Member for 8 years 1 month Submitted by Site Factory admin on Wed, 09/03/2025 - 16:39 Covered Service Text 11154 12962 12428 13112 12835 77 12963 78 79 13120 11570 80 82 13123 84 86 12490 11571 Plan ID 16 Plan Name Network Blue New England Product Type Medical Service Benefit Category Id 19 Service Benefit Category Name Medical Care Outpatient Visits