Member for 7 years 4 months Submitted by Site Factory admin on Fri, 10/20/2023 - 18:52 Covered Service Text 11154 12962 12428 12835 77 12963 78 79 13120 80 82 13123 84 86 12490 Plan ID 10031 Plan Name Network Blue New England Deductible Product Type Medical Service Benefit Category Id 19 Service Benefit Category Name Medical Care Outpatient Visits