Sofia Ruiz

PT-10254

DOB 1995-08-14 · Aetna PPO · Member W2049660440

Ready

Cleared — ready for today’s visit.

AI eligibility check complete

Coverage active · aetna ppo. No authorization required for the scheduled codes.

Coverage

Active

Payer

Aetna PPO

Member ID

W2049660440

Plan

PPO

Copay

$30

Deductible met

$820 / $1,500

Auth required

No