- Date of birth
- 2005-01-13
- Phone
- (324) 555-1084
- Preferred language
- English
- Member ID
- M100584
Care gaps
| Care gap | Measure | Program | Status | Attempts | Last attempt | Latest scenario |
|---|---|---|---|---|---|---|
| #90294 | WCV | DSNP | In progress | 0 | — | — |
| #90882 | W30B | Medicare | In progress | 2 | Jun 17, 2026 | Declined |
| #91470 | LSC | DSNP | Suppressed | 4 | Jul 23, 2026 | Scheduling assistance |