X-rays provided in a setting other than a primary care physician or specialist's office (for example, outpatient hospital, ambulatory surgery facility, or free-standing radiology facility).
The following five benefit service categories are all found in the same section of the SBC, “If you have a test”:
- Lab Outpatient Facility
- Lab Outpatient Professional Office
- X-Rays Primary
- X-Rays Specialist
- X-Rays All Other
Sometimes all five categories have the same benefit design, in which case you should enter the same information for all of them. Sometimes, however, there is differentiation based on labs vs. x-rays, and / or place-of-service (PCP vs. Specialist vs. free-standing vs. facility). When there is differentiation, it will be described in the detail of the “If you have a test” section of the SBC: