307 B
307 B
| 1 | patient_id | device_type | shipment_date | quantity | payer | component |
|---|---|---|---|---|---|---|
| 2 | PT-1001 | freestyle_libre_3 | 2026-05-10 | 9 | Medicaid - GA | sensor |
| 3 | PT-1002 | freestyle_libre_3 | 2026-05-10 | 9 | Medicaid - GA | sensor |
| 4 | PT-1003 | freestyle_libre_3 | 2026-05-15 | 1 | Medicaid - GA | sensor |
| 5 | PT-1004 | freestyle_libre_3 | 2026-05-09 | 1 | Medicaid - GA | sensor |