DH
Doug Hurst
Care Coordinator
← Referrals

Diego Alvarez

SCHEDULEDTI

ref_mock_004

View History

Referral Document

File Name
alvarez-scheduled.pdf
Urgency
Routine
Created
6/20/2026, 11:00:00 AM

Patient Information

Name
Diego Alvarez
Date of Birth
1965-01-28
Phone
—
Payer Type
TI

Insurance

Carrier
Cigna
Insurance ID
TI-71002
Group
—

Referring Physician

Name
—
Practice
—
Phone
—

Clinical

Clinical Indication
Follow-up brain MRI
Diagnosis Codes
—

Modalities (1)

Brain · MRI · W/ContrastCPT 70553

Scheduled Appointment

Location ID
loc-huntington
Modality ID
mod-mri-yellow
Start
7/1/2026, 1:00:00 PM
End
7/1/2026, 1:45:00 PM