Member for 7 years 2 months Submitted by Site Factory admin on Mon, 10/07/2024 - 13:22 Covered Service Text 12374 12108 194 12109 12375 196 197 198 199 200 202 203 12117 12420 11398 13423 Plan ID 32 Plan Name Advantage Blue Product Type Medical Service Benefit Category Id 33 Service Benefit Category Name Routine Pediatric Care