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Other PPO providers (Tier 3) - hospital or other day surgical facility services

Member for

8 years

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

Service Benefit Category Id

12090

Otros proveedores de PPO (nivel 3) - Servicios en hospitales y en otros centros de atención quirúrgica ambulatoria

Member for

8 years

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

Service Benefit Category Id

12090

Other PPO providers (Tier 3) - professional (physician) day surgical services

Member for

8 years

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

Service Benefit Category Id

12091

Otros proveedores de PPO (nivel 3) - Servicios prestados por profesionales (médicos) en centros de atención quirúrgica ambulatoria

Member for

8 years

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

Service Benefit Category Id

12091

Steward Providers and Steward Affiliates (Tier 1) - facility services

Member for

8 years

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

Service Benefit Category Id

12092

Steward approved PPO providers (Tier 2)

Member for

8 years

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

Service Benefit Category Id

12150

Proveedores de PPO aprobados por Steward (nivel 2)

Member for

8 years

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

Service Benefit Category Id

12150

Other PPO providers (Tier 3)

Member for

8 years

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

Service Benefit Category Id

12154

Otros proveedores de PPO (nivel 3)

Member for

8 years

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

Service Benefit Category Id

12154

CVS Retail pharmacy

Member for

8 years

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

Service Benefit Category Id

12164