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Page standards status: Informative |
identifier: Member Number/88800933501
status: Active
type: PPO
subscriberId: 888009335
beneficiary: Amy V. Baxter (no stated gender), DoB: 1987-02-20 ( Medical Record Number: 1032702 (use: usual, ))
relationship: Self
period: 2020-01-01 --> (ongoing)
payor: Acme Health Plan
class
type: An employee group
value: xyz
name: XYZ employee Group Plan
class
type: A specific suite of benefits.
value: gold
name: Acme Gold Plan