|
| Specifies the service type at the coverage level. |
| May contain organization-specific values: No |
| Category Entries: |
| Medical Care |
| Surgical |
| Consultation |
| Diagnostic X-Ray |
| Diagnostic Lab |
| Radiation Therapy |
| Anesthesia |
| Surgical Assistance |
| Other Medical |
| Blood Charges |
| Used Durable Medical Equipment |
| Durable Medical Equipment Purchase |
| Ambulatory Service Center Facility |
| Renal Supplies in the Home |
| Alternate Method Dialysis |
| Chronic Renal Disease (CRD) Equipment |
| Pre-Admission Testing |
| Durable Medical Equipment Rental |
| Pneumonia Vaccine |
| Second Surgical Opinion |
| Third Surgical Opinion |
| Social Work |
| Diagnostic Dental |
| Periodontics |
| Restorative |
| Endodontics |
| Maxillofacial Prosthetics |
| Adjunctive Dental Services |
| Health Benefit Plan Coverage |
| Plan Waiting Period |
| Chiropractic |
| Chiropractic Office Visits |
| Dental Care |
| Dental Crowns |
| Dental Accident |
| Orthodontics |
| Prosthodontics |
| Oral Surgery |
| Routine (Preventive) Dental |
| Home Health Care |
| Home Health Prescriptions |
| Home Health Visits |
| Hospice |
| Respite Care |
| Hospital |
| Hospital - Inpatient |
| Hospital - Room and Board |
| Hospital - Outpatient |
| Hospital - Emergency Accident |
| Hospital - Emergency Medical |
| Hospital - Ambulatory Surgical |
| Long Term Care |
| Major Medical |
| Medically Related Transportation |
| Air Transportation |
| Cabulance |
| Licensed Ambulance |
| General Benefits |
| In-vitro Fertilization |
| MRI/CAT Scan |
| Donor Procedures |
| Acupuncture |
| Newborn Care |
| Pathology |
| Smoking Cessation |
| Well Baby Care |
| Maternity |
| Transplants |
| Audiology Exam |
| Inhalation Therapy |
| Diagnostic Medical |
| Private Duty Nursing |
| Prosthetic Device |
| Dialysis |
| Otological Exam |
| Chemotherapy |
| Allergy Testing |
| Immunizations |
| Routine Physical |
| Family Planning |
| Infertility |
| Abortion |
| AIDS |
| Emergency Services |
| Cancer |
| Pharmacy |
| Free Standing Prescription Drug |
| Mail Order Prescription Drug |
| Brand Name Prescription Drug |
| Generic Prescription Drug |
| Podiatry |
| Podiatry - Office Visits |
| Podiatry - Nursing Home Visits |
| Professional (Physician) |
| Anesthesiologist |
| Professional (Physician) Visit - Office |
| Professional (Physician) Visit - Inpatient |
| Professional (Physician) Visit - Outpatient |
| Professional (Physician) Visit - Nursing Home |
| Professional (Physician) Visit - Skilled Nursing Facility |
| Professional (Physician) Visit - Home |
| Psychiatric |
| Psychiatric - Room and Board |
| Psychotherapy |
| Psychiatric - Inpatient |
| Psychiatric - Outpatient |
| Rehabilitation |
| Rehabilitation - Room and Board |
| Rehabilitation - Inpatient |
| Rehabilitation - Outpatient |
| Occupational Therapy |
| Physical Medicine |
| Speech Therapy |
| Skilled Nursing Care |
| Skilled Nursing Care - Room and Board |
| Substance Abuse |
| Alcoholism |
| Drug Addiction |
| Vision (Optometry) |
| Frames |
| Routine Exam |
| Lenses |
| Nonmedically Necessary Physical |
| Experimental Drug Therapy |
| Burn Care |
| Brand Name Prescription Drug - Formulary |
| Brand Name Prescription Drug - Non-Formulary |
| Independent Medical Evaluation |
| Partial Hospitalization (Psychiatric) |
| Day Care (Psychiatric) |
| Cognitive Therapy |
| Massage Therapy |
| Pulmonary Rehabilitation |
| Cardiac Rehabilitation |
| Pediatric |
| Nursery |
| Skin |
| Orthopedic |
| Cardiac |
| Lymphatic |
| Gastrointestinal |
| Endocrine |
| Neurology |
| Eye |
| Invasive Procedures |
| Gynecological |
| Obstetrical |
| Obstetrical/Gynecological |
| Mail Order Prescription Drug: Brand Name |
| Mail Order Prescription Drug: Generic |
| Physician Visit - Office: Sick |
| Physician Visit - Office: Well |
| Coronary Care |
| Private Duty Nursing - Inpatient |
| Private Duty Nursing - Home |
| Surgical Benefits - Professional (Physician) |
| Surgical Benefits - Facility |
| Mental Health Provider - Inpatient |
| Mental Health Provider - Outpatient |
| Mental Health Facility - Inpatient |
| Mental Health Facility - Outpatient |
| Substance Abuse Facility - Inpatient |
| Substance Abuse Facility - Outpatient |
| Screening X-ray |
| Screening laboratory |
| Mammogram, High Risk Patient |
| Mammogram, Low Risk Patient |
| Flu Vaccination |
| Eyewear and Eyewear Accessories |
| Case Management |
| Dermatology |
| Durable Medical Equipment |
| Diabetic Supplies |
| Generic Prescription Drug - Formulary |
| Generic Prescription Drug - Non-Formulary |
| Allergy |
| Intensive Care |
| Mental Health |
| Neonatal Intensive Care |
| Oncology |
| Physical Therapy |
| Pulmonary |
| Renal |
| Residential Psychiatric Treatment |
| Transitional Care |
| Transitional Nursery Care |
| Urgent Care |
