Member for 7 years 2 months Submitted by Site Factory admin on Mon, 10/07/2024 - 13:22 Covered Service Text 11042 12962 12428 13112 12835 77 13008 78 79 13120 11570 80 82 13123 84 86 12493 13134 Plan ID 32 Plan Name Advantage Blue Product Type Medical Service Benefit Category Id 19 Service Benefit Category Name Medical Care Outpatient Visits