Submitted

	Form Date	Patient	Episode	IQIES Due Date
	02/18/2024 Medicare	RIGBY, LOUISE MRN: 900008421	01/07/24- 02/18/24 Billable	Past Due!	Delete
	08/20/2024 Medicare	DAGUE, EVELYN MRN: 900008809	07/11/24- 08/20/24 Billable	Past Due!	Delete
	09/09/2024 Medicare	LEE, MARY MRN: 900009597	09/07/24- 11/05/24 Non-Billable	Past Due!	Delete
	10/01/2024 Private Insurance	SPEARS, WILLIAM MRN: 900009643	09/27/24- 10/01/24 Billable	Past Due!	Delete
	10/18/2024 Medicare Submitted	JIJON OJEDA, GUSTAVO MRN: 900009636	09/21/24- 10/18/24 Billable	Past Due!	Delete
	10/21/2024 Medicare	JIJON OJEDA, GUSTAVO MRN: 900009636	09/21/24- 10/18/24 Billable	Past Due!	Delete
	12/04/2024 Workers Compensation	LOWE, RONALD MRN: 900009765	11/06/24- 12/29/24 Billable	Past Due!	Delete
	12/31/2024 Medicare	BURNS, SHEILA MRN: 900009822	12/04/24- 12/19/24 Billable	Past Due!	Delete
	02/03/2025 Medicare	JACKSON, ROBERT MRN: 900009957	01/20/25- 03/14/25 Billable	Past Due!	Delete
	02/17/2025 Medicare	RIVERA, CHRISTOPHER MRN: 14123	01/26/25- 03/23/25 Billable	Past Due!	Delete
	02/17/2025 Medicare	FASO, JAMES MRN: 900001172	02/15/25- 02/17/25 Non-Billable	Past Due!	Delete
	03/05/2025 Private Pay	SAMPSON, GENEVIEVE MRN: 900010020	03/01/25- 03/05/25 Billable	Past Due!	Delete
	03/14/2025 Private Pay	CASILLAS, RAUL MRN: 900010050	03/12/25- 03/14/25 Billable	Past Due!	Delete
	03/18/2025 Medicare	MARTINEZ, JAMES MRN: 900010100	03/14/25- 03/18/25 Non-Billable	Past Due!	Delete
	04/08/2025 Private Pay	SAMPSON, GENEVIEVE MRN: 900010020	03/13/25- 04/08/25 Billable	Past Due!	Delete
	04/09/2025 Self-Pay	BUESCH, MARK MRN: 900010149	04/03/25- 04/09/25 Non-Billable	Past Due!	Delete
	04/16/2025 Private Pay	OLIVARES- SOTO, DELFINA MRN: 900010157	04/06/25- 05/30/25 Billable	Past Due!	Delete
	05/18/2025 Private Pay	VARDI, TOMER MRN: 900010221	05/01/25- 05/18/25 Billable	Past Due!	Delete
	06/03/2025 Medicare	KEAYS BURK, JUDITH MRN: 900010277	05/24/25- 07/22/25 Billable	Past Due!	Delete
	06/06/2025 Medicare	ELLISON JR, DANIEL MRN: 900010299	06/01/25- 07/30/25 Billable	Past Due!	Delete
	06/14/2025 Medicare	CONSTANTINE, KAREN MRN: 900007319	05/29/25- 06/14/25 Billable	07/13/2025 Sun	Delete
	06/14/2025 Medicare	PICKER, BONNIE MRN: 900010295	05/30/25- 06/14/25 Billable	07/13/2025 Sun	Delete
	06/16/2025 Medicare	ADAMS, WILELLA MRN: 900010315	06/11/25- 06/16/25 Billable	07/15/2025 Tue	Delete
	06/18/2025 Medicare	MCDONOUGH, LINDA MRN: 15376	06/13/25- 08/11/25 Billable	07/17/2025 Thu	Delete
	06/21/2025 Medicare	DIAZ, KYRSTAL MRN: 900010201	06/12/25- 06/21/25 Billable	07/20/2025 Sun	Delete
	06/27/2025 Medicare	HAM, JOHNNIE MRN: 900010337	06/20/25- 08/18/25 Billable	07/26/2025 Sat	Delete
	06/27/2025 Medicare	LANGAN, ROBERT MRN: 900010353	06/24/25- 08/22/25 Billable	07/26/2025 Sat	Delete