6 lines
467 B
Text
6 lines
467 B
Text
Patient ID,Item Description,Service Date,Qty,Insurance Name,Item Type,Prescriber NPI,Branch
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PT-1011,FreeStyle Libre 3,12/15/2024,1,Aetna Commercial,sensor,1234567890,PA-001
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PT-1012,FSL3,12/26/2024,1,Aetna Commercial,sensor,1234567890,PA-001
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PT-1013,FreeStyle Libre 3,11/06/2024,6,Aetna Commercial,sensor,1234567890,PA-001
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PT-1014,FSL3,11/09/2024,2,Aetna Commercial,sensor,1234567890,PA-001
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PT-1015,Libre 3,11/20/2024,3,Aetna Commercial,sensor,1234567890,PA-001
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