|
Form Date |
Patient |
Episode |
Assessor |
Packet Status (for payroll) |
Days to Submit |
ICD |
IQIES Due Date |
|
|
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
|
|
|
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-
04/02/25
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
|
04/06/25-
10/22/25
Non-Billable |
MJ O.
|
Completed
|
2
04/08/25
|
Not yet reported
|
N/A |
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
|
|
|
06/18/2025
Medicaid
|
GARCIA,
ZOILA
MRN:
900010316
|
06/18/25-
08/01/25
Billable |
Jeanne J.
|
Completed
|
9
06/27/25
|
16
|
Past Due! |
Delete
|
|
|
07/17/2025
Medicaid
|
ABRANTE,
JOSE
MRN:
900009505
|
07/17/25-
07/24/25
Non-Billable |
Beverly C.
|
Completed
|
1
07/18/25
|
Not yet reported
|
Past Due! |
Delete
|
|
|
08/01/2025
Medicare
|
ROTHSCHILD,
STEVEN
MRN:
900010452
|
08/01/25-
08/20/25
Billable |
MJ O.
|
Completed
|
1
08/02/25
|
13
|
Past Due! |
Delete
|
|
|
11/12/2025
Medicare
|
VANN,
DENISE
MRN:
900010019
|
11/12/25-
11/18/25
Billable |
Joan L.
|
Completed
|
5
11/17/25
|
12
|
Past Due! |
Delete
|
|
|
11/12/2025
Private Pay
|
OCHOA,
MARIA
MRN:
900010670
|
11/12/25-
12/10/25
Billable |
Joan L.
|
Completed
|
5
11/17/25
|
13
|
Past Due! |
Delete
|
|
|
01/12/2026
Private Pay
|
BARTLEY,
PYNTHIA
MRN:
900010794
|
01/12/26-
03/12/26
Billable |
Joan L.
|
Completed
|
10
01/22/26
|
7
|
02/10/2026 Tue |
Delete
|
|
|
01/12/2026
Medicare
|
SMILLIE,
RONALD
MRN:
900010802
|
01/12/26-
03/12/26
Billable |
Alexis B.
|
Completed
|
1
01/13/26
|
18
|
02/10/2026 Tue |
Delete
|
|
|
01/13/2026
Medicare
|
LOPEZ,
DIANA
MRN:
900010000
|
01/13/26-
03/13/26
Billable |
Alexis B.
|
Completed
|
2
01/15/26
|
18
|
02/11/2026 Wed |
Delete
|