Other covered providers (Tier 2)
Service Benefit Category Id
11458
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Other network providers except Steward Designated Facility (Tier 2)
Service Benefit Category Id
11467
Other network providers (Tier 2)
Service Benefit Category Id
11481
Other network providers (Tier 2)
Service Benefit Category Id
11491
Other covered providers (Tier 2)
Service Benefit Category Id
11493
Other covered providers (Tier 2)
Service Benefit Category Id
11498
Other network providers (Tier 2)
Service Benefit Category Id
11506
Other network providers except Steward Designated Facility (Tier 2)
Service Benefit Category Id
11507
Other network providers (Tier 2)
Service Benefit Category Id
11511
Other network providers except Steward Designated Facility (Tier 2)
Service Benefit Category Id
11512