Inpatient mental health network provider
Service Benefit Category Id
10728
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Outpatient mental health network provider
Service Benefit Category Id
10729
Inpatient mental health non-network provider
Service Benefit Category Id
10730
Outpatient mental health non-network provider
Service Benefit Category Id
10731
Inpatient mental health network provider
Service Benefit Category Id
10732
Outpatient mental health network provider
Service Benefit Category Id
10733
Inpatient mental health non-network provider
Service Benefit Category Id
10734
Outpatient mental health non-network provider
Service Benefit Category Id
10735
Birth through age 6
Service Benefit Category Id
10736
Age 7 through 18
Service Benefit Category Id
10737