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@@ -1,55 +1,169 @@
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{
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- "created_at": "2020-07-31T16:14:00Z",
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- "eligible_id": "9CV9QVPUUDCQ8E",
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+ "created_at": "2022-01-18T12:51:22Z",
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+ "eligible_id": "3GSG50JUTCF43",
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"known_issues": [],
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"date_of_death": null,
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- "last_name": "FRANKLIN",
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- "first_name": "BENJAMIN",
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- "middle_name": "J",
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- "member_id": "333333333A",
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+ "last_name": "SHAH",
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+ "first_name": "RASIKLAL",
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+ "middle_name": "R",
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+ "member_id": "3U26R07JQ63",
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"group_id": null,
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"group_name": null,
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- "dob": "1967-09-09",
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+ "dob": "1931-10-14",
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"gender": "M",
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"address": {
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- "street_line_1": "1842 Union Street",
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+ "street_line_1": "8572 263RD ST",
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"street_line_2": null,
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- "city": "San Francisco",
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- "state": "OH",
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- "zip": "94123"
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+ "city": "FLORAL PARK",
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+ "state": "NY",
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+ "zip": "110011138"
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},
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"payer_name": "CMS",
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- "payer_id": "00431","p
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- lan_number":"","eligibilty_dates":{"start":"2019-02-27","end":null},"eligibility_dates":{"start":"2019-02-27","end":null},"inactivity_dates":{"start":null,"end":null},"plan_types":{"MA":"Medicare Part A (Hospital)","MB":"Medicare Part B (
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- Professional Services)","MC":"Medicare Part C (Advantage)","MD":"Medicare Part D (Prescription drugs)","PR":"Primary insurance (Medicare Secondary, This Insurance is Primary)"},"plan_details":{"MA":{"active":true,"start_date":"1994-01-01",
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- "end_date": null,
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- "deductible": 1288.0,
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- "deductible_remaining": 1288.0,
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- "insurance_type": "MA",
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- "insurance_type_label": "Medicare Part A",
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- "coinsurance_percent": null,
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- "copayment": null,
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- "info_valid_until": "2020-12-31",
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- "info_valid_till": "2020-12-31","
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- comments":[]},"MB":{"active":true,"start_date":"1994-01-01","end_date":null,"deductible":166.0,"deductible_remaining":23.93,"insurance_type":"MB","insurance_type_label":"Medicare Part B","coinsurance_percent":20,"copayment":null,"info_val
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- id_until":"2020-12-31","info_valid_till":"2020-12-31","comments":[]},"MC":{"active":false,"payer_name":null,"insurance_type":null,"insurance_type_label":null,"mco_bill_option_code":null,"mco_bill_option_label":null,"locked":null,"policy_n
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- umber":null,"effective_date":null,"termination_date":null,"contacts":null,"address":{"street_line_1":null,"street_line_2":null,"city":null,"state":null,"zip":null},"comments":[]},"MD":{"active":true,"payer_name":"FRANKLIN","policy_number": "123123123",
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- "effective_date": "2019-01-01",
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- "termination_date": null,
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- "contacts": [
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+ "payer_id": "00431",
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+ "plan_number": "",
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+ "eligibilty_dates": {
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+ "start": "2022-01-18",
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+ "end": null
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+ },
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+ "eligibility_dates": {
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+ "start": "2022-01-18",
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+ "end": null
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+ },
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+ "inactivity_dates": {
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+ "start": null,
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+ "end": null
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+ },
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+ "plan_types": {
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+ "MA": "Medicare Part A (Hospital)",
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+ "MB": "Medicare Part B (Professional Services)",
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+ "MC": "Medicare Part C (Advantage)",
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+ "MD": "Medicare Part D (Prescription drugs)",
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+ "PR": "Primary insurance (Medicare Secondary, This Insurance is Primary)"
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+ },
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+ "plan_details": {
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+ "MA": {
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+ "active": true,
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+ "start_date": "2004-07-01",
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+ "end_date": null,
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+ "deductible": 0.0,
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+ "deductible_remaining": null,
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+ "insurance_type": "QM",
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+ "insurance_type_label": "Qualified Medicare Beneficiary",
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+ "coinsurance_percent": null,
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+ "copayment": null,
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+ "info_valid_until": "2022-12-31",
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+ "info_valid_till": "2022-12-31",
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+ "comments": [
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+ "0-Beneficiary insured due to age OASI"
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+ ]
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+ },
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+ "MB": {
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+ "active": true,
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+ "start_date": "1996-10-01",
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+ "end_date": null,
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+ "deductible": 0.0,
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+ "deductible_remaining": null,
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+ "insurance_type": "QM",
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+ "insurance_type_label": "Qualified Medicare Beneficiary",
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+ "coinsurance_percent": 0,
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+ "copayment": null,
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+ "info_valid_until": "2022-12-31",
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+ "info_valid_till": "2022-12-31",
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+ "comments": [
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+ "0-Beneficiary insured due to age OASI"
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+ ]
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+ },
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+ "MC": {
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+ "active": false,
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+ "payer_name": null,
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+ "insurance_type": null,
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+ "insurance_type_label": null,
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+ "mco_bill_option_code": null,
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+ "mco_bill_option_label": null,
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+ "locked": null,
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+ "policy_number": null,
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+ "effective_date": null,
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+ "termination_date": null,
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+ "contacts": null,
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+ "address": {
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+ "street_line_1": null,
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+ "street_line_2": null,
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+ "city": null,
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+ "state": null,
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+ "zip": null
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+ },
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+ "comments": []
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+ },
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+ "MD": {
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+ "active": true,
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+ "payer_name": "CIGNA HEALTH AND LIFE INSURANCE COMPANY",
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+ "policy_number": "S5617",
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+ "effective_date": "2016-01-01",
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+ "termination_date": null,
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+ "contacts": [
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+ {
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+ "contact_type": "telephone",
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+ "contact_value": "8002226700"
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+ },
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+ {
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+ "contact_type": "url",
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+ "contact_value": "www.cignamedicare.com"
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+ }
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+ ],
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+ "address": {
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+ "street_line_1": "900 Cottage Grove Rd",
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+ "street_line_2": "B4SRS",
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+ "city": "Hartford",
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+ "state": "CT",
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+ "zip": "06152"
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+ },
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+ "comments": []
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+ },
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+ "PR": []
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+ },
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+ "requested_service_types": [
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{
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- "contact_type": "telephone",
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- "contact_value": "8887116798"
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+ "type": "30",
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+ "type_label": "Health Benefit Plan Coverage",
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+ "plan_type": "MA",
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+ "active": true,
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+ "start_date": "2004-07-01",
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+ "end_date": null,
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+ "deductible": 0.0,
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+ "deductible_remaining": null,
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+ "insurance_type": "QM",
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+ "insurance_type_label": "Qualified Medicare Beneficiary",
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+ "coinsurance_percent": null,
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+ "copayment": null,
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+ "info_valid_until": "2022-12-31",
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+ "info_valid_till": "2022-12-31"
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},
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{
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- "contact_type": "url",
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- "contact_value": "www.FirstHealthPartD.com"
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+ "type": "30",
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+ "type_label": "Health Benefit Plan Coverage",
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+ "plan_type": "MB",
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+ "active": true,
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+ "start_date": "1996-10-01",
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+ "end_date": null,
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+ "deductible": 0.0,
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+ "deductible_remaining": null,
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+ "insurance_type": "QM",
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+ "insurance_type_label": "Qualified Medicare Beneficiary",
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+ "coinsurance_percent": 0,
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+ "copayment": null,
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+ "info_valid_until": "2022-12-31",
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+ "info_valid_till": "2022-12-31"
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}
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],
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- "address": {
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- "street_line_1":"1842 U
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- nion Street","street_line_2":null,"city":"San Francisco","state":"IL","zip":"94123"},"comments":[]},"PR":[]},"requested_service_types":[{"type":"30","type_label":"Health Benefit Plan Coverage","plan_type":"MA","active":true,"start_date":"
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- 1994-01-01","end_date":null,"deductible":1288.0,"deductible_remaining":1288.0,"insurance_type":"MA","insurance_type_label":"Medicare Part A","coinsurance_percent":null,"copayment":null,"info_valid_until":"2020-12-31","info_valid_till":"20
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- 20-12-31"},{"type":"30","type_label":"Health Benefit Plan Coverage","plan_type":"MB","active":true,"start_date":"1994-01-01","end_date":null,"deductible":166.0,"deductible_remaining":23.93,"insurance_type":"MB","insurance_type_label":"Med
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- icare Part B","coinsurance_percent":20,"copayment":null,"info_valid_until":"2020-12-31","info_valid_till":"2020-12-31"}],"requested_procedure_codes":[],"history":{"plan_details":{"MA":[],"MB":[],"MC":[],"MD":[],"PR":[]},"requested_service
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- _types":[]}}
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+ "requested_procedure_codes": [],
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+ "history": {
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+ "plan_details": {
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+ "MA": [],
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+ "MB": [],
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+ "MC": [],
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+ "MD": [],
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+ "PR": []
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+ },
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+ "requested_service_types": []
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+ }
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+}
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