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    Zarahlene Mamon
    This document contains information about medical facilities, providers, patients, dates of service, phone numbers, fax numbers, addresses, authorizations, and requests for records, referrals, appointments, and billing. Key details include facilities, providers, patients, dates of service, authorizations, requests for records, appointments, referrals, and billing.

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    © All Rights Reserved
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    Uploaded by

    Zarahlene Mamon
    390 views5 pages
    This document contains information about medical facilities, providers, patients, dates of service, phone numbers, fax numbers, addresses, authorizations, and requests for records, referrals, appointments, and billing. Key details include facilities, providers, patients, dates of service, authorizations, requests for records, appointments, referrals, and billing.

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    This document contains information about medical facilities, providers, patients, dates of service, phone numbers, fax numbers, addresses, authorizations, and requests for records, referrals, appointments, and billing. Key details include facilities, providers, patients, dates of service, authorizations, requests for records, appointments, referrals, and billing.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Download as txt, pdf, or txt
    390 views5 pages

    CC

    Uploaded by

    Zarahlene Mamon
    This document contains information about medical facilities, providers, patients, dates of service, phone numbers, fax numbers, addresses, authorizations, and requests for records, referrals, appointments, and billing. Key details include facilities, providers, patients, dates of service, authorizations, requests for records, appointments, referrals, and billing.

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    Mary ann

    fac
    fax 2032815555
    ih
    depdends 150 charge check
    mailed
    urg
    30 days

    (704) 639-0785
    mr 8447639163

    austin
    urg
    processing

    auth rec acc


    urg
    Kelsy

    cindy
    1111 medical central circle mayfield kt 42066

    fac
    fax 6517671901
    pt
    dos
    Jayme

    Marin
    fac
    fax 8173585823
    pt
    dos
    ih
    pp
    cherry
    cs
    urg
    14 days

    mr 2676005339
    turquoise

    fax
    Peter

    britney
    fac
    fax 4056215441
    allison

    fac
    fax
    pt
    dos
    ih
    no pp
    urg
    fax
    Luis

    fac
    fax 7018426403

    dory
    ih
    pp either
    urg how many
    tat

    amy

    cheska
    fac
    fax 6184635004

    Trisa
    fax 3368895250

    shawn
    auth
    fax 4152761777

    processing
    Cristy

    1stepbystep/5billing

    261
    Brook

    lory
    fax 4178206564
    phone 4178207232
    Holly
    urg

    fax 7083271601
    7083271600
    Robin
    3604126494

    1appt/2evaluation/3ff/4fax/5refill/6result
    fac
    fax

    atlanta colon surgery

    2billing/4office/5remain
    Rose

    1appt/5mr
    1 703-805-0510

    1receptionist/3referral/2dr/4pharma/7direction/8repeat
    fac
    fax 9134953715
    pt
    dos
    ih
    pp either
    urg
    30 days
    depend
    yvone

    auth rec
    pt
    Alex
    urg

    karen
    ***
    21624703
    the address listed on the auth is wrong
    Einstein Neurology Associates
    609 W Germantown Pike Ste 270 East Norriton, PA 19403
    dates of service
    as per Mark at the copy service, the address of the provider listed on the
    authorization is wrong. The doctor's office is located at 609 W Germantown Pike Ste
    270 East Norriton, PA 19403 and there are no records for the patient for the
    requested dates of service.
    1(770) 689-3296
    2156042710

    ***
    auth rec cassy
    urg

    61056507810
    sheryl
    fac
    no
    7 years

    fax 6105650546
    Karen

    1refill/5dental/6mr/7billing
    ellie
    pt

    8183337505
    fac
    mayren

    courtney
    7043169556

    1atty/2insurance/3requester
    Crista
    21-30

    1appt/2nurse/3provider/4others
    2billing/3mr

    jake
    pt
    2603738759

    wilson
    2 days
    urg
    3 to 4 weeks
    ih
    no pp

    fac
    5667 Pit st wooden road
    Kiara
    Dr. Venduro

    5om/6billing

    rec
    urg
    processing

    heather
    victoria
    tia
    Melanie
    4057792875
    4057792111

    britney
    fac
    pt
    allison

    luis
    angela
    fax
    relmedinfo@umc.umc.edu

    9259303282

    auth rec acc


    diversified - this monday
    mail
    Mayren

    wednesday afternoon
    Ginger

    2appt/3referral/4medicalquestions/7mr/8billing

    Steffanie
    jan
    2600 Crimbus st 47904
    jennifer
    fac
    fax 7654479749
    electronic medical

    anne
    no
    10 years

    dr
    no pp
    30

    240 W Front St Suite A, Port Angeles, WA, 98362-2609


    (360) 412-6494
    (360) 452-7891
    as per the notice received, the pages must be made to the facility name and not to
    the provider's name and the facility requires at least two (2) patient identifiers
    on the authorization.

    2 25 19
    ritney
    urg

    auth rec acc


    urg
    Daniella

    sherrie

    tammy
    pt
    fac
    ih
    pp both
    urg
    no tat
    CD

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