|
Form Date |
Patient |
Medicare Verification Form |
Assessor |
Note |
|
|
03/03/2023
Billable
|
OCONNELL,
RICHARD
MRN:
900007794
|
Joan L.
|
|
|
|
|
10/21/2023
Billable
|
BOYLE,
SUSAN
MRN:
900008506
|
Angel D.
|
|
|
|
|
11/01/2023
Billable
|
TERESI,
MARILYN
MRN:
900008565
|
Doris B.
|
|
|
|
|
11/11/2023
Non-Billable
|
ROYBAL,
SHARON
MRN:
900008633
|
Dana W.
|
|
|
|
|
12/27/2023
Billable
|
THOMAS,
HELEN
MRN:
900008450
|
Doris B.
|
|
|
|
|
03/19/2024
Billable
|
WORTMAN,
ELIZABETH
MRN:
900007683
|
Josh C.
|
|
|
|
|
12/17/2024
Billable
|
GRIGAS,
ANTANAS
MRN:
900009113
|
Angel D.
|
|
|
|
|
12/26/2024
Billable
|
PRAUS,
JULIUS
MRN:
900007721
|
Angel D.
|
|
|
|
|
02/04/2025
Billable
|
EDWARDS,
SUSAN
MRN:
13675
|
Angel D.
|
|
|
|
|
02/11/2025
Billable
|
MARTIN,
BENJAMIN
MRN:
900008311
|
Ellie V.
|
|
|
|
|
02/17/2025
Billable
|
RICHEY,
PAULA
MRN:
900007519
|
Angel D.
|
|
|
|
|
02/28/2025
Billable
|
THURMAN JR,
ALBERT
MRN:
900010046
|
Ellie V.
|
|
|
|
|
03/03/2025
Billable
|
SPRAGUE,
CYNTHIA
MRN:
900010059
|
Angel D.
|
|
|
|
|
03/29/2025
Billable
|
TRINAYSTICH,
CATHERINE
MRN:
900010140
|
Angel D.
|
|
|
|
|
04/05/2025
Billable
|
KIMHAN III,
SIDNEY
MRN:
900010159
|
Ellie V.
|
|
|
|
|
04/06/2025
Billable
|
LA ROSE,
BARBARA
MRN:
900010161
|
Ellie V.
|
|
|
|
|
04/07/2025
Billable
|
DEBRADY,
DEMETRIA
MRN:
900010160
|
Angel D.
|
|
|
|
|
04/10/2025
Billable
|
aaa,
bbb
MRN:
7776
|
Nurse2 N.
|
|
|
|
|
04/21/2025
Billable
|
WOOD,
NANCY
MRN:
900008215
|
Ellie V.
|
|
|
|
|
05/04/2025
Billable
|
HANDLER,
DAVIDA
MRN:
14817
|
Ellie V.
|
|
|
|
|
05/12/2025
Billable
|
GRIFFIN,
ROBERT
MRN:
900006517
|
Angel D.
|
|
|
|
|
05/13/2025
Billable
|
COPPICK,
GLENDA
MRN:
900008569
|
Angel D.
|
|
|
|
|
06/29/2025
Billable
|
CANINE,
JAMES
MRN:
900010373
|
Angel D.
|
|
|
|
|
07/02/2025
Billable
|
CORDOVA,
TOBY
MRN:
900010094
|
Angel D.
|
|
|
|
|
07/10/2025
Billable
|
CALLACI,
EDWARD
MRN:
900010142
|
Angel D.
|
|
|
|
|
07/11/2025
Billable
|
PRAUS,
JULIUS
MRN:
900007721
|
Angel D.
|
|
|
|
|
07/20/2025
Billable
|
MICHAELS,
STUART
MRN:
900010416
|
Beverly C.
|
|
|
|
|
07/21/2025
Billable
|
MCDONOUGH,
LINDA
MRN:
15376
|
Angel D.
|
|
|
|
|
08/05/2025
Billable
|
aaa,
bbb
MRN:
7776
|
Nurse2 N.
|
|
|
|
|
08/07/2025
Billable
|
ALDRICH,
BARBARA
MRN:
900000831
|
Angel D.
|
|
|
|
|
08/08/2025
Billable
|
LEHMAN,
RACQUEL
MRN:
900010463
|
Angel D.
|
|
|
|
|
08/15/2025
Billable
|
SALVESEN,
CRAIG
MRN:
900010476
|
Angel D.
|
|
|
|
|
09/14/2025
Billable
|
SYKES,
ROY
MRN:
900010529
|
Deylis H.
|
|
|
|
|
09/14/2025
Billable
|
JOHNSON,
CHARLES
MRN:
900009849
|
Obinna I.
|
|
|
|
|
11/01/2025
Billable
|
LOVE,
DARREN
MRN:
900010657
|
Deylis H.
|
|
|
|
|
11/04/2025
Billable
|
CUISON,
LOURDES
MRN:
900010661
|
Angel D.
|
|
|
|
|
11/07/2025
Billable
|
MARTINEZ MARTINEZ,
JOSE
MRN:
900010660
|
Deylis H.
|
|
|
|
|
11/19/2025
Billable
|
DOWNEY,
LAURIE
MRN:
15391
|
Deylis H.
|
|
|
|
|
11/27/2025
Billable
|
RESCHKE,
PAUL
MRN:
900010706
|
Alexis B.
|
|
|
|
|
12/18/2025
Billable
|
MURPHY,
DAVID
MRN:
900010742
|
Deylis H.
|
|
|
|
|
12/22/2025
Billable
|
JIMINEZ,
GRACIELA
MRN:
900010750
|
Deylis H.
|
|
|
|
|
12/26/2025
Billable
|
JORDAN,
JOSETTE
MRN:
900010760
|
Deylis H.
|
|
|
|
|
01/04/2026
Billable
|
JONES,
KEITH
MRN:
900010785
|
Alexis B.
|
|
|
|
|
01/18/2026
Billable
|
LEVINE,
CRAIG
MRN:
900010714
|
Deb D.
|
|
|
|
|
01/22/2026
Billable
|
SANDOVAL,
PAULINE
MRN:
900010830
|
Jonai P.
|
|
|
|
|
01/22/2026
Non-Billable
|
SANDOVAL,
PAULINE
MRN:
900010830
|
Jonai P.
|
|
|
|
|
01/29/2026
Billable
|
MACK,
LAURENCE
MRN:
900010849
|
Soline L.
|
|
|
|
|
02/01/2026
Billable
|
MENELEY,
JEAN
MRN:
900010856
|
Albert Christian S.
|
|
|
|
|
02/01/2026
Billable
|
CROWE,
DEBORAH
MRN:
900010858
|
Albert Christian S.
|
|
|