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warning_1_

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General information

Question text: You said you would pay $^amount. That is $^diff more than the $20 co-payment for the in-person visit. Is that what you meant?
Answer type: Radio buttons
Answer options: 1 (YES) Yes
2 (NO) No
Label:
Empty allowed: One-time warning
Error allowed: Not allowed
Multiple instances: Yes

Data information for warning_1_

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