Physician and other covered professional provider services
Service Benefit Category Id
10206
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Outpatient hospital and health center services and accident treatment
Service Benefit Category Id
10207
Outpatient physician and other covered professional provider medical care services
Service Benefit Category Id
10208
Outpatient physician and other covered professional provider medical care services
Service Benefit Category Id
10209
Physician and podiatrist medical care services
Service Benefit Category Id
10210
Hospital, health center and free-standing radiation therapy and chemotherapy facility services
Service Benefit Category Id
10211
Physician services
Service Benefit Category Id
10212
Therapist services
Service Benefit Category Id
10213
Hospital and health center services
Service Benefit Category Id
10214
Physician and other covered professional provider services
Service Benefit Category Id
10215