Exported to HAS

	Form Date	Patient	Episode	Assessor	Packet Status (for payroll)	Days to Submit	ICD	IQIES Due Date
	01/31/2024 Private Pay	CRAFTS, JEFFREY MRN: 900008883	01/31/24- 03/08/24 Billable	Doris B.	Completed	0 01/31/24	8	Past Due!	Delete
	02/27/2024 Private Insurance	VITO, LEMAU MRN: 900008959	02/27/24- 03/20/24 Billable	Joan L.	Completed	6 03/04/24	11	Past Due!	Delete
	03/07/2024 Private Pay	CANO, ARLEEN MRN: 900009013	03/07/24- 03/16/24 Billable	Joan L.	Completed	6 03/13/24	6	Past Due!	Delete
	03/12/2024 Private Pay	CARDENAS, MARCELL MRN: 900009017	03/12/24- 04/19/24 Billable	Joan L.	Completed	6 03/18/24	9	Past Due!	Delete
	03/24/2024 Private Pay	CONTRERAS, MARIA MRN: 900005179	03/24/24- 05/09/24 Billable	Doug W.	Completed	3 03/27/24	13	Past Due!	Delete
	04/05/2024 Workers Compensation	CLEWELL, DONALD MRN: 900009118	04/05/24- 07/03/24 Billable	MJ O.	Completed	3 04/08/24	7	N/A	Delete
	04/05/2024 Private Pay	PRAMPIN, HARMON MRN: 900009127	04/05/24- 05/01/24 Billable	Jeanne J.	Completed	21 04/26/24	6	Past Due!	Delete
	04/10/2024 Private Pay	PAGE, TROY MRN: 900009142	04/10/24- 05/19/24 Billable	Joan L.	Completed	6 04/16/24	10	Past Due!	Delete
	04/10/2024 Private Pay	RAHIMI, JABER MRN: 900009141	04/10/24- 05/08/24 Billable	Doris B.	Completed	2 04/12/24	7	Past Due!	Delete
	04/16/2024 Private Pay	KOLLINGER, FRANZ MRN: 900009160	04/16/24- 05/12/24 Billable	Joan L.	Completed	6 04/22/24	13	Past Due!	Delete
	04/17/2024 Private Insurance	VUE, YA MRN: 900009149	04/17/24- 04/23/24 Billable	MJ O.	Completed	0 04/17/24	4	Past Due!	Delete
	04/24/2024 Private Pay	SMITH, JOSEPH MRN: 900009188	04/24/24- 06/20/24 Billable	Judy R.	Completed	1 04/25/24	12	Past Due!	Delete
	04/28/2024 Private Pay	MACIAS, MELISSA MRN: 900009203	04/28/24- 05/04/24 Billable	Doris B.	Completed	2 04/30/24	16	Past Due!	Delete
	05/19/2024 Workers Compensation	EGANA, GLORIA MRN: 900009259	05/19/24- 11/20/24 Billable	MJ O.	Completed	1 05/20/24	3	N/A	Delete
	05/20/2024 Workers Compensation	PAUL, STEVEN MRN: 900009237	05/20/24- 06/12/24 Billable	MJ O.	Completed	1 05/21/24	7	N/A	Delete
	06/06/2024 Private Pay	DINGLE, JOHN MRN: 900009319	06/06/24- 06/28/24 Billable	Mary G.	Completed	5 06/11/24	12	Past Due!	Delete
	06/18/2024 Private Pay	HERNANDEZ MUNOZ, MARIA DE LOURDES MRN: 900009357	06/18/24- 07/19/24 Billable	Doris B.	Completed	2 06/20/24	8	Past Due!	Delete
	06/27/2024 Private Pay	CARRILLO, JOSE MRN: 900009383	06/27/24- 07/29/24 Billable	Joan L.	Completed	14 07/11/24	8	Past Due!	Delete
	06/29/2024 Workers Compensation	BROOKS, WANDA MRN: 900009386	06/29/24- 07/19/24 Billable	Doris B.	Completed	2 07/01/24	6	N/A	Delete
	07/10/2024 Private Pay	ZYLBERZTEIN, RINA MRN: 900009393	07/10/24- 08/22/24 Billable	MJ O.	Completed	1 07/11/24	17	Past Due!	Delete
	07/13/2024 Private Pay	AYALA MONTELONGO, PEDRO MRN: 900009419	07/13/24- 07/30/24 Billable	July S.	Completed	2 07/15/24	10	Past Due!	Delete
	07/14/2024 Private Pay	LAUVAO JR, FILIFAIESEA MRN: 900009417	07/14/24- 09/11/24 Billable	Josh C.	Completed	1 07/15/24	12	Past Due!	Delete
	07/26/2024 Workers Compensation	CLEWELL, DONALD MRN: 900009118	07/26/24- 11/21/24 Billable	MJ O.	Completed	3 07/29/24	6	N/A	Delete
	07/30/2024 Medicare	CEBALLOS, LETICIA MRN: 900006315	07/30/24- 09/27/24 Billable	Joan L.	Completed	6 08/05/24	7	Past Due!	Delete
	08/03/2024 Private Pay	INOSTROZA MATUZ, NOLBERTO TRISTAN MRN: 900009500	08/03/24- 08/29/24 Billable	Joan L.	Completed	10 08/13/24	9	Past Due!	Delete
	08/04/2024 Private Pay	MADRIGAL RAMIREZ, PEDRO MRN: 900009495	08/04/24- 08/15/24 Billable	July S.	Completed	5 08/09/24	14	Past Due!	Delete
	08/09/2024 Private Pay	MCMILLIAN, MELISSA MRN: 900009519	08/09/24- 10/04/24 Billable	Yani C.	Completed	18 08/27/24	12	Past Due!	Delete
	08/16/2024 Private Pay	HULL, BROOKS MRN: 900009537	08/16/24- 09/10/24 Billable	Ellie V.	Completed	10 08/26/24	6	Past Due!	Delete
	08/30/2024 Private Pay	RYALS, CHERYL MAE MRN: 900009575	08/30/24- 09/13/24 Billable	Joan L.	Completed	6 09/05/24	5	Past Due!	Delete
	08/31/2024 Private Pay	YAZZIE, PEGGY ANN MRN: 900009577	08/31/24- 09/27/24 Billable	Joan L.	Completed	6 09/06/24	10	Past Due!	Delete
	09/01/2024 Private Pay	PANONCILLO, CARLITO MRN: 900009586	09/01/24- 10/04/24 Billable	MJ O.	Completed	2 09/03/24	10	Past Due!	Delete
	09/27/2024 Private Insurance	SPEARS, WILLIAM MRN: 900009643	09/27/24- 10/01/24 Billable	Joan L.	Completed	6 10/03/24	15	Past Due!	Delete
	09/29/2024 Private Pay	MARIMON REYES, CARLOS MRN: 900009652	09/29/24- 11/20/24 Billable	Kelvyn G.	Completed	9 10/08/24	13	Past Due!	Delete
	10/08/2024 Private Pay	HERRERA, URIEL MRN: 900009678	10/08/24- 10/29/24 Billable	Joan L.	Completed	6 10/14/24	13	Past Due!	Delete
	10/22/2024 Workers Compensation	WALDROP, CHERYL MRN: 900009718	10/22/24- 12/20/24 Billable	MJ O.	Completed	0 10/22/24	4	N/A	Delete
	11/06/2024 Workers Compensation	LOWE, RONALD MRN: 900009765	11/06/24- 12/29/24 Billable	Jeanne J.	Completed	2 11/08/24	10	N/A	Delete
	11/08/2024 Private Pay	JERIS, NAGEH MRN: 900009767	11/08/24- 01/04/25 Billable	Joan L.	Completed	5 11/13/24	4	Past Due!	Delete
	11/10/2024 Private Insurance	COLE, THEODORE MRN: 900009770	11/10/24- 01/02/25 Billable	Julie O.	Completed	2 11/12/24	12	Past Due!	Delete
	11/29/2024 Private Pay	GARCIA-PARRA, J MRN: 900009811	11/29/24- 01/24/25 Billable	Joan L.	Completed	18 12/17/24	5	Past Due!	Delete
	11/29/2024 Private Insurance	MIRA, MARK MRN: 900009810	11/29/24- 12/11/24 Billable	Joan L.	Completed	5 12/04/24	13	Past Due!	Delete
	01/18/2025 Private Pay	AGUAYO, STEVEN MRN: 900009952	01/18/25- 02/05/25 Billable	Ellie V.	Completed	4 01/22/25	6	Past Due!	Delete
	01/21/2025 Private Pay	JULIEN FORTUNE, MAUDE MRN: 900009956	01/21/25- 02/07/25 Billable	Jeanne J.	Completed	16 02/06/25	10	Past Due!	Delete
	01/22/2025 Private Pay	WATANABE, THOMAS MRN: 900009964	01/22/25- 02/11/25 Billable	MJ O.	Completed	0 01/22/25	7	Past Due!	Delete
	01/22/2025 Private Pay	RODRIGUEZ, ERNESTO MRN: 900009963	01/22/25- 02/07/25 Billable	Joan L.	Completed	6 01/28/25	10	Past Due!	Delete
	01/31/2025 Workers Compensation	GUADALUPE, ANA MARIA MRN: 900009981	01/31/25- 03/26/25 Billable	Ellie V.	Completed	4 02/04/25	8	N/A	Delete
	01/31/2025 Private Pay	SMITH, ERICKA MRN: 900009980	01/31/25- 03/09/25 Billable	Joan L.	Completed	5 02/05/25	14	Past Due!	Delete
	02/17/2025 Workers Compensation	FLEETWOOD, JOHN MRN: 900009967	01/23/25- 09/18/25 Billable	Barbara C.	Completed	0 02/17/25	Not yet reported	N/A	Delete
	02/18/2025 Workers Compensation	FLEETWOOD, JANET MRN: 900009966	01/23/25- 01/22/26 Billable	Barbara C.	Completed	0 02/18/25	Not yet reported	N/A	Delete
	03/01/2025 Private Pay	SAMPSON, GENEVIEVE MRN: 900010020	03/01/25- 03/05/25 Billable	Jeanne J.	Completed	2 03/03/25	15	Past Due!	Delete
	03/12/2025 Private Pay	RAMOS, RAFAEL MRN: 900010080	03/12/25- 03/26/25 Billable	MJ O.	Completed	1 03/13/25	22	Past Due!	Delete
	03/12/2025 Private Pay	CASILLAS, RAUL MRN: 900010050	03/12/25- 03/14/25 Billable	Yani C.	Completed	3 03/15/25	17	Past Due!	Delete
	03/19/2025 Private Pay	MICHAELS, ALAN MRN: 900010106	03/19/25- 04/09/25 Billable	Joan L.	Completed	4 03/23/25	12	Past Due!	Delete
	03/22/2025 Private Pay	CANTUA, MARIA DE LOS ANGELES MRN: 900010119	03/22/25- 05/20/25 Billable	Josh C.	Completed	1 03/23/25	18	Past Due!	Delete
	03/27/2025 Private Pay	LOZANO QUINTANILLA, ARMIDA MRN: 900010126	03/27/25- 05/08/25 Billable	Cesar G.	Completed	4 03/31/25	15	Past Due!	Delete
	03/30/2025 Medicare	JOHNSON, ILSE MRN: 900007324	03/30/25- 04/02/25 Billable	Joan L.	Completed	8 04/07/25	12	Past Due!	Delete
	04/06/2025 Workers Compensation	VINCENT, JOHN MRN: 900010132	04/23/25- 10/22/25 Billable	MJ O.	Completed	2 04/08/25	Not yet reported	N/A	Delete
	04/06/2025 Private Pay	OLIVARES- SOTO, DELFINA MRN: 900010157	04/06/25- 05/30/25 Billable	Jeanne J.	Completed	12 04/18/25	22	Past Due!	Delete
	04/10/2025 Private Pay	ADEBIYI, FOLAYEMI MRN: 90010171	04/10/25- 06/08/25 Billable	Joan L.	Completed	6 04/16/25	14	Past Due!	Delete
	04/14/2025 Private Pay	VICTORIA DEGONZALEZ, CLOTILDE MRN: 900010177	04/14/25- 06/12/25 Billable	Joan L.	Completed	5 04/19/25	13	Past Due!	Delete
	04/25/2025 Private Pay	ROMAN ARMENTA, DAVID MRN: 900010199	04/25/25- 05/03/25 Billable	Jeanne J.	Completed	13 05/08/25	12	Past Due!	Delete
	05/01/2025 Private Pay	VARDI, TOMER MRN: 900010221	05/01/25- 05/18/25 Billable	Pam H.	Completed	3 05/04/25	12	Past Due!	Delete
	05/03/2025 Private Pay	HERNANDEZ DOMINGUEZ, EFREN MRN: 900010226	05/03/25- 07/01/25 Billable	Jeanne J.	Completed	12 05/15/25	9	Past Due!	Delete
	05/09/2025 Medicare	ALLDREDGE, DENNIS MRN: 900006032	05/09/25- 07/07/25 Billable	Jennifer N.	Completed	3 05/12/25	11	Past Due!	Delete
	05/19/2025 Workers Compensation	BRANAGAN, PAUL MRN: 900010220	05/15/25- 01/15/26 Billable	MJ O.	Completed	1 05/20/25	1	N/A	Delete
	05/21/2025 Private Pay	AL SMADI, FATIMA MRN: 900010261	05/21/25- 06/16/25 Billable	Jennifer N.	Completed	13 06/03/25	11	Past Due!	Delete
	05/22/2025 Private Pay	VEA, TEVITA MRN: 900010272	05/22/25- 07/20/25 Billable	MJ O.	Completed	5 05/27/25	13	Past Due!	Delete
	05/23/2025 Workers Compensation	WALKER, BLANCHE MRN: 900010253	05/23/25- 12/19/25 Billable	Ayesha R.	Pending	3 05/26/25	1	N/A	Delete
	06/02/2025 Workers Compensation	PARELMAN, MARTIN MRN: 900010297	06/02/25- 05/19/26 Billable	Krystian D.	Completed	0 06/02/25	1	N/A	Delete
	06/09/2025 Workers Compensation	SCRIVEN, GARY MRN: 900010273	06/09/25- 06/09/26 Billable	Cindy C.	Completed	3 06/12/25	6	N/A	Delete
	06/16/2025 Workers Compensation	SCARSDALE, DAN MRN: 900010255	06/16/25- 12/25/25 Billable	Deylis H.	Completed	0 06/16/25	1	N/A	Delete
	06/18/2025 Medicaid	GARCIA, ZOILA MRN: 900010316	06/18/25- 08/16/25 Billable	Jeanne J.	Completed	9 06/27/25	16	07/17/2025 Thu	Delete

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