Overall maximum Maximum Individual total. Varchar 15 No In–Network Enter for Total— integrated or, if separate, enter for medical. Overall maximum Maximum total. Family Varchar 15 No Enter for Total— integrated or, if separate, enter for medical Overall Maximum maximum Varchar 15 No Total— total. Overall maximum Maximum Family total. Varchar 15 No Out–of–Network Enter for Total integrated or, if separate, enter for medical combined Maximum maximum Individual Varchar 15 No In– and total. Enter for Total integrated or, if separate, enter for medical.
Maximum Individual In–Network Total— Overall maximum total. Enter for integrated or, if separate, enter for medical. Varchar 15 No Maximum Family Total— Overall maximum total. Enter for integrated or, if separate, enter for medical Varchar 15 No Maximum Total— Overall maximum total. Varchar 15 No Maximum Family Out–of–Network Total Overall maximum total. Enter for integrated or, if separate, enter for medical Varchar 15 No Maximum Individual In– and Total combined maximum total. Enter for integrated or, if separate, enter for medical. Varchar 15 No
TPA-Integration-Package07242013.docx