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Account_Employer_Name__c
Name
First_Name__c
Middle_Initial__c
Last_Name__c
Gender__c
Relationship_to_Member__c
Dependent_Status__c
Enrollment_Date__c
IUA_Chosen__c
Billing/Mailing Street
Billing/Mailing City
Billing/Mailing State
Billing/Mailing PostalCode
Primary_Email_Address__c
Personal_Email__c
Date_of_Birth__c
Work_Phone__c
Primary_Phone_Number__c
Home_Phone__c
Tobacco_Use__c
App_Signature_Signs__c
X5_Year_Pre_ex__c
Principles_Signed_On__c
Demographics_Completed_On__c
Primary_Health_Completed_On__c
Dependents_Added_On__c
Dependent_Health_Completed_On__c
Ancillary_Flow_Completed_On__c
MCS_Completed_On__c
Primary_Member_Principles__c
Primary_Demographics__c
Primary_Health_History__c
Adding_Dependents__c
Dependent_Health_History__c
Ancillary_Flow__c
MCS_Summary_Flow__c
Membership_Stage__c
Unique_Partner_ID__c
Contact_Partner_Id__c
Liberty_Rx__cMember_MEC_Product__c
Member_Discount_Tier_Manual__c
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0011N00001dfEqSJoseph SmithJosephRSmithMSelfEF2018-11-01500
132 Fontainbleu Ct., Apt #203
MILPITASCA95035
name@domain.com
name@domain.com
1970-10-235552225432555111432155500012341
sharing_initials_Chronic_Conditions
sharing_initials_Genetic_Defects
2018-08-152018-08-152018-08-152018-08-152018-08-152018-08-152018-08-15COMPLETEDCOMPLETEDCOMPLETEDCOMPLETEDCOMPLETEDCOMPLETEDCOMPLETED
New Enrollment - Complete
1234567899876543211
[ask Sedera Member Services]
T3
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0011N00001dfEqSJoseph SmithSuzyTSmithFSpouse1972-11-23
sharing_initials_prior_treatment
New Enrollment - Complete
[example: NO MEC ]
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0011N00001dfEqSJoseph SmithBillyFSmithMChild2002-02-03[example: APEX HDHP MEC ]
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Domestic Partner
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