Other covered hospitals
Service Benefit Category Id
11001
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Other covered hospitals
Service Benefit Category Id
11002
Other covered facilities
Service Benefit Category Id
11003
Inpatient hospital services - Other covered hospitals
Service Benefit Category Id
11004
Diagnostic lab tests and x-rays - Other covered providers
Service Benefit Category Id
11005
MRI, CT scan and nuclear cardiac imaging tests - Other covered providers
Service Benefit Category Id
11006
Outpatient day surgical facility services - Other covered facilities
Service Benefit Category Id
11007
Speech therapy - Other covered providers
Service Benefit Category Id
11008
Outpatient day surgical facility services - Other covered facilities
Service Benefit Category Id
11009
Other diagnostic tests - Other covered providers
Service Benefit Category Id
11010