Create a new Medicare card for Medicare claiming.
Whether to verify the Medicare card after creation
Member number
10"3951330061"
Individual reference number / position on card
"1"
Last name
1 - 40"Haywood"
Date of birth in format yyyy-mm-dd
"1975-04-03"
First name
1 - 40"Brant"
Second initial
1"B"
Sex
M, F, U "M"