414 B
414 B
| 1 | patient_id | device_type | shipment_date | quantity | payer | component | Internal Code | Region | Staff ID |
|---|---|---|---|---|---|---|---|---|---|
| 2 | PT-1231 | Dexcom G7 | 2024-12-01 | 3 | Medicare Part A | sensor | DME-99 | Northeast | STAFF-001 |
| 3 | PT-1232 | G7 | 2024-11-21 | 6 | Medicare Part A | sensor | DME-99 | Northeast | STAFF-001 |
| 4 | PT-1233 | dexcom g7 | 2024-11-14 | 3 | Medicare Part A | sensor | DME-99 | Northeast | STAFF-001 |
| 5 | PT-1234 | dexcom g7 | 2025-01-12 | 3 | Medicare Part A | sensor | DME-99 | Northeast | STAFF-001 |