Plan details: 401301 17 HPN EXECUTIVES HPN PPO_R4N (168)

Plan details for 401301 17 HPN EXECUTIVES HPN PPO_R4N (ID: 030506747)
Appears in: 2026-082026-062026-052025-07
Date
Schema
Filename
# of Parts
# of Parts Available
Total source size
2026-08-01ALLOWED_AMOUNT2026-08-13_Blue-Cross-and-Blue-Shield...100 Bytes
2026-08-01IN_NETWORK2026-08-14_Blue-Cross-and-Blue-Shield...100 Bytes
2026-08-01IN_NETWORK2026-09_030_03M0_in-network-rates100 Bytes
2026-08-01IN_NETWORK2026-09_040_05X0_in-network-rates500 Bytes
2026-08-01IN_NETWORK2026-09_042_04Q0_in-network-rates100 Bytes
2026-08-01IN_NETWORK2026-09_051_06X0_in-network-rates200 Bytes
2026-08-01IN_NETWORK2026-09_062_07T0_in-network-rates200 Bytes
2026-08-01IN_NETWORK2026-09_102_11R0_in-network-rates200 Bytes
2026-08-01IN_NETWORK2026-09_131_18P0_in-network-rates200 Bytes
2026-08-01IN_NETWORK2026-09_161_21Q0_in-network-rates300 Bytes
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