Distribution Setup Admin View
Wed, 21 May 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
0.00
2001-01-01
2099-12-31
Edit
PPO-000002
Medical
First Health
rq
PPO Fee
O1184
BAC
5.35
2025-01-01
2099-12-31
Edit
PPO-000003
Medical
First Health
rq
PPO Fee
Billed Fee
BRM
6.75
2025-01-01
2099-12-31
Edit
PPO-000004
Medical
First Health - Hybrid
rq
PPO Fee
O1184
BAC
5.35
2025-01-01
2099-12-31
Edit
PPO-000005
Medical
First Health - Hybrid
rq
PPO Fee
Billed Fee
BRM
6.75
2025-01-01
2099-12-31
Edit
PPO-000006
Dental
Aetna Dental
ta
PPO Fee
Billed Fee
BRM
1.50
2001-01-01
2099-12-31
Edit
PPO-000007
Dental
Aetna Dental
ta
PPO Fee
O3528
BAC
1.00
2001-01-01
2099-12-31
Edit
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