| 78124NY0910001 |
Base Catastrophic, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep25 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0960001 |
Base Catastrophic, ST, INN, Univera EPO Local, Pediatric Dental, Dep25 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0920003 |
Bassett Preferred Gold, NS, INN, Adult/Family Dental, Dep25, Tiered Network, Acupuncture |
2023 |
NYN006
|
Jan 23, 2023 |
| 78124NY0920001 |
Bassett Preferred Gold, NS, INN, Adult/Family Dental, Dep29, Tiered Network, Acupuncture |
2023 |
NYN006
|
Jan 23, 2023 |
| 78124NY0920007 |
Bassett Preferred Silver, NS, INN, Adult/Family Dental, Dep25, Tiered Network, Acupuncture |
2023 |
NYN006
|
Jan 23, 2023 |
| 78124NY0920005 |
Bassett Preferred Silver, NS, INN, Adult/Family Dental, Dep29, Tiered Network, Acupuncture |
2023 |
NYN006
|
Jan 23, 2023 |
| 78124NY1160003 |
Blue Select Children's Dental, ST, OON, Pediatric Dental |
2023 |
NYN014
|
Jan 23, 2023 |
| 78124NY1160001 |
Blue Select Family Dental, NS, OON, Dep 25, Adult/Family Dental, WP |
2023 |
NYN014
|
Jan 23, 2023 |
| 78124NY1160002 |
Blue Select Premier Dental, NS, OON, Dep 25, Adult/Family Dental, WP |
2023 |
NYN014
|
Jan 23, 2023 |
| 78124NY0980208 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980206 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980202 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980204 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980200 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980198 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980194 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980196 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980207 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980205 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980201 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980203 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980199 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980197 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980193 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980195 |
Blue Simplicity Gold, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0900023 |
Bronze Secure Plus 3, Expanded Bronze, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep25, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0900021 |
Bronze Secure Plus 3, Expanded Bronze, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep29, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0950023 |
Bronze Secure Plus 3, Expanded Bronze, NS, INN, Univera EPO Local, Adult/Family Dental, Dep25, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0950021 |
Bronze Secure Plus 3, Expanded Bronze, NS, INN, Univera EPO Local, Adult/Family Dental, Dep29, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0900013 |
Bronze Select, Expanded Bronze, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep25, Preventive Rx, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0900011 |
Bronze Select, Expanded Bronze, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep29, Preventive Rx, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0950013 |
Bronze Select, Expanded Bronze, NS, INN, Univera EPO Local, Adult/Family Dental, Dep25, Preventive Rx, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0950011 |
Bronze Select, Expanded Bronze, NS, INN, Univera EPO Local, Adult/Family Dental, Dep29, Preventive Rx, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0900019 |
Bronze Standard, Expanded Bronze, Child Only, ST3PCP ST, INN, Excellus BCBS EPO, Pediatric Dental |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0950019 |
Bronze Standard, Expanded Bronze, Child Only, ST3PCP ST, INN, Univera EPO Local, Pediatric Dental |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0900017 |
Bronze Standard, Expanded Bronze, ST3PCP ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep25 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0900015 |
Bronze Standard, Expanded Bronze, ST3PCP ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep29 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0950017 |
Bronze Standard, Expanded Bronze, ST3PCP ST, INN, Univera EPO Local, Pediatric Dental, Dep25 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0950015 |
Bronze Standard, Expanded Bronze, ST3PCP ST, INN, Univera EPO Local, Pediatric Dental, Dep29 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0900005 |
Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Excellus BCBS EPO, Pediatric Dental |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0950005 |
Bronze Standard HSA, Expanded Bronze, Child Only, ST, INN, Univera EPO Local, Pediatric Dental |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0900003 |
Bronze Standard HSA, Expanded Bronze, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep25 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0900001 |
Bronze Standard HSA, Expanded Bronze, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep29 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0950003 |
Bronze Standard HSA, Expanded Bronze, ST, INN, Univera EPO Local, Pediatric Dental, Dep25 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0950001 |
Bronze Standard HSA, Expanded Bronze, ST, INN, Univera EPO Local, Pediatric Dental, Dep29 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY1130003 |
CNY Preferred Gold, NS, INN, Adult/Family Dental, Dep25, Tiered Network, Acupuncture |
2023 |
NYN009
|
Jan 23, 2023 |
| 78124NY1130001 |
CNY Preferred Gold, NS, INN, Adult/Family Dental, Dep29, Tiered Network, Acupuncture |
2023 |
NYN009
|
Jan 23, 2023 |
| 78124NY1130007 |
CNY Preferred Silver, NS, INN, Adult/Family Dental, Dep25, Tiered Network, Acupuncture |
2023 |
NYN009
|
Jan 23, 2023 |
| 78124NY1130005 |
CNY Preferred Silver, NS, INN, Adult/Family Dental, Dep29, Tiered Network, Acupuncture |
2023 |
NYN009
|
Jan 23, 2023 |
| 78124NY1070016 |
Excellus BCBS HMO Gold, NS, INN, Dep25 |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070014 |
Excellus BCBS HMO Gold, NS, INN, Dep25, DP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070010 |
Excellus BCBS HMO Gold, NS, INN, Dep25, DP, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070012 |
Excellus BCBS HMO Gold, NS, INN, Dep25, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070008 |
Excellus BCBS HMO Gold, NS, INN, Dep29 |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070006 |
Excellus BCBS HMO Gold, NS, INN, Dep29, DP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070002 |
Excellus BCBS HMO Gold, NS, INN, Dep29, DP, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070004 |
Excellus BCBS HMO Gold, NS, INN, Dep29, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070015 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep25 |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070013 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep25, DP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070009 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070011 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep25, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070007 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep29 |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070005 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep29, DP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070001 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY1070003 |
Excellus BCBS HMO Gold, NS, INN, Pediatric Dental, Dep29, FP |
2023 |
NYN004
|
Jan 23, 2023 |
| 78124NY0890015 |
Gold Select, Gold, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep25, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0890013 |
Gold Select, Gold, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep29, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0940015 |
Gold Select, Gold, NS, INN, Univera EPO Local, Adult/Family Dental, Dep25, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0940013 |
Gold Select, Gold, NS, INN, Univera EPO Local, Adult/Family Dental, Dep29, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0890005 |
Gold Standard, Gold, Child Only, ST, INN, Excellus BCBS EPO, Pediatric Dental |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0940005 |
Gold Standard, Gold, Child Only, ST, INN, Univera EPO Local, Pediatric Dental |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0890003 |
Gold Standard, Gold, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep25 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0890001 |
Gold Standard, Gold, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep29 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0940003 |
Gold Standard, Gold, ST, INN, Univera EPO Local, Pediatric Dental, Dep25 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0940001 |
Gold Standard, Gold, ST, INN, Univera EPO Local, Pediatric Dental, Dep29 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY1120010 |
Healthy New York EPO, NS, INN, Dep25, DP, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110010 |
Healthy New York EPO, NS, INN, Dep25, DP, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120014 |
Healthy New York EPO, NS, INN, Dep25, DP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110014 |
Healthy New York EPO, NS, INN, Dep25, DP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120012 |
Healthy New York EPO, NS, INN, Dep25, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110012 |
Healthy New York EPO, NS, INN, Dep25, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1110016 |
Healthy New York EPO, NS, INN, Dep25, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120016 |
Healthy New York EPO, NS, INN, Dep25, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110002 |
Healthy New York EPO, NS, INN, Dep29, DP, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120002 |
Healthy New York EPO, NS, INN, Dep29, DP, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1120006 |
Healthy New York EPO, NS, INN, Dep29, DP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110006 |
Healthy New York EPO, NS, INN, Dep29, DP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1110004 |
Healthy New York EPO, NS, INN, Dep29, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120004 |
Healthy New York EPO, NS, INN, Dep29, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1120008 |
Healthy New York EPO, NS, INN, Dep29, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110008 |
Healthy New York EPO, NS, INN, Dep29, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1110009 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, DP, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120009 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, DP, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1120013 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, DP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110013 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, DP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120011 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110011 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120015 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110015 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep25, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1110001 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, DP, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120001 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, DP, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110005 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, DP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120005 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, DP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1120003 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, FP, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110003 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, FP, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1120007 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, HNY |
2023 |
NYN008
|
Jan 23, 2023 |
| 78124NY1110007 |
Healthy New York EPO, NS, INN, Pediatric Dental, Dep29, HNY |
2023 |
NYN007
|
Jan 23, 2023 |
| 78124NY1170003 |
Healthy Smile Children's Dental, ST, OON, Pediatric Dental |
2023 |
NYN015
|
Jan 23, 2023 |
| 78124NY1170001 |
Healthy Smile Family Dental, NS, OON, Dep 25, Adult/Family Dental, WP |
2023 |
NYN015
|
Jan 23, 2023 |
| 78124NY1170002 |
Healthy Smile Premier Dental, NS, OON, Dep 25, Adult/Family Dental, WP |
2023 |
NYN015
|
Jan 23, 2023 |
| 78124NY0880009 |
Platinum Select, Platinum, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep25, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0880007 |
Platinum Select, Platinum, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep29, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0930009 |
Platinum Select, Platinum, NS, INN, Univera EPO Local, Adult/Family Dental, Dep25, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0930007 |
Platinum Select, Platinum, NS, INN, Univera EPO Local, Adult/Family Dental, Dep29, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0880005 |
Platinum Standard, Platinum, Child Only, ST, INN, Excellus BCBS EPO, Pediatric Dental |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0930005 |
Platinum Standard, Platinum, Child Only, ST, INN, Univera EPO Local, Pediatric Dental |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0880003 |
Platinum Standard, Platinum, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep25 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0880001 |
Platinum Standard, Platinum, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep29 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0930003 |
Platinum Standard, Platinum, ST, INN, Univera EPO Local, Pediatric Dental, Dep25 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0930001 |
Platinum Standard, Platinum, ST, INN, Univera EPO Local, Pediatric Dental, Dep29 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0900009 |
Silver Select, Silver, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep25, Preventive Rx, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0900007 |
Silver Select, Silver, NS, INN, Excellus BCBS EPO, Adult/Family Dental, Dep29, Preventive Rx, Acupuncture |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0950009 |
Silver Select, Silver, NS, INN, Univera EPO Local, Adult/Family Dental, Dep25, Preventive Rx, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0950007 |
Silver Select, Silver, NS, INN, Univera EPO Local, Adult/Family Dental, Dep29, Preventive Rx, Acupuncture |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0890011 |
Silver Standard, Silver, Child Only, ST, INN, Excellus BCBS EPO, Pediatric Dental |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0940011 |
Silver Standard, Silver, Child Only, ST, INN, Univera EPO Local, Pediatric Dental |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0890009 |
Silver Standard, Silver, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep25 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0890007 |
Silver Standard, Silver, ST, INN, Excellus BCBS EPO, Pediatric Dental, Dep29 |
2023 |
NYN005
|
Jan 23, 2023 |
| 78124NY0940009 |
Silver Standard, Silver, ST, INN, Univera EPO Local, Pediatric Dental, Dep25 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY0940007 |
Silver Standard, Silver, ST, INN, Univera EPO Local, Pediatric Dental, Dep29 |
2023 |
NYN011
|
Jan 23, 2023 |
| 78124NY1000154 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000158 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000156 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000160 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000146 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000150 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000148 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000152 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000153 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000157 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000155 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000159 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000145 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000149 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000147 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000151 |
SimplyBlue Plus Bronze 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000170 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000174 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000172 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000176 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000162 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000166 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000164 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000168 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000169 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000173 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000171 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000175 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000161 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000165 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000163 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000167 |
SimplyBlue Plus Bronze 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000202 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000206 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000204 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000208 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000194 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000198 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000196 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000200 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000201 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000205 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000203 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000207 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000193 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000197 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000195 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000199 |
SimplyBlue Plus Bronze 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990096 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990094 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990090 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990092 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990088 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990086 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990082 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990084 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990095 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990093 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990089 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990091 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990087 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990085 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990081 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990083 |
SimplyBlue Plus Gold 14, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990256 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990254 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990250 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990252 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990248 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990246 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990242 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990244 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990255 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990253 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990249 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990251 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990247 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990245 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990241 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990243 |
SimplyBlue Plus Gold 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990304 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990302 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990298 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990300 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990296 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990294 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990290 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990292 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990303 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990301 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990297 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990299 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990295 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990293 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990289 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990291 |
SimplyBlue Plus Gold 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980064 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980062 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980058 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980060 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980056 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980054 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980050 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980052 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980063 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980061 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980057 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980059 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980055 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980053 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980049 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980051 |
SimplyBlue Plus Gold 1, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000314 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000318 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000316 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000320 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000306 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000310 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000308 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000312 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000313 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000317 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000315 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000319 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000305 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000309 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000307 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000311 |
SimplyBlue Plus Gold 21, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980144 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980142 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980138 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980140 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980136 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980134 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980130 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980132 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980143 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980141 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980137 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980139 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980135 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980133 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980129 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980131 |
SimplyBlue Plus Gold 5, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000026 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000030 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000028 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000032 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000018 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000022 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000020 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000024 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000025 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000029 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000027 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000031 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000017 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000021 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000019 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000023 |
SimplyBlue Plus Gold 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980032 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980030 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980026 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980028 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980024 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980022 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980018 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980020 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980031 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980029 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980025 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980027 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980023 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980021 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980017 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980019 |
SimplyBlue Plus Platinum 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980080 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980078 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980074 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980076 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980072 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980070 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980066 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980068 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980079 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980077 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980073 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980075 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980071 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980069 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980065 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980067 |
SimplyBlue Plus Platinum 3, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990240 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990238 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990234 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990236 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990232 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990230 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990226 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990228 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990239 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990237 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990233 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990235 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990231 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990229 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990225 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990227 |
SimplyBlue Plus Platinum 4, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980192 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980190 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980186 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980188 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980184 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980182 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980178 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980180 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980191 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980189 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980185 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980187 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980183 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980181 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980177 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980179 |
SimplyBlue Plus Platinum 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000250 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000254 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000252 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000256 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000242 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000246 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000244 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000248 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000249 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000253 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000251 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000255 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000241 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000245 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000243 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000247 |
SimplyBlue Plus Silver 16, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000266 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000270 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000268 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000272 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000258 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000262 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000260 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000264 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000265 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000269 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000267 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000271 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000257 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000261 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000259 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000263 |
SimplyBlue Plus Silver 17, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990320 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990318 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990314 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990316 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990312 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990310 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990306 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990308 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990319 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990317 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990313 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990315 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990311 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990309 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990305 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990307 |
SimplyBlue Plus Silver 18, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000298 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000302 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000300 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000304 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000290 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000294 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000292 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000296 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000297 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000301 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000299 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000303 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000289 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000293 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000291 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000295 |
SimplyBlue Plus Silver 19, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000058 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000062 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000060 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000064 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000050 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000054 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000052 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000056 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000057 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000061 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000059 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000063 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000049 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000053 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000051 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1000055 |
SimplyBlue Plus Silver 2, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990112 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990110 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990106 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990108 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990104 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990102 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990098 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990100 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990111 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990109 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990105 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990107 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990103 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990101 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990097 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990099 |
SimplyBlue Plus Silver 6, NS, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990048 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990046 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990042 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990044 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990040 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990038 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990034 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990036 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990047 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990045 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990041 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990043 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990039 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990037 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990033 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990035 |
SimplyBlue Plus Standard Gold, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980016 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980014 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980010 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980012 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980008 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980006 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980002 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980004 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980015 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980013 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980009 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980011 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980007 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980005 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980001 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980003 |
SimplyBlue Plus Standard Platinum, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980160 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980158 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980154 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980156 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980152 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980150 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980146 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980148 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980159 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980157 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980153 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980155 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980151 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980149 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980145 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0980147 |
SimplyBlue Plus Standard Platinum X, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990016 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990014 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990010 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990012 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990008 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990006 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990002 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990004 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990015 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990013 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990009 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990011 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep25, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990007 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29 |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990005 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990001 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY0990003 |
SimplyBlue Plus Standard Silver, ST, OON, Excellus BCBS PPO, Pediatric Dental, Dep29, FP |
2023 |
NYN016
|
Jan 23, 2023 |
| 78124NY1040272 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040270 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040266 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040268 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040264 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040262 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040258 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040260 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040271 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040269 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040265 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040267 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040263 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040261 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040257 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040259 |
Univera Access Bronze 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040378 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040382 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040380 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040384 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040370 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040374 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040372 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040376 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040377 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040381 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040379 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040383 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040369 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040373 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040371 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040375 |
Univera Access Bronze 3, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040416 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040414 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040410 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040412 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040408 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040406 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040402 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040404 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040415 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040413 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040409 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040411 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040407 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040405 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040401 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040403 |
Univera Access Bronze 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040234 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040238 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040236 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040240 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040226 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040230 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040228 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040232 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040233 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040237 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040235 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040239 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040225 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040229 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040227 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040231 |
Univera Access Gold 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030304 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030302 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030298 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030300 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030296 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030294 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030290 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030292 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030303 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030301 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030297 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030299 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030295 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030293 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030289 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030291 |
Univera Access Gold 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040330 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040334 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040332 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040336 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040322 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040326 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040324 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040328 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040329 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040333 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040331 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040335 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040321 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040325 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040323 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040327 |
Univera Access Gold 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040490 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040494 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040492 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040496 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040482 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040486 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040484 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040488 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040489 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040493 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040491 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040495 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040481 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040485 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040483 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040487 |
Univera Access Gold 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020176 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020174 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020170 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020172 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020168 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020166 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020162 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020164 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020175 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020173 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020169 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020171 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020167 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020165 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020161 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020163 |
Univera Access Platinum 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020192 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020190 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020186 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020188 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020184 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020182 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020178 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020180 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020191 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020189 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020185 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020187 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020183 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020181 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020177 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020179 |
Univera Access Platinum 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020240 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020238 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020234 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020236 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020232 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020230 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020226 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020228 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020239 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020237 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020233 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020235 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020231 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020229 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020225 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020227 |
Univera Access Platinum 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030368 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030366 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030362 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030364 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030360 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030358 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030354 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030356 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030367 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030365 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030361 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030363 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030359 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030357 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030353 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030355 |
Univera Access Platinum 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040250 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040254 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040252 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040256 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040242 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040246 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040244 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040248 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040249 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040253 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040251 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040255 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040241 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040245 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040243 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040247 |
Univera Access Silver 1, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030336 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030334 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030330 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030332 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030328 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030326 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030322 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030324 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030335 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030333 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030329 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030331 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030327 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030325 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030321 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030323 |
Univera Access Silver 2, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040362 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040366 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040364 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040368 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040354 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040358 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040356 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040360 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040361 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040365 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040363 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040367 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040353 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040357 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040355 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040359 |
Univera Access Silver 4, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040426 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040430 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040428 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040432 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040418 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040422 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040420 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040424 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040425 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040429 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040427 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040431 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040417 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040421 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040419 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1040423 |
Univera Access Silver 5, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Preventive Rx, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030048 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030046 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030042 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030044 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030040 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030038 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030034 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030036 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030047 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030045 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030041 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030043 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030039 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030037 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030033 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030035 |
Univera Access Standard Gold, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020016 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020014 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020010 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020012 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020008 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020006 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020002 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020004 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020015 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020013 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020009 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020011 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020007 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020005 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020001 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020003 |
Univera Access Standard Platinum, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020160 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020158 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020154 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020156 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020152 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020150 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020146 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020148 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020159 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020157 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020153 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020155 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020151 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020149 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020145 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020147 |
Univera Access Standard Platinum X, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030016 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030014 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030010 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030012 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030008 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030006 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030002 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030004 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030015 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep25 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030013 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030009 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030011 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep25, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030007 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep29 |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030005 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030001 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1030003 |
Univera Access Standard Silver, ST, OON, Univera PPO Local, Pediatric Dental, Dep29, FP |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020256 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020254 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020250 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020252 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020248 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020246 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020242 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020244 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020255 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020253 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020249 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020251 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep25, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020247 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020245 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020241 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, DP, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1020243 |
Univera Clear Options Gold, NS, OON, Univera PPO Local, Pediatric Dental, Dep29, Adult Vision, FP, Acupuncture |
2023 |
NYN012
|
Jan 23, 2023 |
| 78124NY1080016 |
Univera Healthcare HMO Gold, NS, INN, Dep25 |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080014 |
Univera Healthcare HMO Gold, NS, INN, Dep25, DP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080010 |
Univera Healthcare HMO Gold, NS, INN, Dep25, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080012 |
Univera Healthcare HMO Gold, NS, INN, Dep25, FP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080008 |
Univera Healthcare HMO Gold, NS, INN, Dep29 |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080006 |
Univera Healthcare HMO Gold, NS, INN, Dep29, DP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080002 |
Univera Healthcare HMO Gold, NS, INN, Dep29, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080004 |
Univera Healthcare HMO Gold, NS, INN, Dep29, FP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080015 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep25 |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080013 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep25, DP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080009 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep25, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080011 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep25, FP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080007 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep29 |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080005 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep29, DP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080001 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep29, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
| 78124NY1080003 |
Univera Healthcare HMO Gold, NS, INN, Pediatric Dental, Dep29, FP |
2023 |
NYN001
|
Jan 23, 2023 |
