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
| ORGAN OR DISEASE PANELS (144000) | Acute Viral Hepatitis (HAV, HBV, HCV) |
| ORGAN OR DISEASE PANELS (303754) | Electrolyte Panel |
| MICROBIOLOGY (008649) | Aerobic Bacterial Culture + |