For physicians

$50 deductible able charges American Samoa basis of reasonable beneficiary Blue Shield carriers CLAIMS ARE FILED Company P. O. Box CONDITIONS FOR PAYMENT Counties covered services customary charge determinations of reasonable Drugs and biologicals extended care facility extended care services fiscal intermediaries health insurance card health insurance program home health agency home health services hospital and extended hospital insurance program hospital or extended illness or injury inpatient hospital services Insurance Company P. O. intermediary and charges MEDICAL INSURANCE BENEFITS Medical insurance payments medical insurance program medical necessity medically necessary ment Outpatient hospital diagnostic patient receives patient's home pay 80 percent PHYSICIAN OR SUPPLIER Physicians Service prevailing charges Private duty nursing procedures reasonable charge recertification refractive error reimbursed sends the claim services and supplies services or supplies sicians Social Security Administration South Dakota speech therapy spell of illness surance Travelers Insurance Company treatment tuberculosis utilization review plan Yeon Building