Mr. PETER IBEOTH (Patient)
+x-xxxx-xxx-xxx
+x-xxxx-xxx-xxx
+x-xxxx-xxx-xxx
Enrolment Type Community - Non Dual Aged
Risk Score 3.55
Primary Insurence -United Healthcare
B. Clark MD (Provider)
EMP Code 12345
Required Lab Test
| MR (X-Ray orbits if indicated) (Other) | Text Other |
| R-Ray | Shoulder (L) |
| CT | CT Brain |