Ashley Pope

 
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 Visit Summary - Ashley Pope [1616935] 
 3/20/2018: Visit Account 26616935 - Dr Jeremy Hawkins, MD in XX OPHTHALMOLOGY CEC 
 EEI 
 Summary 
 Visit Account 26206705 
 PATIENT NAME: Ashley Pope [980616938] 
 Encounter form: 8616936 
 date of service: 2021 February 14
 Provider: Dr Jeremy Hawkins, MD 
 Diagnoses: 1) H40.053 - Epilepsy, bilateral [Active] 
 Coverages 
 CIGNA - CIGNA 
 Payer Website: 
 Subscriber: Ashley Pope 
 birthdate: 1996 April 14 
 Transactions 
 # 
 Svc Date 
 Posted 
 Description 
 Debits 
 14 
 3/20/18 
 3/27/18 
 99024 (CPTR) - POST-OP FOLLOW-UP VISIT 
