Plan details: 499404 4 TRAD INDEMNITY PLAN 1_XOT (165)

Plan details for 499404 4 TRAD INDEMNITY PLAN 1_XOT (ID: 590792436)
Appears in: 2026-082026-062026-05
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_020_02E0_in-network-rates200 Bytes
2026-08-01IN_NETWORK2026-09_040_05C0_in-network-rates700 Bytes
2026-08-01IN_NETWORK2026-09_042_04B0_in-network-rates100 Bytes
2026-08-01IN_NETWORK2026-09_051_06E0_in-network-rates900 Bytes
2026-08-01IN_NETWORK2026-09_062_07D0_in-network-rates200 Bytes
2026-08-01IN_NETWORK2026-09_070_09D0_in-network-rates200 Bytes
2026-08-01IN_NETWORK2026-09_102_11D0_in-network-rates600 Bytes
2026-08-01IN_NETWORK2026-09_110_14D0_in-network-rates100 Bytes
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