Pending

	Form Date	Patient	Episode	Assessor	Packet Status (for payroll)	Days to Submit	ICD	IQIES Due Date
	06/16/2025 Workers Compensation	DUMMY, PATIENT MRN: 900000185	05/01/25- 06/29/25 Billable	Nurse2 N.	Pending		Not yet reported	N/A	Delete
	06/17/2025 Medicare	BISPING, JOSEPH MRN: 900010332	06/18/25- 08/16/25 Billable	Jennifer N.	No Visit in the Calendar		Not yet reported	07/16/2025 Wed	Delete
	06/27/2025 Medicare	ZETMEIR, KARL MRN: 900010287	06/27/25- 08/25/25 Billable	Aster D.	Pending			07/26/2025 Sat	Delete
	06/28/2025 Medicare	HAMMOND, CHERYL MRN: 900010369	06/28/25- 08/26/25 Billable	Joan L.	Pending			07/27/2025 Sun	Delete
	06/28/2025 Workers Compensation	TILLAR, JOCELYN MRN: 900010343	06/28/25- 12/19/25 Billable	Jay F.	No Visit in the Calendar			N/A	Delete
	06/29/2025 Medicare	CANINE, JAMES MRN: 900010373	06/29/25- 08/27/25 Billable	Angel D.	Pending			07/28/2025 Mon	Delete
	06/29/2025 Medicare	KAISER, ROXANN MRN: 900010376	06/29/25- 08/27/25 Billable	Joan L.	Pending			07/28/2025 Mon	Delete
	07/01/2025 Medicare	WHITLATCH, RONALD MRN: 900010347	07/01/25- 08/29/25 Billable	Jay F.	Pending			07/30/2025 Wed	Delete
	07/02/2025 Medi-care Advantage	CORDOVA, TOBY MRN: 900010094	07/02/25- 08/30/25 Billable	Angel D.	Pending			07/31/2025 Thu	Delete
	07/02/2025 Medicaid	FIGUEROA, RICHARDO MRN: 900010364	07/02/25- 08/30/25 Billable	Joan L.	Pending			07/31/2025 Thu	Delete
	07/02/2025 Medicare	ANTEE, ALEXIS MRN: 900010339	07/02/25- 08/30/25 Billable	Joan L.	Pending			07/31/2025 Thu	Delete
	07/05/2025 Medi-care Advantage	SIMMONS, ANGELA MRN: 900010383	07/05/25- 09/02/25	Nutrinee H.	Pending		Not yet reported	08/03/2025 Sun	Delete

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