Emma Lopez
PT-10247DOB 1996-12-01 · Anthem PPO · Member ANT8829110
Coded
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AI eligibility check complete
Coverage active · anthem ppo. No authorization required for the scheduled codes.
Coverage
ActivePayer
Anthem PPO
Member ID
ANT8829110
Plan
PPO
Copay
$30
Deductible met
$820 / $1,500
Auth required
No