HCPCC|HlthCk Other-Ped Com|T1026|Y||I~73/743||MAXFEE|C19|59|39.23|0.0||20180901|22991231||
HCPCC|HlthCk Other-Ped Com|T1026|Y||I~73/743||MAXFEE|C19|59|39.23|0.0||20180901|22991231|I~03;04;15;56;99|