TIMMY
6CX6AX4QN57; App ID: 4016498
What is the application ID?
4106881
2F90CH4KY27
What is the status of this application?
approved
7R70VT3GP37
What is the status of the app? Does it match in Medisys?
Approved
No, pending
6CX6AX4QN57; App ID: 4016498
What is the App source?
Standard
2F90CH4KY27
What is this member's premium?
$235
7R70VT3GP37
What is the plan?
Plan G
Richard Horton – App ID 3695900
Why was the application denied?
Medical Reasons
History of Kidney Cancer
1M45RH2CT77
Why was this app denied?
intermed coronary synd
9U37JX3EJ49
Who is AOR?
Richard Hollifield
Whoever makes it, tells it not. Whoever takes it, knows it not. Whoever knows it, wants it not. What is it?
Counterfeit money
Richard Horton – App ID 3695900
What is the member’s Medicare #?
002326421A
1M45RH2CT77
What is the desired plan?
Plan G
9U37JX3EJ49
What was the approve date?
04/15/2021
Richard Horton – App ID 3695900
When did the member sign the application?
11/22/2016
1M45RH2CT77
WHAT IS THE AGENCY #?
HLGLGPLSLY
9U37JX3EJ49
What's the payment method?
Auto bankdraft