Other PPO providers (Tier 2)
Service Benefit Category Id
12373
Search
Other network providers (Tier 3) - hospital or facility services
Service Benefit Category Id
12374
Other network providers (Tier 3) - inpatient professional (physician) services
Service Benefit Category Id
12375
other steerage 3
Service Benefit Category Id
12376
other steerage 4
Service Benefit Category Id
12377
other steerage 5
Service Benefit Category Id
12378
other steerage 6
Service Benefit Category Id
12379
other steerage 7
Service Benefit Category Id
12380
other steerage 8
Service Benefit Category Id
12381
Other PPO providers (Tier 2)
Service Benefit Category Id
12382