Under Review

	Form Date	Patient	Episode	Assessor	Packet Status (for payroll)	Days to Submit	ICD	IQIES Due Date
	05/24/2025 Medicare	WALTERS, SUE MRN: 900001191	05/24/25- 07/22/25 Billable	Mary G.	Completed	2 05/26/25	13	Past Due!	Delete
	05/24/2025 Medicare	KEAYS BURK, JUDITH MRN: 900010277	05/24/25- 07/22/25 Billable	Joan L.	Completed	11 06/04/25	15	Past Due!	Delete
	05/29/2025 Medicare	CONSTANTINE, KAREN MRN: 900007319	05/29/25- 06/14/25 Billable	Joan L.	Completed	5 06/03/25	1	Past Due!	Delete
	05/30/2025 Medicare	MANGIATERRA, ANTONIO MRN: 900010293	05/30/25- 06/13/25 Billable	Joan L.	Completed	6 06/05/25		Past Due!	Delete
	05/30/2025 Medicare	PICKER, BONNIE MRN: 900010295	05/30/25- 06/14/25 Billable	Pam H.	Completed	2 06/01/25	1	Past Due!	Delete
	05/31/2025 Medicare	FREID, SHELDON MRN: 900010276	05/31/25- 07/29/25 Billable	Soline L.	Completed	3 06/03/25		Past Due!	Delete
	05/31/2025 Medicare	LOCKE, GLENN MRN: 900010294	05/31/25- 07/29/25 Billable	Joan L.	Completed	5 06/05/25		Past Due!	Delete
	05/31/2025 Medicare	AZZARELLO, FRANK MRN: 900010291	05/31/25- 06/04/25 Billable	Aster D.	Completed	10 06/10/25		Past Due!	Delete
	05/31/2025 Medicare	HANISCH, JAMES MRN: 900010298	05/31/25- 07/29/25 Billable	Aster D.	Completed	12 06/12/25		Past Due!	Delete
	05/31/2025 Medicare	WILLARDSEN, SCOTT MRN: 900008122	05/31/25- 06/06/25 Billable	Jose L.	Completed	11 06/11/25		Past Due!	Delete
	06/01/2025 Medicare	ELLISON JR, DANIEL MRN: 900010299	06/01/25- 07/30/25 Billable	Soline L.	Completed	2 06/03/25		Past Due!	Delete
	06/01/2025 Medicare	RANDOLPH, RICHARD MRN: 900010301	06/01/25- 07/30/25 Billable	Jeanne J.	Completed	11 06/12/25		Past Due!	Delete
	06/02/2025 Medicare	REYES, MANUEL MRN: 900010302	06/02/25- 07/31/25 Billable	Joan L.	Completed	7 06/09/25		Past Due!	Delete
	06/04/2025 Medicare	FRIEND, NAN MRN: 900009673	06/04/25- 08/02/25 Billable	Jennifer N.	Completed	13 06/17/25		Past Due!	Delete
	06/09/2025 Medicare	HOSKINS, CLARA MRN: 900009122	06/09/25- 08/07/25 Billable	Aster D.	Completed	8 06/17/25	1	07/08/2025 Tue	Delete
	06/10/2025 Medicare	JONES, CALVIN MRN: 900010310	06/10/25- 06/27/25 Billable	Joan L.	Completed	5 06/15/25	6	07/09/2025 Wed	Delete
	06/10/2025 Private Pay	ORTIZ, WALTER MRN: 900010314	06/10/25- 06/27/25 Billable	Joan L.	Completed	5 06/15/25		07/09/2025 Wed	Delete
	06/11/2025 Medicare	LAMANNA, SARAH MRN: 900009182	06/11/25- 08/09/25 Billable	Mary G.	Completed	2 06/13/25	17	07/10/2025 Thu	Delete
	06/11/2025 Medicare	ADAMS, WILELLA MRN: 900010315	06/11/25- 06/16/25 Billable	Soline L.	Completed	4 06/15/25	1	07/10/2025 Thu	Delete
	06/12/2025 Medicare	DIAZ, KYRSTAL MRN: 900010201	06/12/25- 06/21/25 Billable	Krystian D.	Completed	0 06/12/25		07/11/2025 Fri	Delete
	06/12/2025 Medicare	HANDLER, JAMES MRN: 14347	06/12/25- 08/10/25 Billable	Josh C.	Completed	2 06/14/25	1	07/11/2025 Fri	Delete
	06/13/2025 Medicare	FRANCK, DOUGLAS MRN: 900004896	06/13/25- 07/01/25 Billable	Joan L.	Completed	6 06/19/25	8	07/12/2025 Sat	Delete
	06/13/2025 Medicare	MCDONOUGH, LINDA MRN: 15376	06/13/25- 08/11/25 Billable	Jennifer N.	Completed	17 06/30/25		07/12/2025 Sat	Delete
	06/19/2025 Medicaid	ISLAS GUZMAN, MARIO MRN: 900010341	06/19/25- 06/26/25 Billable	Joan L.	Completed	6 06/25/25		07/18/2025 Fri	Delete
	06/26/2025 Medi-care Advantage	HERNANDEZ, JOSE MRN: 900010355	06/26/25- 08/24/25 Billable	Deylis H.	Completed	4 06/30/25	6	07/25/2025 Fri	Delete
	06/27/2025 Workers Compensation	SMITH, GREGORY MRN: 900010249	06/23/25- 10/09/25 Billable	Barbara C.	Completed	3 06/30/25	Not yet reported	N/A	Delete

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