456 B
456 B
| 1 | Acct # | DME | Order Date | quantity | plan | component_type |
|---|---|---|---|---|---|---|
| 2 | PT-1061 | OmniPod 5 | 20260523 | 6 | United Healthcare | pod |
| 3 | PT-1062 | op5 | 20260523 | 1 | United Healthcare | pod |
| 4 | PT-1063 | Omnipod 5 | 20260519 | 3 | United Healthcare | pod |
| 5 | PT-1064 | Omnipod | 20260519 | 9 | United Healthcare | pod |
| 6 | PT-1065 | Omnipod 5 | 20260518 | 1 | United Healthcare | pod |
| 7 | PT-1066 | Omnipod 5 | 20260518 | 3 | United Healthcare | pod |
| 8 | PT-1067 | Omnipod | 20260520 | 3 | United Healthcare | pod |
| 9 | PT-1068 | Omnipod | 20260523 | 9 | United Healthcare | pod |