Steward Providers and Steward Affiliates (Tier 1) - hospital or facility services
Service Benefit Category Id
12072
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Steward Providers and Steward Affiliates (Tier 1) - physician and other professional services
Service Benefit Category Id
12073
Steward approved PPO providers (Tier 2) - hospital or facility services
Service Benefit Category Id
12074
Steward approved PPO providers (Tier 2) - physician and other professional services
Service Benefit Category Id
12075
Other PPO providers (Tier 3) - hospital or facility services
Service Benefit Category Id
12076
Other PPO providers (Tier 3) - physician and other professional services
Service Benefit Category Id
12077
Steward approved PPO providers (Tier 2) - facility services
Service Benefit Category Id
12094
Steward Providers and Steward Affiliates (Tier 1) - inpatient professional (physician) services
Service Benefit Category Id
12099
Steward Providers and Steward Affiliates (Tier 1) - inpatient hospital or facility services
Service Benefit Category Id
12104
Steward approved PPO providers (Tier 2) - inpatient professional (physician) services
Service Benefit Category Id
12107