Common Info

Click to View a Sample Page Tile: Member Demographic Info.

<div class="container-fluid" style="border: 1px solid #CECECE"> <div class="row" style="padding-left: 0px; background-color: #f8f8f8; border-bottom: 1px solid #cecece"> <div class="col-md-12" style="padding: 7px"> <table width="100%"> <tbody> <tr> <td><span style="font-size: 14px"><b>Member Demographic Info</b></span><br></td> <td align="right"><i class="fas fa-ellipsis-h" id="demo2LeftBtn" style="cursor: pointer; color: #337ab7"></i></td> </tr> </tbody> </table> </div> </div> <div class="row" style="padding-left: 10px; margin-top: 5px; padding-bottom: 10px; font-size: 10pt"> <div style="padding-left: 0px; width: 50%; float: left"> <table style="margin-top: 5px"> <tbody> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Date of Birth:</label>01/10/1980</td> </tr> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Gender Identity:</label>Female</td> </tr> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">SSN:</label>253-45-3450</td> </tr> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Medicare Number:</label>8097761</td> </tr> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Medicaid Number:</label>1234634</td> </tr> </tbody> </table> </div> <div style="padding-left: 0px; width: 50%; float: left"> <table style="margin-top: 5px"> <tbody> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Record Number:</label>00000012815</td> </tr> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Primary External ID:</label>9896695</td> </tr> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Health ID:</label>A97979</td> </tr> <tr style="height: 23px"> <td style="color: #000" valign="top"><label style="font-weight:normal;color: #595959; padding-right:5px">Family Link ID:</label>2342365</td> </tr> </tbody> </table> </div> </div> </div>

If you need help, please e-mail the PX Team or send us a message on Microsoft Teams.