{"aaData": [["1", "
Active Coverage
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["B", "
Co-Payment
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["C", "
Deductible
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["CB", "
Coverage Basis
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["D", "
Benefit Description
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["E", "
Exclusions
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["F", "
Limitations
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["G", "
Out of Pocket (Stop Loss)
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["H", "
Unlimited
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["I", "
Non-Covered
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["J", "
Cost Containment
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["2", "
Active/Full Risk Capitation
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["K", "
Reserve
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["L", "
PCP
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["M", "
Pre-existing Condition
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["MC", "
Managed Care Coordinator
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["N", "
Services Restricted to Following Prov
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["O", "
Not Deemed Medical Necessity
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["P", "
Benefit Disclaimer
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["Q", "
2nd Surgical Opinion Required
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["R", "
Other or Additional Payor
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["S", "
Prior Year(s) History
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["3", "
Active/Service Capitated
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["T", "
Card Reported Lost/Stolen
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["U", "
Contact Following Entity for EB Info
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["V", "
Cannot Process
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["W", "
Other Source of Data
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["X", "
Health Care Facility
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["Y", "
Spend Down
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["4", "
Active/Service Capitated to PCP
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["5", "
Active/Pending Investigation
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["6", "
Inactive
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["7", "
Inactive/Pending Elig. Update
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["8", "
Inactive/Pending Investigation
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"], ["A", "
Co-Insurance
\n", "", "
2023-09-19 11:16:11
\n", "
0
\n"]]}