2						
H2459	001	0	1	02	01	H2459_001_0	9	1	Group 1	01	0111111011111111011111110011001111101		1	20	20	2			2			2		2						
H2459	001	0	1	02	01	H2459_001_0	9	3	Group 3	01	0000000000000000000000001000000000000		2			1	100.00	100.00	2			2								
H2459	002	0	1	02	01	H2459_002_0	7	1	Group 1	01	0111111011111111011111110011001111101		1	20	20	2			2			2		2						
H2459	002	0	1	02	01	H2459_002_0	7	2	Group 2	11	0000000000000000100000000000110000000	000000000000000000000000100100	2			2			2			2		2						
H2459	002	0	1	02	01	H2459_002_0	7	3	Group 3	01	0000000000000000000000001000000000000		2			1	100.00	100.00	2			2								
H2459	013	0	1	02	01	H2459_013_0	7	1	Group 1	01	0111111011111111011111110011001111101		1	20	20	2			2			2		2						
H2459	013	0	1	02	01	H2459_013_0	7	2	Group 2	01	0000000000000000100000000000110000000		2			2			2			2		2						
H2459	013	0	1	02	01	H2459_013_0	7	3	Group 3	01	0000000000000000000000001000000000000		2			1	100.00	100.00	2			2								
H2459	019	0	1	02	01	H2459_019_0	7	1	Group 1	01	0111111011111111011111110011001111101		1	20	20	2			2			2		2						
H2459	019	0	1	02	01	H2459_019_0	7	3	Group 3	11	0000000000000000100000000000110000000	000000000000000000000000110000	2			2			2			2		2						
H2459	019	0	1	02	01	H2459_019_0	7	2	Group 2	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H2459	801	0	1	02	01	H2459_801_0	4	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2459	801	0	1	02	01	H2459_801_0	4	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2459	805	0	1	02	01	H2459_805_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H2459	805	0	1	02	01	H2459_805_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H2491	002	0	1	02	01	H2491_002_0	7	1		01	0111010111011011111111011011001110000		1	20	20	2			2			2		2						
H2491	004	0	1	02	01	H2491_004_0	7	1		01	0111010111011011111111011011001110000		1	20	20	2			2			2		2						
H2491	005	0	1	02	01	H2491_005_0	7	1	Group 1	01	0111010111011011111111011011001110000		1	20	20	2			2			2		2						
H2610	014	0	1	02	01	H2610_014_0	8	1	group 1_20	01	0111110111111111111111110111100110000		1	20	20	2			2			2		2						
H2610	014	0	1	02	01	H2610_014_0	8	2	group 2_0	01	0000000000000000000000001000011000000		2			2			2			2								
H2649	030	0	1	02	01	H2649_030_0	5	4		01	0000000000000000000000001000000000000		2			1	225.00	225.00	2			2								
H2649	030	0	1	02	01	H2649_030_0	5	3		10		000000000000000000000000001000	2			1	0.00	0.00	1	75.00	3	2								
H2649	030	0	1	02	01	H2649_030_0	5	2		10		000000000000000000000000000100	2			1	0.00	0.00	1	200.00	3	2								
H2649	030	0	1	02	01	H2649_030_0	5	1		11	0000000000000000000000010000000000000	000000000100000000000000000000	2			1	0.00	0.00	2			2								
H2649	030	0	1	02	01	H2649_030_0	5	5		01	0000000000000000000000000000010000000		1	0	30	2			2			2								
H2649	030	0	1	02	01	H2649_030_0	5	9		10		000000000010000000000000000000	1	50	50	2			2			2								
H2649	030	0	1	02	01	H2649_030_0	5	8		01	0111110111111111111101100111001111111		1	30	30	2			2			2		2						
H2649	030	0	1	02	01	H2649_030_0	5	7		01	0000000000000000000010000000000000000		1	20	30	2			2			2								
H2649	030	0	1	02	01	H2649_030_0	5	6		01	0000000000000000000000000000100000000		1	20	20	2			2			2								
H2663	006	0	1	02	01	H2663_006_0	5	2	Out of Network Ambulance	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H2663	006	0	1	02	01	H2663_006_0	5	1	Out of Network Coinsurance	01	0111111111111111111111110111111111111		1	30	30	2			2			2		2						
H2663	015	0	1	02	01	H2663_015_0	4	2	Out of Network Ambulance	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H2663	015	0	1	02	01	H2663_015_0	4	1	Out of Network Coinsurance	11	0111111111111111111111110111111111111	000000010000000000000000000000	1	30	30	2			2			2		2						
H2667	017	0	1	02	01	H2667_017_0	7	1	Group 1	11	0111101111111110000011110111111011111	000000000100000000000000001000	1	50	50	2			2			2		2						
H2667	017	0	1	02	01	H2667_017_0	7	2	Group 2	01	0000010000000000000000000000000000000		1	0	0	2			2			2								
H2667	017	0	1	02	01	H2667_017_0	7	4	Group 4	10		000000000000000000000010000000	1	50	50	1	0.00	50.00	2			2								
H2667	017	0	1	02	01	H2667_017_0	7	5	Group 5	01	0000000000000001111100000000000100000		1	50	50	2			2			2		1	1	50	50	2		
H2667	017	0	1	02	01	H2667_017_0	7	3	Group 3	01	0000000000000000000000001000000000000		2			1	250.00	250.00	2			2								
H3154	801	0	1	02	01	H3154_801_0	4	1		11	0111111111111111111111111111111111111	000000000100000000000000001010	1	35	35	2			2			2		2						
H3154	802	0	1	02	01	H3154_802_0	5	1		11	0111111111111111111111111111111111111	000000000100000000000000001010	1	35	35	2			2			2		2						
H3154	805	0	1	02	01	H3154_805_0	4	1		11	0111111111111111111111111111111111111	000000000100000000000000001010	1	35	35	2			2			2		2						
H3204	808	0	1	02	01	H3204_808_0	4	1	0.00	01	0000010000000000000000010000111000000		2			2			2			2								
H3204	808	0	1	02	01	H3204_808_0	4	2	20%	01	0111101111111111111111101111000111111		1	20	20	2			2			2		2						
H3204	809	0	1	02	01	H3204_809_0	4	1	0.00	01	0000010000000000000000010000111000000		2			2			2			2								
H3204	809	0	1	02	01	H3204_809_0	4	2	20%	01	0111101111111111111111101111000111111		1	20	20	2			2			2		2						
H3204	810	0	1	02	01	H3204_810_0	4	1	0.00	01	0000010000000000000000010000111000000		2			2			2			2								
H3204	810	0	1	02	01	H3204_810_0	4	2	20%	01	0111101111111111111111101111000111111		1	20	20	2			2			2		2						
H3251	021	0	1	02	01	H3251_021_0	10	1	20% coinsurance	01	0111100010100111111100110111000011111		1	20	20	2			2			2		2						
H3251	021	0	1	02	01	H3251_021_0	10	2	OP_Surg	01	0000000000000000000011000000000000000		2			1	400.00	400.00	2			2								
H3251	021	0	1	02	01	H3251_021_0	10	3	$0 Copay	01	0000010000000000000000000000111100000		2			2			2			2		2						
H3251	021	0	1	02	01	H3251_021_0	10	4	Specialty Copays	01	0000000101011000000000000000000000000		2			1	60.00	60.00	2			2								
H3251	021	0	1	02	01	H3251_021_0	10	5	Primary Care	01	0000001000000000000000000000000000000		2			1	25.00	25.00	2			2								
H3251	021	0	1	02	01	H3251_021_0	10	6	Ambulance	01	0000000000000000000000001000000000000		2			1	130.00	130.00	2			2								
H3305	007	0	1	02	01	H3305_007_0	5	1	30%	01	0111101111010011111111010110000001101		1	30	30	2			1	5000.00	3	2		2						
H3305	007	0	1	02	01	H3305_007_0	5	2	Ambulance	01	0000000000000000000000001000000000000		2			1	75.00	75.00	1	5000.00	3	2								
H3305	015	0	1	02	01	H3305_015_0	10	1	30%	01	0111101111010011111111010110000001101		1	30	30	2			1	5000.00	3	2		2						
H3305	015	0	1	02	01	H3305_015_0	10	2	Ambulance	01	0000000000000000000000001000000000000		2			1	125.00	125.00	1	5000.00	3	2								
H3305	801	0	1	02	01	H3305_801_0	3	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3305	801	0	1	02	01	H3305_801_0	3	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H3305	803	0	1	02	01	H3305_803_0	3	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3305	803	0	1	02	01	H3305_803_0	3	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H3327	038	0	1	02	01	H3327_038_0	8	1	POS	11	0111111111111111111111111111111111111	000000010100000000000010001010	1	20	20	2			2			2		2						
H3327	039	0	1	02	01	H3327_039_0	5	1	POS	11	0111111111111111111111111111011100101	000000010100000000000010001010	1	20	20	2			2			2		2						
H3328	001	0	1	02	01	H3328_001_0	7	1	Preventive Services	01	0000000000000000000000010000011100000		2			2			2			2		2						
H3328	001	0	1	02	01	H3328_001_0	7	2	Specialty Services & ASC & Outpatient SA	01	0111100111111110000001100000000000000		1	50	50	2			2			2								
H3328	001	0	1	02	01	H3328_001_0	7	3	Outpatient Diagnostic	01	0000000000000001100000000000000000000		1	0	50	2			2			2		1	1	50	50	2		
H3328	003	0	1	02	01	H3328_003_0	12	1	Preventive Services	01	0000000000000000000000010000011100000		2			2			2			2		2						
H3328	003	0	1	02	01	H3328_003_0	12	2	Specialty Services & ASC & Outpatient SA	01	0111100111111110000001100000000000000		1	50	50	2			2			2								
H3328	003	0	1	02	01	H3328_003_0	12	3	Outpatient Diagnostic	01	0000000000000001100000000000000000000		1	0	50	2			2			2		1	1	50	50	2		
H3328	801	0	1	02	01	H3328_801_0	4	1	Medicare Covered	01	0111101111111111111111111111101110100		1	20	20	2			2			2		2						
H3328	802	0	1	02	01	H3328_802_0	4	1	Medicare Covered	01	0111101111111111111111111111101110100		1	20	20	2			2			2		2						
H3328	803	0	1	02	01	H3328_803_0	4	1	Medicare Covered	01	0111101111111111111111111111101110100		1	20	20	2			2			2		2						
H3351	001	0	1	02	01	H3351_001_0	6	1	POS Group #1	01	0111011111011011111111011111111110101		1	30	30	2			2			2		2						
H3351	002	0	1	02	01	H3351_002_0	8	1	POS Group #1	01	0111011111011011111111011111111110101		1	30	30	2			2			2		2						
H3351	006	0	1	02	01	H3351_006_0	8	1	POS Group #1	01	0111011111011011111111011111111110101		1	30	30	2			2			2		2						
H3351	007	0	1	02	01	H3351_007_0	5	1	POS Group #1	01	0111011111011011111111011111111110101		1	30	30	2			2			2		2						
H3351	801	0	1	02	01	H3351_801_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3351	801	0	1	02	01	H3351_801_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H3351	802	0	1	02	01	H3351_802_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3351	802	0	1	02	01	H3351_802_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H3351	803	0	1	02	01	H3351_803_0	3	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3351	803	0	1	02	01	H3351_803_0	3	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H3351	804	0	1	02	01	H3351_804_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3351	804	0	1	02	01	H3351_804_0	2	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
H3351	805	0	1	02	01	H3351_805_0	2	1		01	0000010000000000000000000000010000000		1	0	0	2			2			2								
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H3362	026	0	1	02	01	H3362_026_0	6	2	20% coinsurance OON	01	0111110110110111111111011111011101101		1	20	20	2			2			2		2						
H3362	026	0	1	02	01	H3362_026_0	6	3	$0	01	0000000000000000000000000000100000000		2			2			2			2								
H3362	026	0	1	02	01	H3362_026_0	6	4	30% oon	01	0000000000000000000000000000000010000		1	30	30	2			2			2								
H3362	026	0	1	02	01	H3362_026_0	6	5	50% oon	01	0000000000000000000000100000000000000		1	50	50	2			2			2								
H3362	029	0	1	02	01	H3362_029_0	7	1	$45 POS OON copayment	01	0000001001001000000000000000000000000		2			1	50.00	50.00	2			2								
H3362	029	0	1	02	01	H3362_029_0	7	2	20% coinsurance OON	01	0111110110110111111111011111011101101		1	20	20	2			2			2		2						
H3362	029	0	1	02	01	H3362_029_0	7	3	$0	01	0000000000000000000000000000100000000		2			2			2			2								
H3362	029	0	1	02	01	H3362_029_0	7	4	30% oon	01	0000000000000000000000000000000010000		1	30	30	2			2			2								
H3362	029	0	1	02	01	H3362_029_0	7	5	50% oon	01	0000000000000000000000100000000000000		1	50	50	2			2			2								
H3362	807	0	1	02	01	H3362_807_0	6	1	20%	01	0111111111111111111111111111111111111		1	20	20	2			2			2		2						
H3362	817	0	1	02	01	H3362_817_0	4	1	20%	01	0111111111111111111111111111111111111		1	20	20	2			2			2		2						
H3362	819	0	1	02	01	H3362_819_0	6	1	20%	01	0111111111111111111111111111111111111		1	20	20	2			2			2		2						
H3384	057	0	1	02	01	H3384_057_0	7	1	POS Benefit	01	0000001011000011100100000000000000000		1	30	30	2			1	2500.00	3	2		2						
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H3528	006	0	1	02	01	H3528_006_0	6	3	40%	01	0000110000100100011000100110000010000		1	40	40	2			2			2		2						
H3528	006	0	1	02	01	H3528_006_0	6	4	20%	11	0000000000000001100110010001101100000	000000000100000000000000000000	1	20	20	2			2			2		2						
H3528	006	0	1	02	01	H3528_006_0	6	5	$200	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H3528	008	0	1	02	01	H3528_008_0	8	1	$300	01	0000000000000000000000001000000000000		2			1	300.00	300.00	2			2								
H3528	008	0	1	02	01	H3528_008_0	8	2	30%	01	0000000000000000000001000001000000010		1	30	30	2			2			2								
H3528	008	0	1	02	01	H3528_008_0	8	3	40%	01	0000110000100101111110100110000010000		1	40	40	2			2			2		2						
H3528	008	0	1	02	01	H3528_008_0	8	4	20%	11	0000000000000000000000010000101100000	000000000100000000000000000000	1	20	20	2			2			2		2						
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H3660	028	0	1	02	01	H3660_028_0	14	1	20% Coinsurance	01	0000010000000001111111010000100010000		1	20	20	2			2			2		2						
H3660	028	0	1	02	01	H3660_028_0	14	2	$15 Copayment	01	0000001000000000000000000000011100000		2			1	15.00	15.00	2			2		2						
H3660	028	0	1	02	01	H3660_028_0	14	3	$40 Copayment	01	0111100111111110000000100000000001101		2			1	40.00	40.00	2			2		2						
H3660	028	0	1	02	01	H3660_028_0	14	4	$200 Copayment	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H3660	028	0	1	02	01	H3660_028_0	14	5	30% Coinsurance	01	0000000000000000000000000111000000000		1	30	30	2			2			2								
H3660	029	0	1	02	01	H3660_029_0	15	1	20% Coinsurance	01	0000010000000001111111010000100010000		1	20	20	2			2			2		2						
H3660	029	0	1	02	01	H3660_029_0	15	2	$15 Copayment	01	0000001000000000000000000000011100000		2			1	15.00	15.00	2			2		2						
H3660	029	0	1	02	01	H3660_029_0	15	3	$50 Copayment	01	0111100111111110000000100000000001101		2			1	50.00	50.00	2			2		2						
H3660	029	0	1	02	01	H3660_029_0	15	4	30% Coinsurance	01	0000000000000000000000000111000000000		1	30	30	2			2			2								
H3660	029	0	1	02	01	H3660_029_0	15	5	$250 Copayment	01	0000000000000000000000001000000000000		2			1	250.00	250.00	2			2								
H3660	048	0	1	02	01	H3660_048_0	13	1	20% Coinsurance	01	0000010000000001111111010000100010000		1	20	20	2			2			2		2						
H3660	048	0	1	02	01	H3660_048_0	13	2	$15 Copayment	01	0000001000000000000000000000011100000		2			1	15.00	15.00	2			2		2						
H3660	048	0	1	02	01	H3660_048_0	13	3	$50 Copayment	01	0111100111111110000000100000000001101		2			1	50.00	50.00	2			2		2						
H3660	048	0	1	02	01	H3660_048_0	13	4	30% Coinsurance	01	0000000000000000000000000111000000000		1	30	30	2			2			2								
H3660	048	0	1	02	01	H3660_048_0	13	5	$250 Copayment	01	0000000000000000000000001000000000000		2			1	250.00	250.00	2			2								
H3660	805	0	1	02	01	H3660_805_0	10	1	0% Coinsurance	01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3660	805	0	1	02	01	H3660_805_0	10	2	35% Coinsurance	01	0000000000100100000000000000000000000		1	35	35	2			2			2								
H3660	805	0	1	02	01	H3660_805_0	10	3	20% Coinsurance	01	0111101111011011111111111111101111101		1	20	20	2			2			2		2						
H3660	806	0	1	02	01	H3660_806_0	9	1	0% Coinsurance	01	0000010000000000000000000000010000000		1	0	0	2			2			2								
H3660	806	0	1	02	01	H3660_806_0	9	2	35% Coinsurance	01	0000000000100100000000000000000000000		1	35	35	2			2			2								
H3660	806	0	1	02	01	H3660_806_0	9	3	20% Coinsurance	01	0111101111011011111111111111101111101		1	20	20	2			2			2		2						
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H3664	020	0	1	02	01	H3664_020_0	4	2	Glasses/Contacts/Hardware	10		000000000000000000000000000100	2			2			1	70.00	3	2								
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H3664	805	0	2	02	01	H3664_805_0	1	2		01	0111101111111111111111111111101111111		1	20	20	2			2			2		2						
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H3822	005	0	1	02	01	H3822_005_0	10	1	40% Coinsurance	01	0111110110111111111111110111001111111		1	40	40	2			2			2		2						
H3822	005	0	1	02	01	H3822_005_0	10	2	20% Coinsurance	01	0000000000000000000000000000100000000		1	20	20	2			2			2								
H3822	005	0	1	02	01	H3822_005_0	10	3	$200 Copay	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H3822	005	0	1	02	01	H3822_005_0	10	4	$50 Copay	01	0000001001000000000000000000000000000		2			1	50.00	50.00	2			2								
H3822	005	0	1	02	01	H3822_005_0	10	5	$0 Copay	01	0000000000000000000000000000010000000		2			2			2			2								
H3822	007	0	1	02	01	H3822_007_0	10	1	40% Coinsurance	01	0111110110111111101111110111001111111		1	40	40	2			2			2		2						
H3822	007	0	1	02	01	H3822_007_0	10	2	20% Coinsurance	01	0000000000000000000000000000100000000		1	20	20	2			2			2								
H3822	007	0	1	02	01	H3822_007_0	10	3	$400.00 Copay	01	0000000000000000010000000000000000000		2			1	400.00	400.00	2			2		2						
H3822	007	0	1	02	01	H3822_007_0	10	4	$200.00 Copay	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H3822	007	0	1	02	01	H3822_007_0	10	5	$75.00 Copay	01	0000000001000000000000000000000000000		2			1	75.00	75.00	2			2								
H3822	007	0	1	02	01	H3822_007_0	10	6	$60.00 Copay	01	0000001000000000000000000000010000000		2			1	60.00	60.00	2			2								
H3822	008	0	1	02	01	H3822_008_0	11	1	40% Coinsurance	01	0111110110111111101111110111001111111		1	40	40	2			2			2		2						
H3822	008	0	1	02	01	H3822_008_0	11	2	20% Coinsurance	01	0000000000000000000000000000100000000		1	20	20	2			2			2								
H3822	008	0	1	02	01	H3822_008_0	11	3	$400.00 Copay	01	0000000000000000010000000000000000000		2			1	400.00	400.00	2			2		2						
H3822	008	0	1	02	01	H3822_008_0	11	4	$200.00 Copay	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H3822	008	0	1	02	01	H3822_008_0	11	5	$75.00 Copay	01	0000000001000000000000000000000000000		2			1	75.00	75.00	2			2								
H3822	008	0	1	02	01	H3822_008_0	11	6	$60.00 Copay	01	0000001000000000000000000000010000000		2			1	60.00	60.00	2			2								
H3864	024	0	1	02	01	H3864_024_0	10	1	20% coinsurance	11	0111101111111111111111110111111111101	000000000000000000000100001010	1	20	20	2			2			2		2						
H3864	024	0	1	02	01	H3864_024_0	10	2	Home Health	01	0000010000000000000000000000000000000		1	10	10	2			2			2								
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H3864	024	0	1	02	01	H3864_024_0	10	4	Routine Eyewear	10		000000000000000000000000000100	2			2			1	100.00	2	2								
H3864	024	0	1	02	01	H3864_024_0	10	5	Ambulance	01	0000000000000000000000001000000000000		2			1	200.00	200.00	2			2								
H3864	025	0	1	02	01	H3864_025_0	7	1	20% coinsurance	11	0111101111111111111111110111111111101	000000000000000000000100001010	1	20	20	2			2			2		2						
H3864	025	0	1	02	01	H3864_025_0	7	2	Home Health	01	0000010000000000000000000000000000000		1	10	10	2			2			2								
H3864	025	0	1	02	01	H3864_025_0	7	3	$0 copay	11	0000000000000000000000000000000000010	000000000000000000000010000000	2			2			2			2								
H3864	025	0	1	02	01	H3864_025_0	7	4	Routine Eyewear	10		000000000000000000000000000100	2			2			1	100.00	2	2								
H3864	025	0	1	02	01	H3864_025_0	7	5	Ambulance	01	0000000000000000000000001000000000000		2			1	250.00	250.00	2			2								
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H3945	003	0	1	02	01	H3945_003_0	6	1	30% Coinsurance	01	0111111111111110000011110111111111111		1	30	30	2			2			2		2						
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H3945	003	0	1	02	01	H3945_003_0	6	3	30% Coinsurance with Separate Cost Share	01	0000000000000001111100000000000000000		1	30	30	2			2			2		1	1	30	30	2		
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H3949	027	0	1	02	01	H3949_027_0	5	2	30% group	01	0111100000110100000000100111000001111		1	30	30	2			2			2		2						
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H3949	027	0	1	02	01	H3949_027_0	5	4	20% Group with Separate Cost Sharing	01	0000000000000001111100000000000000000		1	20	20	2			2			2		1	1	20	20	2		
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H5322	017	0	1	02	01	H5322_017_0	3	1	Group 1	11	0111111011111110000011110111001111101	000000010100000000000100001010	1	30	30	2			2			2		2						
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H5410	018	0	1	02	01	H5410_018_0	4	1	30% Coinsurance	01	0111111111111111111111110111111111111		1	30	30	2			2			2		2						
H5410	018	0	1	02	01	H5410_018_0	4	2	Ambulance	01	0000000000000000000000001000000000000		1	20	20	1	150.00	150.00	2			2								
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H5576	012	0	1	02	01	H5576_012_0	10	1	40% coinsurance	11	0111111111111111111111110111011111111	000000000100000000000000000000	1	40	40	2			2			2		2						
H5576	012	0	1	02	01	H5576_012_0	10	2	Non Medicare Preventive Dental	10		000000000000000000000000100000	2			2			1	200.00	3	2								
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