Mon, 15 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-000011 Medical First Health - Hybrid rq PPO Fee Billed Fee BRM 6.90 2026-01-01 2099-12-31 Edit
PPO-000012 Medical First Health - Hybrid rq PPO Fee O1184 BAC 5.50 2026-01-01 2099-12-31 Edit
PPO-000013 Medical First Health rq PPO Fee Billed Fee BRM 6.90 2026-01-01 2099-12-31 Edit
PPO-000014 Medical First Health rq PPO Fee O1184 BAC 5.50 2026-01-01 2099-12-31 Edit
PPO-000015 Medical Aetna ASA ap PPO Fee Billed Fee BRM 19.80 2027-11-01 2028-10-31 Edit
PPO-000016 Medical Aetna ASA ap PPO Fee O3528 BAC 19.80 2027-11-01 2028-10-31 Edit
PPO-000017 Medical Aetna ASA ap PPO Fee O3528 BAC 20.59 2028-11-01 2029-10-31 Edit
PPO-000018 Medical Aetna ASA ap PPO Fee Billed Fee BRM 20.59 2028-11-01 2029-10-31 Edit
PPO-000019 Medical Aetna ASA ap PPO Fee Billed Fee BRM 21.41 2029-11-01 2099-10-31 Edit
PPO-000020 Medical Aetna ASA ap PPO Fee O3528 BAC 21.41 2029-11-01 2099-10-31 Edit
20 items found, displaying 11 to 20. 1, 2
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