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Text File  |  1998-12-14  |  31KB  |  13 lines
  1. HCFA-1500  -  1991  YY06206602020720302403507003403007104401607204570207304601007409460125009511607511022802711320205011350205111380205211430105411480105511512600113022003113230703213340105613390105713430105813480105913512000515021503315270203415360103915420103815480104015511600715760200817021003517161203617420104117480104217511000917661201019022807919511407621022008121360110921420111021690101821760101923190108623250108723360111323420111425360111125420111225522807727022908027530109427580109530081720830400820930581721033030811633380811833550812133690812235022613535291613835550812735690812937530124837580124937670824739030814939121815039320815339411015441030815141121815241320815541411015641551613945020816545110816645200216745230117945270517045330217245360217345390219745430617645520717745600217845670119457021227857200125157260903757390123057440123157530820457630820557720820658591227359252213059513026860251813160513026 610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NNYYN
  2. MEDICARE            YY062066020207203024035070034030071044016072045702073046010074090201250095116075110228027113102050113402051113704052114301054114801055115126001130220031132307032133301056133801057134301058134801059135120005150215033152702034153601039154201038154801040154801126155116007157602008170210035171612036174201041174801042175110009176612010190228079195129076210229081213601109214201110215110020216901018217601019230210105231901086232501087233601113234201114240229082250216083251902084252305085253601111254201112255128077260228106270229080273119103275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450206165451106166452002168452301179452705170453302172453602173453902197454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000104000000107000000108000000115000000117000000119000000120000008123000008124000003125000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000002167000000169000002171000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NNNYN
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  5. unassigned          YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  6. unassigned          YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  7. unassigned          YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  8. unassigned          YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  9. unassigned          YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  10. unassigned          YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  11. HCFA-1500  -  1991  YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  12. HCFA-1500  -  1991  YY062066020207203024035070034030071044016072045702073046010074094601250095116075110228027113202050113502051113802052114301054114801055115126001130220031132307032133401056133901057134301058134801059135120005150215033152702034153601039154201038154801040155116007157602008170210035171612036174201041174801042175110009176612010190228079195114076210220081213601109214201110216901018217601019231901086232501087233601113234201114253601111254201112255228077270229080275301094275801095300817208304008209305817210330308116333808118335508121336908122350226135352916138355508127356908129375301248375801249376708247390308149391218150393208153394110154410308151411218152413208155414110156415516139450208165451108166452002167452301179452705170454306176455207177456002178456701194570212278572001251572609037573901230574401231575308204576308205577208206585912273592522130595130268602518131605130269610221274612525132615116270616802271617110272621508279625412241626911078000015002000001003000016004000020006000001011000004012000001013000001014000001015000000016000000017000000020000000021000000022000000023000000024000000025000000026000015028000001029000016030000000043000000044000000045000000046000000047000000048000008049000003053000000060000000061000000062000000063000000064000000065000000066000000067000000068000000069000029082000016083000002084000005085000000088000000089000000090000000091000000092000000093000000096000000097000008098000000099000000100000000101000001102000000103000000104000000105000000106000000107000000108000000115000000117000000119000000120000008123000008124000003125000000126000000128000005133000000134000000136000000137000000140000000141000000142000000143000000144000000145000000146000000147000000148000008157000040158000000159000000160000000161000000162000000163000000164000000168000000169000002171000002172000002173000020174000020175000000180000000181000000182000000183000000184000000185000000186000000187000000188000000189000000190000000191000000192000000193000000195000000196000000197000000198000000199000000200000000201000000202000008207000008211000000212000000213000000214000000215000000216000000217000000218000000219000000220000000221000000222000000223000000224000000225000000226000000227000000228000000229000000232000000233000000234000000235000000236000000237000000238000000239000000240000000242000000243000000244000000245000000246000000252000000253000000254000000255000000256000000257000000258000000259000000260000000261000000262000000263000000264000000265000000266000000267000011275000000276000000277000000280000000281000000282000000283000000284000000285PN202NN   
  13.