Sat, 13 Dec 2025
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ID Plan Type Name Benifit Type Benifit Desc Vendor Code Screen Fixed Value Effective Start Date Effective End Date
PPO-000001 Medical Aetna ASA ap PPO Fee O3528 BAC 16.25 2001-01-01 2025-10-31 Edit
PPO-000002 Medical First Health rq PPO Fee O1184 BAC 5.35 2025-01-01 2025-12-31 Edit
PPO-000003 Medical First Health rq PPO Fee Billed Fee BRM 6.75 2025-01-01 2025-12-31 Edit
PPO-000004 Medical First Health - Hybrid rq PPO Fee O1184 BAC 5.35 2025-01-01 2025-12-31 Edit
PPO-000005 Medical Aetna ASA ap PPO Fee Billed Fee BRM 16.25 2001-01-01 2025-10-31 Edit
PPO-000006 Medical Aetna ASA ap PPO Fee Billed Fee BRM 18.31 2025-11-01 2026-10-31 Edit
PPO-000007 Medical Aetna ASA ap PPO Fee O3528 BAC 18.31 2025-11-01 2026-10-31 Edit
PPO-000008 Medical Aetna ASA ap PPO Fee Billed Fee BRM 19.04 2026-11-01 2027-10-31 Edit
PPO-000009 Medical Aetna ASA ap PPO Fee O3528 BAC 19.04 2026-11-01 2027-10-31 Edit
PPO-000010 Medical First Health - Hybrid rq PPO Fee Billed Fee BRM 6.75 2025-01-01 2025-12-31 Edit
20 items found, displaying 1 to 10. 1, 2
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