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MRN MRN-008814

Park, Min-Jee

64F · Anthem PPO Gold · Member ANTH-W123456789

← All patients
Authorization timeline · 1 case
AUT-2026-00187
MRI Lumbar Spine without contrast
Anthem · Service May 10, 2026
Auto-approved
›
Care snapshot
Active diagnoses
M54.50Low back pain, unspecified
M51.36Other intervertebral disc degeneration, lumbar region
M54.16Radiculopathy, lumbar region
Procedures requested
72148MRI lumbar spine without contrast
Payers on file
Anthem
Primary · Anthem (Elevance Health)