Tyler Martinez
12 lines
2.0 KiB
CSV
12 lines
2.0 KiB
CSV
"Client","Visit Date","Payer","Authorized","Member ID","Auth Start Date","Auth End Date","Authorization #","ICD-10","Service","Procedure Code","Modifiers","Client Classes","Billable Hours","Billable Amount","Invoice #","Claimed"
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"Wilson, Michelle","01/01/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$212.77","INV-2026-01-01-R649327","Yes"
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"Roberts, Alice","02/05/2026","CO Medicaid","Yes","Q944140","01/01/2026","12/31/2026","3125","R69","PCS T1019","T1019","U1","DD Waiver","1","$112.29","INV-2026-02-05-Q944140","Yes"
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"Wilson, Michelle","02/12/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$213.25","INV-2026-02-12-R649327","Yes"
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"Stoumbaugh, Kiera","02/25/2026","CO Medicaid","Yes","Y188426","01/01/2026","12/31/2026","2","R69","PCS T1019","T1019","KX:SC:U2","DD Waiver","1","$222.72","INV-2026-02-25-Y188426","Yes"
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"Wilson, Michelle","06/04/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$214.22","INV-2026-06-04-R649327","Yes"
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"Wilson, Michelle","06/11/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$213.25","INV-2026-06-11-R649327","Yes"
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"Wilson, Michelle","06/22/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$213.25","INV-2026-06-22-R649327","Yes"
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"Wilson, Michelle","06/25/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$235.55","INV-2026-06-25-R649327","Yes"
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"Wilson, Michelle","02/02/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$212.28","INV-2026-02-02-R649327","Yes"
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"Wilson, Michelle","02/05/2026","CO Medicaid","Yes","R649327","01/01/2026","12/31/2026","3","R69","Homemaker S5150","S5150","U8","DD Waiver","1","$212.28","INV-2026-02-05-R649327","Yes"
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