117 / 208
Top 20 Pharmacy Claimants
TOP CONDITION
RELATIONSHIP
GENDER
AGE
MEMBER PAID
PLAN PAID
MEMBER ID
Psych & schizo disorder, w
comp, w comorb
SUBSCRIBER
F
43
$1,852.05
$26,262.85
Dj95Xm1kAY6D9VkBlTQjcg
==
Jt degen -back, w comp, w
comorb, w surg
WIFE
F
39
$899.37
$23,477.44
OIkxntrf7+X8vh7EGC29NQ=
=
Inflam bowel disease, w
comp, w comorb, wo surg
SUBSCRIBER
F
33
$1,163.04
$22,633.67
FrMpTObfEgZwDzGgQMCE
wg==
Chronic renal failure, w
comp, w comorb
SUBSCRIBER
F
53
$185.65
$18,235.36
faXwTmrrkF++n0gpfZmzM
w==
AIDS, w comp, w comorb,
wo surg
SUBSCRIBER
M 31
$1,052.97
$17,751.38
eswcyXOxleVviFLjGfAIWA=
=
Diabetes, wo comp, w
comorb, wo surg
SUBSCRIBER
F
69
$1,462.78
$17,158.78
5M13NNv4gmK3q6+f6WeYE
A==
Diabetes, wo comp, w
comorb, wo surg
SUBSCRIBER
F
57
$1,921.23
$16,862.14
XXaXCozpVXiVsDv19i1ljQ=
=
AIDS, w comp, w comorb,
wo surg
SUBSCRIBER
F
39
$1,827.40
$15,189.57
+B/l28suTKGElVYalJF5Fw=
=
Psoriasis, wo comp, wo
comorb
SUBSCRIBER
F
37
$655.98
$12,077.15
/hz1n8YNT2tNUpiK6XvPTQ
==
$236,929.08
$917,199.32
Remaining Members
Page 16 of 41
Incurred: 2/1/2016 to 1/31/2017
Episode Treatment Groups, third party software included in Design180 ™, is the proprietary and copyrighted
intellectual property of Symmetry ™. Copyright © 2015, NavigatorMD, Inc.
Sample Company