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Steward Providers and Steward Affiliates (Tier 1) - inpatient hospital or facility services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12110

Steward approved PPO providers (Tier 2) - inpatient hospital or facility services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12112

Steward Providers and Steward Affiliates (Tier 1)

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12116

Other PPO providers (Tier 3)

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12118

Steward Providers and Steward Affiliates (Tier 1) - oxygen and equipment for administration

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12119

Steward Providers and Steward Affiliates (Tier 1) - professional (physician) respiratory services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12121

Steward approved PPO providers (Tier 2) - hospital or facility respiratory services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12123

Other PPO providers (Tier 3) - hospital or facility respiratory services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12126

Other PPO providers (Tier 3) - professional (physician) respiratory services

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12127

Do not use 2

Member for

7 years 4 months

Submitted by Site Factory admin on Wed, 01/13/2021 - 00:11

Service Benefit Category Id

12129