367 B
367 B
| 1 | MRN | Product Type | Service Date | Qty | Insurance Name | Component Type |
|---|---|---|---|---|---|---|
| 2 | PT-1151 | Dexcom G7 CGM | 2026-05-21 | 9 | Aetna | sensor |
| 3 | PT-1152 | dexcom g7 | 2026-05-24 | 2 | Aetna | sensor |
| 4 | PT-1153 | Dexcom G7 CGM | 2026-05-17 | 1 | Aetna | sensor |
| 5 | PT-1154 | G7 | 2026-05-21 | 1 | Aetna | sensor |
| 6 | PT-1155 | dexcom g7 | 2026-05-26 | 9 | Aetna | sensor |
| 7 | PT-1156 | G7 | 2026-05-18 | 2 | Aetna | sensor |
| 8 | PT-1157 | G7 | 2026-05-21 | 3 | Aetna | sensor |