Plan details: 94_XOT (55)

Plan details for 086745 5 TRAD RETIREE BEFORE 9/94_XOT (ID: 742071835)
Appears in: 2025-03
Date
Schema
Filename
# of Parts
# of Parts Available
Total source size
2025-03-01ALLOWED_AMOUNT2025-03-18_Blue-Cross-and-Blue-Shield...11274 Bytes
2025-03-01IN_NETWORK2025-03-20_Blue-Cross-and-Blue-Shield...11855.83 MB
2025-03-01IN_NETWORK2025-04_020_02E0_in-network-rates22279.46 MB
2025-03-01IN_NETWORK2025-04_040_05C0_in-network-rates5537.44 GB
2025-03-01IN_NETWORK2025-04_042_04B0_in-network-rates11924.44 MB
2025-03-01IN_NETWORK2025-04_051_06E0_in-network-rates991.92 GB
2025-03-01IN_NETWORK2025-04_062_07D0_in-network-rates2214.04 GB
2025-03-01IN_NETWORK2025-04_070_09D0_in-network-rates2218.81 KB
2025-03-01IN_NETWORK2025-04_102_11D0_in-network-rates5543 GB
2025-03-01IN_NETWORK2025-04_110_14D0_in-network-rates1133.75 GB
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