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Mrs. KATE ALLENA
Age
69 Years
Chart ID
11111D1
DOB
07-23-1957 (66 years)
Gender
Female
Phone
+1-212-456-7890
Provider
-
Enrolment Type
-
Email
ka@email.com
Provider
-
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
-
Schedule Request Date
11-02-2023
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Mr. JOHN DOE
Age
66 Years
Cancelled
Chart ID
27384D6
Cancelled
Medium Risk
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Provider
B.Clark MS
Enrolment Type
Community - Non Dual Aged
Email
ka@email.com
Provider
B.Clark MS
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
2.3
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Mr. FREDDY KEARNEY
Age
66 Years
Stand by
Chart ID
27384D6
Stand by
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Provider
B.Clark MS
Enrolment Type
Community - Non Dual Aged
Email
ka@email.com
Provider
B.Clark MS
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
-
View More
Mr. PETER IBEOTH
Age
66 Years
High Risk
Chart ID
27384D6
High Risk
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Provider
B.Clark MS
Enrolment Type
Alaska
Email
ka@email.com
Provider
B.Clark MS
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
3.55
Visit
Every 3 weeks
Appointment Request
11-02-2023
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Mr.BRIAN FOLDA
Age
66 Years
Medium Risk
Chart ID
27384D6
Medium Risk
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Provider
B.Clark MS
Enrolment Type
Alaska
Email
ka@email.com
Provider
B.Clark MS
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
2.11
Visit
Every 3 weeks
Appointment Request
11-02-2023
View More
Mrs. ELINA CODY
Age
66 Years
On Hold
Chart ID
27384D6
On Hold
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Provider
B.Clark MS
Enrolment Type
Alaska
Email
ka@email.com
Provider
B.Clark MS
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
2.55
View More
Mr. DAVIS CROSS
Age
66 Years
Low Risk
Chart ID
27384D6
Low Risk
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Provider
B.Clark MS
Enrolment Type
Alaska
Email
ka@email.com
Provider
B.Clark MS
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
1.7
Visit
Every 3 weeks
Appointment Request
11-02-2023
View More
Mrs. KATE ALLENA
Age
69 Years
Chart ID
27384D6
DOB
07-23-1957 (66 years)
Gender
Female
Phone
+1-212-456-7890
Enrolment Type
Alaska
Email
ka@email.com
Provider
-
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Schedule Request Date
11-02-2023
View More
Mr. PETER IBEOTH
Age
66 Years
High Risk
Chart ID
27384D6
High Risk
DOB
07-23-1957 (66 years)
Gender
Male
Phone
+1-212-456-7890
Provider
B.Clark MS
Enrolment Type
Alaska
Email
ka@email.com
Provider
B.Clark MS
INS Name
Medical Health Insurance
INS ID
14XE-YT78-8907
Risk Score
3.55
Visit
Every 3 weeks
Appointment Request
11-02-2023
View More
