|
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.
|
|
|
|
05/04/2024
Billable
|
HUNT II,
JAMES
MRN:
900009002
|
Judy R.
|
|
|
|
05/09/2024
Non-Billable
|
STARKEY,
NANCY
MRN:
900009225
|
Judy R.
|
|
|
|
05/23/2024
Non-Billable
|
VILLANUEVA,
CORAZON
MRN:
900008945
|
Judy R.
|
|
|
|
05/26/2024
Billable
|
LAMONT,
BARBARA
MRN:
900000262
|
Ellie V.
|
|
|
|
06/01/2024
Non-Billable
|
VILLANUEVA,
CORAZON
MRN:
900008945
|
Judy R.
|
|
|
|
07/11/2024
Billable
|
SCHMIDTBERGER,
TROY
MRN:
900009407
|
MJ O.
|
|
|
|
08/05/2024
Billable
|
DICK,
PATRICIA
MRN:
900007361
|
Ellie V.
|
|
|
|
09/15/2024
Billable
|
HALAJIAN,
ARSEN
MRN:
900009623
|
Ellie V.
|
|
|