Reporting Entity

Plan Details

Plan ID Type: EIN

Plan ID: 262553688

Plan Market Type: Group

Plan Name: PPO

Allowed Amount File

Description: BCBSMI PPO Out of Network Allowed Amount MRF

View File

In Network Files

• Description: 301|71A0

  View File

• Description: 301|71A0

  View File

• Description: 800|72A0

  View File

• Description: 800|72A0

  View File

• Description: BCBSMI PPO INN MRF produced by Northwood

  View File

• Description: BCBSMI HMO and PPO CareCentrix Home Infusion In Network Rates MRF produced by BCBSM

  View File

• Description: BCBSMI PPO INN MRF produced by NASCO

  View File

• Description: 020|02I0

  View File

• Description: 020|02I0

  View File

• Description: 030|03J0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 042|04B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 062|07B0

  View File

• Description: 062|07B0

  View File

• Description: 070|09B0

  View File

• Description: 070|09B0

  View File

• Description: 070|09B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 110|14B0

  View File

• Description: 121|16B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 140|13B0

  View File

• Description: 141|57A0

  View File

• Description: 150|20B0

  View File

• Description: 170|22B0

  View File

• Description: 182|25E0

  View File

• Description: 182|25E0

  View File

• Description: 230|30B0

  View File

• Description: 240|28J0

  View File

• Description: 250|31H0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 260|34P0

  View File

• Description: 266|38B0

  View File

• Description: 266|38B0

  View File

• Description: 266|38B0

  View File

• Description: 271|35B0

  View File

• Description: 271|35B0

  View File

• Description: 271|35B0

  View File

• Description: 271|35B0

  View File

• Description: 280|36B0

  View File

• Description: 290|37B0

  View File

• Description: 301|43B0

  View File

• Description: 302|42B0

  View File

• Description: 302|42B0

  View File

• Description: 302|42B0

  View File

• Description: 310|32Q0

  View File

• Description: 320|33B0

  View File

• Description: 320|33B0

  View File

• Description: 340|46B0

  View File

• Description: 361|50I0

  View File

• Description: 362|52S0

  View File

• Description: 362|52S0

  View File

• Description: 362|52S0

  View File

• Description: 370|55A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 380|56B0

  View File

• Description: 400|59H0

  View File

• Description: 410|60B0

  View File

• Description: 415|63B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 430|65B0

  View File

• Description: 443|69B0

  View File

• Description: 443|69B0

  View File

• Description: 443|69B0

  View File

• Description: 443|69B0

  View File

• Description: 460|70J0

  View File

• Description: 460|70J0

  View File

• Description: 471|12B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 590|10G0

  View File

• Description: 590|10G0

  View File

• Description: 611|15B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 700|23B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 800|44N0

  View File

• Description: 850|47B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 932|67B0

  View File

• Description: 973|54A0

  View File

• Description: 973|62A0

  View File

Plan Details

Plan ID Type: EIN

Plan ID: 262553688

Plan Market Type: Group

Plan Name: PPO

Allowed Amount File

Description: BCBSMI PPO Out of Network Allowed Amount MRF

View File

In Network Files

• Description: 301|71A0

  View File

• Description: 301|71A0

  View File

• Description: 800|72A0

  View File

• Description: 800|72A0

  View File

• Description: 020|02I0

  View File

• Description: 020|02I0

  View File

• Description: 030|03J0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 040|05C0

  View File

• Description: 042|04B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 051|06B0

  View File

• Description: 062|07B0

  View File

• Description: 062|07B0

  View File

• Description: 070|09B0

  View File

• Description: 070|09B0

  View File

• Description: 070|09B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 102|11B0

  View File

• Description: 110|14B0

  View File

• Description: 121|16B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 131|17B0

  View File

• Description: 140|13B0

  View File

• Description: 141|57A0

  View File

• Description: 150|20B0

  View File

• Description: 170|22B0

  View File

• Description: 182|25E0

  View File

• Description: 182|25E0

  View File

• Description: 230|30B0

  View File

• Description: 240|28J0

  View File

• Description: 250|31H0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 254|39B0

  View File

• Description: 260|34P0

  View File

• Description: 266|38B0

  View File

• Description: 266|38B0

  View File

• Description: 266|38B0

  View File

• Description: 271|35B0

  View File

• Description: 271|35B0

  View File

• Description: 271|35B0

  View File

• Description: 271|35B0

  View File

• Description: 280|36B0

  View File

• Description: 290|37B0

  View File

• Description: 301|43B0

  View File

• Description: 302|42B0

  View File

• Description: 302|42B0

  View File

• Description: 302|42B0

  View File

• Description: 310|32Q0

  View File

• Description: 320|33B0

  View File

• Description: 320|33B0

  View File

• Description: 340|46B0

  View File

• Description: 361|50I0

  View File

• Description: 362|52S0

  View File

• Description: 362|52S0

  View File

• Description: 362|52S0

  View File

• Description: 370|55A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 378|49A0

  View File

• Description: 380|56B0

  View File

• Description: 400|59H0

  View File

• Description: 410|60B0

  View File

• Description: 415|63B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 425|61B0

  View File

• Description: 430|65B0

  View File

• Description: 443|69B0

  View File

• Description: 443|69B0

  View File

• Description: 443|69B0

  View File

• Description: 443|69B0

  View File

• Description: 460|70J0

  View File

• Description: 460|70J0

  View File

• Description: 471|12B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 510|01B0

  View File

• Description: 590|10G0

  View File

• Description: 590|10G0

  View File

• Description: 611|15B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 690|08B0

  View File

• Description: 700|23B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 720|27B0

  View File

• Description: 748|29M0

  View File

• Description: 748|29M0

  View File

• Description: 748|29M0

  View File

• Description: 800|44N0

  View File

• Description: 850|47B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

  View File

• Description: 890|58B0

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