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@@ -1,169 +1,773 @@
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-{
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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": "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": "1931-10-14",
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- "gender": "M",
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- "address": {
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- "street_line_1": "8572 263RD ST",
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- "street_line_2": null,
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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",
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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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+ {
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+ "label": "INTERESTED?",
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+ "answers": [
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+ {
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+ "key": "blank",
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+ "value": "{\"m\": \"(is_interested_in_manager IS NULL)\", \"p\": \"(is_interested_in_provider IS NULL)\", \"o\": \"(is_interested_in_organizer IS NULL)\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_interested_in_provider IS NULL)",
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+ "m": "(is_interested_in_manager IS NULL)",
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+ "o": "(is_interested_in_organizer IS NULL)"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider IS NULL)",
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+ "m": "(is_interested_in_manager IS NULL)",
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+ "o": "(is_interested_in_organizer IS NULL)"
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+ },
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+ "questions": []
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+ },
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+ {
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+ "key": "unsure",
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+ "value": "{\"m\": \"(is_interested_in_manager = 'UNSURE')\", \"p\": \"(is_interested_in_provider = 'UNSURE')\", \"o\": \"(is_interested_in_organizer = 'UNSURE')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'UNSURE')",
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+ "m": "(is_interested_in_manager = 'UNSURE')",
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+ "o": "(is_interested_in_organizer = 'UNSURE')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'UNSURE')",
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+ "m": "(is_interested_in_manager = 'UNSURE')",
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+ "o": "(is_interested_in_organizer = 'UNSURE')"
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+ },
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+ "questions": []
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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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+ "key": "no",
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+ "value": "{\"m\": \"(is_interested_in_manager = 'NO')\", \"p\": \"(is_interested_in_provider = 'NO')\", \"o\": \"(is_interested_in_organizer = 'NO')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'NO')",
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+ "m": "(is_interested_in_manager = 'NO')",
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+ "o": "(is_interested_in_organizer = 'NO')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'NO')",
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+ "m": "(is_interested_in_manager = 'NO')",
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+ "o": "(is_interested_in_organizer = 'NO')"
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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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+ "questions": []
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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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- "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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- "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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- "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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+ "key": "yes",
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+ "value": "{\"m\": \"(is_interested_in_manager = 'YES')\", \"p\": \"(is_interested_in_provider = 'YES')\", \"o\": \"(is_interested_in_organizer = 'YES')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES')",
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+ "m": "(is_interested_in_manager = 'YES')",
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+ "o": "(is_interested_in_organizer = 'YES')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES')",
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+ "m": "(is_interested_in_manager = 'YES')",
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+ "o": "(is_interested_in_organizer = 'YES')"
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+ },
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+ "questions": [
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+ {
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+ "label": "WANTED?",
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+ "answers": [
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+ {
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+ "key": "blank",
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+ "value": "{\"m\": \"(is_wanted_as_manager IS NULL)\", \"p\": \"(is_wanted_as_provider IS NULL)\", \"o\": \"(is_wanted_as_organizer IS NULL)\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_wanted_as_provider IS NULL)",
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+ "m": "(is_wanted_as_manager IS NULL)",
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+ "o": "(is_wanted_as_organizer IS NULL)"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES') and (is_wanted_as_provider IS NULL)",
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+ "m": "(is_interested_in_manager = 'YES') and (is_wanted_as_manager IS NULL)",
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+ "o": "(is_interested_in_organizer = 'YES') and (is_wanted_as_organizer IS NULL)"
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+ },
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+ "questions": []
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+ },
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+ {
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+ "key": "no",
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+ "value": "{\"m\": \"(is_wanted_as_manager = 'NO')\", \"p\": \"(is_wanted_as_provider = 'NO')\", \"o\": \"(is_wanted_as_organizer = 'NO')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_wanted_as_provider = 'NO')",
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+ "m": "(is_wanted_as_manager = 'NO')",
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+ "o": "(is_wanted_as_organizer = 'NO')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES') and (is_wanted_as_provider = 'NO')",
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+ "m": "(is_interested_in_manager = 'YES') and (is_wanted_as_manager = 'NO')",
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+ "o": "(is_interested_in_organizer = 'YES') and (is_wanted_as_organizer = 'NO')"
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+ },
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+ "questions": []
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+ },
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+ {
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+ "key": "pause",
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+ "value": "{\"m\": \"(is_wanted_as_manager = 'PAUSE')\", \"p\": \"(is_wanted_as_provider = 'PAUSE')\", \"o\": \"(is_wanted_as_organizer = 'PAUSE')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_wanted_as_provider = 'PAUSE')",
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+ "m": "(is_wanted_as_manager = 'PAUSE')",
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+ "o": "(is_wanted_as_organizer = 'PAUSE')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES') and (is_wanted_as_provider = 'PAUSE')",
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+ "m": "(is_interested_in_manager = 'YES') and (is_wanted_as_manager = 'PAUSE')",
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+ "o": "(is_interested_in_organizer = 'YES') and (is_wanted_as_organizer = 'PAUSE')"
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+ },
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+ "questions": []
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+ },
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+ {
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+ "key": "yes",
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+ "value": "{\"m\": \"(is_wanted_as_manager = 'YES')\", \"p\": \"(is_wanted_as_provider = 'YES')\", \"o\": \"(is_wanted_as_organizer = 'YES')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_wanted_as_provider = 'YES')",
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+ "m": "(is_wanted_as_manager = 'YES')",
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+ "o": "(is_wanted_as_organizer = 'YES')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES') and (is_wanted_as_provider = 'YES')",
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+ "m": "(is_interested_in_manager = 'YES') and (is_wanted_as_manager = 'YES')",
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+ "o": "(is_interested_in_organizer = 'YES') and (is_wanted_as_organizer = 'YES')"
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+ },
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+ "questions": [
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+ {
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+ "label": "AGREED?",
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+ "answers": [
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+ {
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+ "key": "no (yellow)",
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+ "value": "{\"m\": \"(is_agreed_as_manager = 'NO')\", \"p\": \"(is_agreed_as_provider = 'NO')\", \"o\": \"(is_agreed_as_organizer = 'NO')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_agreed_as_provider = 'NO')",
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+ "m": "(is_agreed_as_manager = 'NO')",
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+ "o": "(is_agreed_as_organizer = 'NO')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES') and (is_wanted_as_provider = 'YES') and (is_agreed_as_provider = 'NO')",
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+ "m": "(is_interested_in_manager = 'YES') and (is_wanted_as_manager = 'YES') and (is_agreed_as_manager = 'NO')",
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+ "o": "(is_interested_in_organizer = 'YES') and (is_wanted_as_organizer = 'YES') and (is_agreed_as_organizer = 'NO')"
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+ },
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+ "questions": []
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+ },
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+ {
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+ "key": "yes",
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+ "value": "{\"m\": \"(is_agreed_as_manager = 'YES')\", \"p\": \"(is_agreed_as_provider = 'YES')\", \"o\": \"(is_agreed_as_organizer = 'YES')\"}",
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+ "qm": {
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+ "all": null,
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+ "p": "(is_agreed_as_provider = 'YES')",
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+ "m": "(is_agreed_as_manager = 'YES')",
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+ "o": "(is_agreed_as_organizer = 'YES')"
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES') and (is_wanted_as_provider = 'YES') and (is_agreed_as_provider = 'YES')",
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+ "m": "(is_interested_in_manager = 'YES') and (is_wanted_as_manager = 'YES') and (is_agreed_as_manager = 'YES')",
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+ "o": "(is_interested_in_organizer = 'YES') and (is_wanted_as_organizer = 'YES') and (is_agreed_as_organizer = 'YES')"
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+ },
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+ "questions": [
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+ {
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+ "label": "PROFILE PUBLISHED?",
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+ "answers": [
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+ {
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+ "key": "no (blue)",
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+ "value": "{\"all\": \"(is_profile_approved IS NOT TRUE)\"}",
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+ "qm": {
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+ "all": "(is_profile_approved IS NOT TRUE)",
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+ "p": null,
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+ "m": null,
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+ "o": null
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+ },
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+ "qmComplete": {
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+ "all": null,
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+ "p": "(is_interested_in_provider = 'YES') and (is_wanted_as_provider = 'YES') and (is_agreed_as_provider = 'YES') and (is_profile_approved IS NOT TRUE)",
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+ "m": "(is_interested_in_manager = 'YES') and (is_wanted_as_manager = 'YES') and (is_agreed_as_manager = 'YES') and (is_profile_approved IS NOT TRUE)",
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+ "o": "(is_interested_in_organizer = 'YES') and (is_wanted_as_organizer = 'YES') and (is_agreed_as_organizer = 'YES') and (is_profile_approved IS NOT TRUE)"
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+ },
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+ "questions": [
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+ {
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+ "label": "ACTION-ON?",
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
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+ ]
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+ }
|
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+ ]
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+ }
|
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+ ]
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+ }
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+ ]
|
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+ }
|
|
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+ ]
|
|
|
}
|
|
|
-}
|
|
|
+]
|
=