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Specialty * Allergy/Immunology Anesthesiology Anesthesiology Assistant Anesthesiology-Pain Management APN Certified Clinical Nurse Specialist APN Certified Nurse Anesthetist APN Certified Nurse-Midwife APN Certified RN Practitioner Auditable Premium Bariatrics (Non-Invasive, No Minor Risk Procedures) Cardiac Surgery Cardiac Surgery (Minor Risk Procedures, No Performing Major Surgery) Cardiovascular Disease (Minor Risk Procedures) Cardiovascular Disease (No Minor Risk Procedures, No Surgery) Cardiovascular Disease (Specified Minor Risk Procedures) Chiropractor Colon Surgery Corporation Corporation Net Rating Corporation Shared Limit Chargeable Corporation Shared Limit No Charge Critical Care Technician Dentist Dermatology Dermatology - Tumescent Liposuction only Diabetes Dialysis Technician Emergency Medicine (Major Risk Procedures-Limited Performance) Emergency Medicine (Primarily Performing Major Surgery) Endocrinology Family Practice (Major Risk Procedures-Limited Performance) Family Practice (Minor Risk Procedures, No Performing Major Surgery) Family Practice (No Minor Risk Procedures, No Surgery) Forensic Medicine FTE Corporation Shared Limit Chargeable FTE Corporation Shared Limit No Charge Gastroenterology General Practice (Major Risk Procedures-Limited Performance) General Practice (Minor Risk Procedures, No Performing Major Surgery) General Practice (No Minor Risk Procedures, No Surgery) General Surgery General Surgery (Minor Risk Procedures, No Performing Major Surgery) General Surgery (No Minor Risk Procedures) Geriatrics Gynecological Surgery Gynecology (No Minor Risk Procedures, No Surgery) Gynecology And/Or Obstetrics (Minor Risk Procedures, No Performing Major Surgery) Hand Surgery Hand Surgery (Minor Risk Procedures, No Performing Major Surgery) Head And Neck Surgery Hematology Hospitalist, Family Practice Hospitalist, Internal Medicine Hospitalist, Pediatrics Industrial Medicine Infectious Diseases Internal Medicine (Minor Risk Procedures) Internal Medicine (No Minor Risk Procedures) Neonatology Nephrology (Minor Risk Procedures) Nephrology (No Minor Risk Procedures) Neurology Neurosurgery Neurosurgery, Without Intracranial Surgery Neurosurgery (Minor Risk Procedures, No Performing Major Surgery) Neurosurgery (No Minor Risk Procedures, No Surgery) No Coverage Corporation Nuclear Medicine Obstetrical & Gynecological Surgery Obstetrical RN (Other Than Nurse-Midwife) Occupational Medicine Oncology Ophthalmic Surgery Ophthalmology (No Surgery) Optometrist Oral/Maxillofacial Surgery Orthopaedics (Minor Risk Procedures, No Performing Major Surgery) Orthopaedics (No Minor Risk Procedures, No Surgery) Orthopaedic Surgery (Without Spinal Surgery) Orthopaedic Surgery (Without Spinal Surgery Or Chemonucleolysis) Orthopaedic Surgery (With Spinal Surgery) Orthopaedic Surgery (With Spinal Surgery And/Or Chemonucleolysis) Orthopedic Technician/Nurse Other-Class 1 Other-Class 10 Other-Class 11 Other-Class 12 Other-Class 13 Other-Class 14 Other-Class 15 Other-Class 16 Other-Class 17 Other-Class 18 Other-Class 19 Other-Class 2 Other-Class 20 Other-Class 21 Other-Class 22 Other-Class 23 Other-Class 24 Other-Class 25 Other-Class 26 Other-Class 27 Other-Class 3 Other-Class 4 Other-Class 5 Other-Class 6 Other-Class 7 Other-Class 8 Other-Class 9 Other-Non Std Otorhinolaryngology (Incl Traumatic Plastic Surgery, No Elective Cosmetic) Otorhinolaryngology (Minor Risk Procedures, No Performing Major Surgery) Otorhinolaryngology (No Minor Risk Procedures, No Surgery) Otorhinolaryngology (Performing Elective Cosmetic Plastic Surgery On Other Than The Head And Neck) Otorhinolaryngology (Performing Elective Cosmetic Plastic Surgery On The Head And Neck Only) Pathology Pediatrics (Minor Risk Procedures) Pediatrics (No Minor Risk Procedures) Pharmacist Physical Medicine And Rehabilitation Physical Therapist Physician, No Clinical Practice, 20% Physician, No Insurable Clinical Practice, 20% Physician Assistant Physician Treating Patients In A Free Clinic Plastic Surgery Podiatry, No Surgery Podiatry, Surgery Psychiatry Psychologist Psychotherapist Public Health And Preventive Medicine Pulmonary Diseases Radiation Oncology Radiology (Major Risk Procedures) Radiology (Minor Risk Procedures) Radiology (No Minor Risk Procedures) Retired, Not In Practice, 20% Rheumatology Sleep Medicine Social Worker Surgical Assistant/Technologist Suspended Coverage For Military Duty Thoracic Surgery Thoracic Surgery (No Minor Risk Procedures, No Surgery) Urological Surgery Urology (Minor Risk Procedures, No Performing Major Surgery) Vascular Surgery (Minor Risk Procedures, No Performing Major Surgery) Vascular Surgery - Peripheral

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