Plan details: S59102 4 PPO+ HSA_XOF (236)

Plan details for S59102 4 PPO+ HSA_XOF (ID: 370673506)
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...11279 Bytes
2026-08-01IN_NETWORK2026-08-14_Blue-Cross-and-Blue-Shield...11957.77 MB
2026-08-01IN_NETWORK2026-08-15_Blue-Cross-and-Blue-Shield...11921.34 MB
2026-08-01IN_NETWORK2026-08-15_Blue-Cross-and-Blue-Shield...11642 Bytes
2026-08-01IN_NETWORK2026-09_020_02I0_in-network-rates22312.05 MB
2026-08-01IN_NETWORK2026-09_030_03J0_in-network-rates112.67 GB
2026-08-01IN_NETWORK2026-09_040_05C0_in-network-rates773.39 GB
2026-08-01IN_NETWORK2026-09_042_04B0_in-network-rates112.14 GB
2026-08-01IN_NETWORK2026-09_051_06B0_in-network-rates55375.97 MB
2026-08-01IN_NETWORK2026-09_062_07B0_in-network-rates22367.58 MB
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