Plan details: 569349 1 PPO PPO NO VISION_LFH (587)

Plan details for 569349 1 PPO PPO NO VISION_LFH (ID: 810406485)
Appears in: 2025-122025-112025-102025-092025-082025-072025-062025-052025-042025-03
Date
Schema
Filename
# of Parts
# of Parts Available
Total source size
2025-12-01ALLOWED_AMOUNT2025-12-13_Blue-Cross-and-Blue-Shield...11260 Bytes
2025-12-01IN_NETWORK2025-12-13_Blue-Cross-and-Blue-Shield...1124.73 MB
2025-12-01IN_NETWORK2025-12-14_Blue-Cross-and-Blue-Shield...11641.69 KB
2025-12-01IN_NETWORK2025-12-14_Blue-Cross-and-Blue-Shield...1124.46 MB
2025-12-01IN_NETWORK2026-01_020_02I0_in-network-rates22273.75 MB
2025-12-01IN_NETWORK2026-01_030_03J0_in-network-rates111 GB
2025-12-01IN_NETWORK2026-01_040_05C0_in-network-rates5543.87 GB
2025-12-01IN_NETWORK2026-01_042_04B0_in-network-rates111.06 GB
2025-12-01IN_NETWORK2026-01_051_06B0_in-network-rates558.22 GB
2025-12-01IN_NETWORK2026-01_062_07B0_in-network-rates2215.03 GB
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