Forms to Track / Home Health Certification and Plan of Care
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RFA:
Form Date Patient Episode OASIS Status Match Frequency Primary Physician (HHRG) Primary Physician (CPC) Upload
06/09/2025 SCRIVEN, GARY
MRN: 900010273
08/16/25 - 06/22/26
SOC (Billable)
SOC (Exported to State) CALDERON, BENITO
NPI: 1396799904
Daniel 10/14/25 02:16 PM
changed the provider name
09/19/2025 FLEETWOOD, JOHN
MRN: 900009967
09/19/25 - 09/18/26
REC (Billable)
REC (Exported to State) MARGALLO, ROY MARIE
NPI: 1538314950
Daniel 08/27/25 01:47 PM
reviewed the form
04/30/2026 HERNANDEZ, MARCO
MRN: 900011087
04/30/26 - 06/13/26
SOC (Billable)
SOC (Exported to State) DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
DE GUZMAN-DELALUZ, EVANGELINE
NPI: 1750150215
Lala 06/05/26 11:55 AM
reviewed the form automatically marking the POC Uploaded
05/17/2026 SHIMAMOTO, ALAN
MRN: 900011130
05/17/26 - 07/15/26
SOC (Billable)
SOC (Exported to State) CHUNG, ARNOLD
NPI: 1558575480
CHUNG, ARNOLD
NPI: 1558575480
JM 06/18/26 04:10 PM
reviewed the form automatically marking the POC Uploaded
06/23/2026 SCRIVEN, GARY
MRN: 900010273
06/23/26 - 07/23/27
REC (Billable)
ROC (Submitted) REC (Exported to State) REC (Submitted) CALDERON, BENITO
NPI: 1396799904
Daniel 05/29/26 06:04 PM
reviewed the form