Member for 8 years 1 month Submitted by Site Factory admin on Wed, 09/03/2025 - 16:38 Covered Service Text 11043 12962 12428 13112 12835 77 12963 78 79 13120 11570 80 82 13123 84 86 12492 13180 Plan ID 24 Plan Name Blue Choice New England Plan 2 Product Type Medical Service Benefit Category Id 19 Service Benefit Category Name Medical Care Outpatient Visits