|
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.
|
|
|