MTF Name:
| Service | Specialty Code | Plans | Age | Diagnosis | Urgent | |||
|---|---|---|---|---|---|---|---|---|
| Active | Include | Exclude | Include | Exclude | ||||
MTF Name:
| Service | Specialty Code | Plans | Age | Diagnosis | Urgent | |||
|---|---|---|---|---|---|---|---|---|
| Active | Include | Exclude | Include | Exclude | ||||

| Service | Specialty Code | Plans | Age | Diagnosis | Urgent | |||
|---|---|---|---|---|---|---|---|---|
| Active | Include | Exclude | Include | Exclude | ||||
| Service | Specialty Code | Plans | Age | Diagnosis | Urgent | |||
|---|---|---|---|---|---|---|---|---|
| Active | Include | Exclude | Include | Exclude | ||||
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