Member for 7 years 10 months Submitted by Site Factory admin on Mon, 07/19/2021 - 13:11 Covered Service Text 11042 12962 12428 12975 12835 77 12963 78 79 11570 80 82 84 86 12491 11573 Plan ID 10062 Plan Name Preferred Blue PPO Deductible Product Type Medical Service Benefit Category Id 19 Service Benefit Category Name Medical Care Outpatient Visits
