Date/Time Patient Pt Status Age Sex DOB Location

5/4/2023 11:30 NANCY HOLMES Active 62 F 7/1/1960 Willowbrook Clinic

5/4/2023 11:45 AALIYAH VALTIERRA Active 15 F 5/28/2007 Kingwood Clinic
5/4/2023 14:00 ADRIAN GARCIA Active 26 M 12/4/1996 Willowbrook Clinic
5/4/2023 14:45 AMANDA HINOJOSA Active 39 F 4/30/1984 Willowbrook Clinic
5/4/2023 13:30 ANTHONY ACKLEY Active 20 M 6/15/2002 Willowbrook Clinic
5/4/2023 12:00 ARON OLIVARES Active 22 M 8/23/2000 Willowbrook Clinic
5/4/2023 14:15 ASHLEY BARNOSKY Active 40 F 5/7/1983 Willowbrook Clinic
5/4/2023 10:00 ASHLEY MACK Active 37 F 7/11/1985 Willowbrook Clinic
5/4/2023 16:30 AUBREY OROSCO Active 13 F 9/16/2009 Memorial Clinic
5/4/2023 12:00 AUDREY CHATTMON Active 60 F 4/11/1963 Willowbrook Clinic
5/4/2023 18:00 BARRETTE WILLIAMS Active 41 F 9/18/1981 Willowbrook Clinic
5/4/2023 9:00 BETTY BOWENS Active 60 F 8/1/1962 Kingwood Clinic
5/4/2023 9:15 BLAKE CALLENS Active 34 M 12/19/1988 Kingwood Clinic
5/4/2023 16:15 BRANDON YARBROUGH Active 27 M 11/7/1995 Willowbrook Clinic
5/4/2023 9:15 BREANNA PONCE Active 19 F 1/15/2004 Kingwood Clinic
5/4/2023 18:45 CAMERYN WARD Active 19 F 11/18/2003 Willowbrook Clinic
5/4/2023 9:30 CARLIE HOWELL Active 18 F 10/4/2004 Willowbrook Clinic
5/4/2023 9:15 CARROL RUTLEDGE Active 48 F 3/21/1975 Willowbrook Clinic
5/4/2023 16:00 CATHERINE FLORES Active 22 F 8/22/2000 Willowbrook Clinic
5/4/2023 16:30 CAYDEN SELKE Active 9 M 5/7/2014 Willowbrook Clinic
5/4/2023 14:00 CECILYA ANDERSON Active 18 F 11/1/2004 Willowbrook Clinic
5/4/2023 16:00 CHARLES BREEDLOVE Active 38 M 7/3/1984 Willowbrook Clinic
5/4/2023 17:00 CHELSEA MCINTOSH Active 32 F 3/7/1991 Kingwood Clinic
5/4/2023 16:45 CHLOE BURTON Active 15 F 2/11/2008 Memorial Clinic
5/4/2023 16:00 CHRISTIAN PEREZ Active 18 M 1/21/2005 Willowbrook Clinic
5/4/2023 13:45 CHRISTINA MARLER Active 30 F 4/8/1993 Willowbrook Clinic
5/4/2023 9:45 CHRISTINE VASQUEZ Active 50 F 12/27/1972 Willowbrook Clinic
5/4/2023 10:30 CONSTANTINE KAPATOS P+Active 23 M 9/30/1999 Willowbrook Clinic
5/4/2023 16:00 DAMIAN KLEIN Active 45 M 11/8/1977 Willowbrook Clinic
5/4/2023 9:30 DANIEL CAMP Active 11 M 9/9/2011 Memorial Clinic
5/4/2023 10:30 DANIEL HUMPHREY Active 6 M 2/1/2017 Willowbrook Clinic
5/4/2023 16:15 DANIELLE (MYLES) GARGOTTA Active 16 F 4/19/2007 Willowbrook Clinic
5/4/2023 10:00 DATHY IYAPO Active 57 F 11/17/1965 Willowbrook Clinic
5/4/2023 15:45 DAWN SAENZ Active 51 F 10/26/1971 Willowbrook Clinic
5/4/2023 18:30 DEANNA OPAL Active 39 F 11/29/1983 Willowbrook Clinic
5/4/2023 15:45 DEON HARVEY Active 28 M 8/29/1994 Kingwood Clinic
5/4/2023 13:30 DEREK GILL Active 46 M 9/11/1976 Kingwood Clinic
5/4/2023 10:00 DEZIREE ANDERSON P+Active 14 F 9/25/2008 Kingwood Clinic
5/4/2023 16:30 DOMINIC FIELDING Active 26 M 2/10/1997 Willowbrook Clinic
5/4/2023 10:30 DUNG CHU Active 25 M 1/23/1998 Willowbrook Clinic
5/4/2023 10:15 EDWARD RAETZLOFF Active 36 M 2/17/1987 Willowbrook Clinic
5/4/2023 15:30 EMILY BOOTH P+Active 25 F 6/13/1997 Willowbrook Clinic
5/4/2023 13:30 ERIK SANCHEZ Active 44 M 5/17/1979 Willowbrook Clinic
5/4/2023 14:15 ERIN SAVAGE Active 26 F 8/22/1996 Willowbrook Clinic
5/4/2023 12:45 EUGENE COLEMAN P+Active 33 M 12/22/1989 Kingwood Clinic
5/4/2023 14:00 EUGENE HALL Active 66 M 10/26/1956 Kingwood Clinic
5/4/2023 17:45 EVENE HOPES Active 38 F 6/21/1984 Willowbrook Clinic
5/4/2023 18:30 FELICIDAD GUERRA Active 100 F 3/31/1923 Willowbrook Clinic
5/4/2023 16:45 GAIL CURTIS Active 72 F 9/13/1950 Willowbrook Clinic
5/4/2023 10:30 GINA RAMSEY Active 58 F 11/11/1964 Willowbrook TMS
5/4/2023 11:30 HAILEY REVES P+Active 25 F 11/26/1997 Willowbrook Clinic
5/4/2023 16:15 HANNAH VANN Active 37 F 5/9/1986 Willowbrook Clinic
5/4/2023 14:45 HAVALA HIDALGO Active 35 F 12/1/1987 Willowbrook Clinic
5/4/2023 16:30 HAYDEE CRAVY Active 57 F 12/19/1965 Willowbrook Clinic
5/4/2023 9:00 HOLLY SHEPHERD Active 27 F 10/29/1995 Willowbrook Clinic
5/4/2023 8:30 ISRAEL VILLARREAL Active 41 M 11/27/1981 Willowbrook Clinic
5/4/2023 18:15 JACOBLY SINGLETON Active 13 M 9/22/2009 Willowbrook Clinic
5/4/2023 16:45 JAELYNN MIMS Active 15 F 11/29/2007 Willowbrook Clinic
5/4/2023 11:00 JAINA MCGINTY Active 18 F 6/30/2004 Kingwood Clinic
5/4/2023 16:45 JAZLYNN WASHINGTON Active 16 F 2/15/2007 Willowbrook Clinic
5/4/2023 11:30 JEFF WEINSTOCK Active 44 M 8/1/1978 Kingwood Clinic
5/4/2023 15:30 JENNA KNOTH Active 28 F 6/13/1994 Willowbrook Clinic
5/4/2023 11:30 JENNIFER MELCHIONNE Active 39 F 8/25/1983 Kingwood Clinic
5/4/2023 8:45 JEREMIAH SINER Active 11 M 1/5/2012 Willowbrook Clinic
5/4/2023 11:00 JEREMY HOLMBERG Active 47 M 6/25/1975 Willowbrook Clinic
5/4/2023 9:45 JESSE JORDAN Active 40 M 4/24/1983 Willowbrook Clinic
5/4/2023 12:45 JIMMIE GILL Active 40 M 10/10/1982 Willowbrook Clinic
5/4/2023 17:30 JO NELL BLYTHE Active 65 F 1/28/1958 Willowbrook Clinic
5/4/2023 13:15 JOANNA AYALA Active 52 F 6/25/1970 Willowbrook Clinic
5/4/2023 17:45 JOSE GARCIA Active 11 M 11/17/2011 Willowbrook Clinic
5/4/2023 13:00 JUDY EASON Active 32 F 5/22/1990 Willowbrook Clinic
5/4/2023 15:30 JUSTICE MCDANIEL Active 25 F 12/15/1997 Kingwood Clinic
5/4/2023 12:15 JUSTIN TAMEZ Active 19 M 7/11/2003 Willowbrook Clinic
5/4/2023 14:45 KARINA SAENZ Active 40 F 3/4/1983 Kingwood Clinic
5/4/2023 12:00 KASCEY CASTILLO Active 49 F 3/30/1974 Willowbrook Clinic
5/4/2023 11:00 KATHERINE KEVIN Active 38 F 10/5/1984 Willowbrook Clinic
5/4/2023 13:45 KATHRYN STAM Active 22 U 8/17/2000 Willowbrook Clinic
5/4/2023 9:00 KAYLA POPE Active 28 F 8/13/1994 Willowbrook Clinic
5/4/2023 11:30 KELLY CULVER P+Active 38 F 4/23/1985 Kingwood Clinic
5/4/2023 10:15 KENNETH MURKOT Active 28 M 1/27/1995 Willowbrook Clinic
5/4/2023 16:45 KENNETH WILSON Active 59 M 9/1/1963 Willowbrook Clinic
5/4/2023 17:15 KIMBERLEY BATES Active 46 F 1/29/1977 Willowbrook Clinic
5/4/2023 15:45 KOSLEE RICHARDSON Active 15 F 7/9/2007 Willowbrook Clinic
5/4/2023 15:30 LATRINA JONES Active 43 F 11/29/1979 Willowbrook Clinic
5/4/2023 13:00 LAUREN MATULA Active 17 F 11/11/2005 Kingwood Clinic
5/4/2023 14:30 LENNETTE BENJAMIN Active 82 F 5/14/1941 Kingwood Clinic
5/4/2023 13:15 LEONARD DELOACH Active 27 M 11/24/1995 Willowbrook Clinic
5/4/2023 10:45 LEONARDO SANCHEZ P+Active 24 M 7/26/1998 Willowbrook Clinic
5/4/2023 14:15 LILLIAN WATTS Active 54 F 1/22/1969 Kingwood Clinic
5/4/2023 13:00 LUIS ALBERTO MORALES Active 69 M 6/20/1953 Willowbrook Clinic
5/4/2023 16:00 MACLEAN SKILLERN Active 26 M 5/13/1997 Willowbrook Clinic
5/4/2023 15:15 MARCI RESCH Active 53 F 7/31/1969 Kingwood Clinic
5/4/2023 12:45 MARIA MORALES Active 64 F 1/5/1959 Willowbrook Clinic
5/4/2023 11:45 MARIAH BAZ Active 25 F 9/28/1997 Willowbrook Clinic
5/4/2023 16:00 MARISA ESTRADA Active 15 F 7/12/2007 Memorial Clinic
5/4/2023 13:30 MARK MCVEY Active 53 M 8/6/1969 Willowbrook Clinic
5/4/2023 15:15 MARK PIERCY Active 15 M 11/10/2007 Willowbrook Clinic
5/4/2023 10:45 MASON BROOKS Active 23 M 2/17/2000 Kingwood Clinic
5/4/2023 9:30 MATTHEW CHAVEZ Active 15 M 8/2/2007 Willowbrook Clinic
5/4/2023 17:15 MELANIE HARMON Active 53 F 8/9/1969 Willowbrook Clinic
5/4/2023 16:15 MELANIE RUIZ Active 15 F 6/26/2007 Kingwood Clinic
5/4/2023 18:00 MICAH THOMAS Active 6 M 11/13/2016 Willowbrook Clinic
5/4/2023 9:15 MICAH CAMP Active 13 M 10/29/2009 Memorial Clinic
5/4/2023 11:15 MICAH WHEELER Active 28 M 4/24/1995 Willowbrook Clinic
5/4/2023 17:15 MICHAEL FERNANDES Active 13 M 2/28/2010 Memorial Clinic
5/4/2023 13:00 MIGUEL VARELA Active 64 M 9/5/1958 Willowbrook TMS
5/4/2023 16:30 MILLA SALAZAR P+Active 13 F 3/20/2010 Willowbrook Clinic
5/4/2023 11:00 MORGAN WILLIAMS Active 39 M 9/3/1983 Willowbrook Clinic
5/4/2023 14:45 MUSTAFA BADER Active 16 M 9/1/2006 Willowbrook Clinic
5/4/2023 16:45 NANCY PEREZ Active 13 F 12/29/2009 Willowbrook Clinic
5/4/2023 18:45 NAOMI BAKUWA Active 28 F 5/6/1995 Willowbrook Clinic
5/4/2023 16:30 NATALY PEREZ Active 17 F 2/24/2006 Willowbrook Clinic
5/4/2023 15:00 NATHANIEL RIVERA Active 33 M 1/30/1990 Willowbrook Clinic
5/4/2023 14:30 NORKA VERA Active 37 F 8/15/1985 Willowbrook Clinic
5/4/2023 12:15 NORMA WHITE Active 72 F 2/25/1951 Willowbrook Clinic
5/4/2023 10:15 NYLA DAVIS Active 18 F 7/11/2004 Willowbrook Clinic
5/4/2023 17:00 ORLANDO CARDONA Active 42 M 12/24/1980 Willowbrook Clinic
5/4/2023 15:45 OSCAR PEREZ Active 19 M 8/18/2003 Willowbrook Clinic
5/4/2023 16:30 PAMELA DOWELL Active 71 F 8/21/1951 Kingwood Clinic
5/4/2023 16:30 PAMELA DOWELL Active 71 F 8/21/1951 Kingwood Clinic
5/4/2023 9:30 PAMELA PORTER Active 61 F 7/12/1961 Willowbrook Clinic
5/4/2023 11:45 PATRICIA MACKINNON Active 34 F 6/25/1988 Willowbrook Clinic
5/4/2023 16:00 PEGGY SAMPSON Active 46 F 7/22/1976 Kingwood Clinic
5/4/2023 15:30 PEYTON FUGER Active 22 M 6/5/2000 Willowbrook Clinic
5/4/2023 9:15 PHILLIP SMITH Active 60 M 12/20/1962 Willowbrook Clinic
5/4/2023 14:00 RACHEL WAMSLEY Active 38 F 12/13/1984 Willowbrook Clinic
5/4/2023 13:30 REBECCA AMADOR Active 65 F 5/9/1958 Willowbrook Clinic
5/4/2023 12:00 REBECCA BUTCHER Active 30 F 4/20/1993 Willowbrook Clinic
5/4/2023 10:00 RIAZ FATEHI Active 73 M 2/14/1950 Willowbrook Clinic
5/4/2023 8:45 ROBERT WATERWALL Active 30 M 6/26/1992 Willowbrook Clinic
5/4/2023 16:45 RONDA DYSON Active 37 F 1/28/1986 Willowbrook Clinic
5/4/2023 11:30 ROSA PENA Active 57 F 6/25/1965 Willowbrook Clinic
5/4/2023 12:15 ROSAZATTIA MASON Active 45 F 12/6/1977 Willowbrook Clinic
5/4/2023 15:15 RUBY ROJAS Active 18 F 1/7/2005 Willowbrook Clinic
5/4/2023 10:45 SAMANTHA SEGL IGLESIAS Active 23 F 10/17/1999 Willowbrook Clinic
5/4/2023 17:30 SANDRA MARTINEZ Active 39 F 4/17/1984 Willowbrook Clinic
5/4/2023 10:45 SARAH REDMOND Active 40 F 8/17/1982 Willowbrook Clinic
5/4/2023 11:15 SCOTTETTE HENRY-HARTWELL Active 51 F 12/8/1971 Kingwood Clinic
5/4/2023 14:15 SCOTTY CARMON Active 58 M 8/24/1964 Willowbrook Clinic
5/4/2023 10:00 SELIA RUIZ Active 53 F 10/6/1969 Willowbrook TMS
5/4/2023 10:00 SHELDON WILLIAMS Active 56 M 9/17/1966 Willowbrook Clinic
5/4/2023 8:30 SOFIA CARRERA Active 20 F 10/22/2002 Willowbrook Clinic
5/4/2023 11:15 SUSAN CUTSHAW Active 71 F 2/1/1952 Willowbrook Clinic
5/4/2023 15:45 SUZETTE LARA Active 27 F 1/15/1996 Willowbrook Clinic
5/4/2023 10:00 TAMIKA LOCKETT Active 44 F 8/6/1978 Memorial Clinic
5/4/2023 15:45 TIMOTHY OQUINN Active 54 M 1/15/1969 Willowbrook Clinic
5/4/2023 15:45 TODD MILLS Active 58 M 10/16/1964 Willowbrook Clinic
5/4/2023 14:30 VICKI ODENWELLER Active 61 F 11/20/1961 Willowbrook Clinic
5/4/2023 14:45 VICTORIA MOORE Active 37 F 3/21/1986 Willowbrook Clinic
5/4/2023 12:00 VORIA BOOTH Active 47 F 12/28/1975 Willowbrook Clinic
 Provider Visit Type

MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit

RANDI KATZ, NP Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - New Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
CASSANDRA BODUCH, MD T - New Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP New Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - New Pt, Outpatient Office Visit
TAI JOHNSON, NP T - New Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - New Pt, Outpatient Office Visit
RANDI KATZ, NP New Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
 TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD TMS Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Transitional Care Mngt
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - New Pt, Outpatient Office Visit
WILLICIA TORAN, NP New Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - Est Pt, PsyT
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
APRIL LEWIS, LMFT T - New Pt, PsyT Diagnostic
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - New Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Transitional Care Mngt
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD TMS Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
TRISHA LINDEMANN, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Transitional Care Mngt
OLUWAFERANMI AFOLABI, NP T - Est Pt, Transitional Care Mngt
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
OLUWAFERANMI AFOLABI, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD New Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
 WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
CASSANDRA BODUCH, MD T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
RANDI KATZ, NP T - Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA New Pt, Outpatient Office Visit
MASOOD JILANI, MD TMS Visit
MASOOD JILANI, MD New Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
SHAMARUKH KABIR, PA T - Est Pt, Outpatient Office Visit
TAI JOHNSON, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP T - Est Pt, Outpatient Office Visit
MASOOD JILANI, MD Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
AMANDA RAY, NP T - Est Pt, Outpatient Office Visit
WILLICIA TORAN, NP Est Pt, Outpatient Office Visit
 Primary/Secondary Scheduling Status Status Time Room

Amerigroup-MedicareAdvantage / Scheduled 5/4/2023 11:14

CHC-Medicaid / Checked-Out 5/4/2023 17:00
Checked-Out 5/4/2023 16:22
CHC-Marketplace / Checked-Out 5/4/2023 16:38
BCBS-PPO / Select insurance plan Checked-Out 5/7/2023 21:44
UMR / Checked-Out 5/4/2023 15:23
BCBS-PPO / Select insurance plan Checked-Out 5/4/2023 17:23
Amerigroup-Medicaid / Checked-Out 5/4/2023 14:56
CHC-Medicaid / Checked-Out 5/4/2023 17:24
UHC/Optum / In Room 5/4/2023 17:16
BCBS-PPO / Checked-Out 5/5/2023 10:49
UHC/Optum-Medicare / UHC/Optum-Medicaid Checked-Out 5/4/2023 11:40
UHC/Optum-ChoicePlus / Checked-Out 5/4/2023 11:44
BCBS-PPO / Checked-Out 5/8/2023 10:45
CHC-Medicaid / Checked-Out 5/4/2023 16:40
BCBS-HMO / Checked-Out 5/5/2023 10:15
Aetna-PPO / Checked-Out 5/4/2023 11:59
Humana-MedicarePPO / Checked-Out 5/4/2023 13:51
BCBS-PPO / Checked-Out 5/4/2023 17:00
Cigna-OpenAccessPlus / Checked-Out 5/4/2023 17:44
UHC/Optum-Medicaid / In Room 5/4/2023 17:17
Amerigroup-Medicaid / Checked-Out 5/4/2023 16:52
BCBS-PPO / TexasMedicaid Checked-Out 5/8/2023 11:06
BCBS-PPO / Scheduled 5/2/2023 13:51
CHC-Medicaid / Checked-Out 5/4/2023 16:58
Aetna-PPO / Checked-Out 5/4/2023 16:17
UMR / Checked-Out 5/4/2023 12:04
BCBS-PPO / Checked-Out 5/4/2023 15:04
BCBS-PPO / Checked-Out 5/4/2023 17:39
BCBS-HealthSelect / Checked-Out 5/4/2023 11:55
UHC/Optum / TXChildrenMedicaid Checked-Out 5/4/2023 13:54
BCBS-PPO / Checked-Out 5/4/2023 17:04
Amerigroup-MedicareAdvantage / Checked-Out 4/6/2023 17:09
BCBS-PPO / Checked-Out 5/4/2023 16:40
Cigna-OpenAccessPlus / Checked-Out 5/5/2023 10:17
Molina-Medicaid / Checked-Out 5/5/2023 12:08
Ambetter-Marketplace / Checked-Out 5/5/2023 11:49
Cigna-OpenAccess / Checked-Out 5/4/2023 16:33
Amerigroup-Medicaid / Checked-Out 5/5/2023 10:03
Ambetter-Marketplace / Checked-Out 5/4/2023 11:30
Molina-Medicaid / TexasMedicaid Checked-Out 5/4/2023 14:59
Magellan / Checked-Out 5/4/2023 15:59
Ambetter-Marketplace / Select insurance plan Checked-Out 5/4/2023 16:06
 BCBS-PPO / Select insurance plan Checked-Out 5/4/2023 15:19
UHC/Optum-ChoicePlus / Checked-Out 5/5/2023 10:26
MedicareA&B / Aetna-PPO Checked-Out 5/5/2023 11:50
BCBS-PPO / Checked-Out 5/4/2023 18:28
Medicare-Kelseycare / Medicare-USAA Checked-Out 5/4/2023 18:23
UHC/Optum / Checked-Out 5/4/2023 18:32
Humana-MedicareHMO / Checked-Out 5/4/2023 17:53
UHC/Optum / Select insurance plan Checked-Out 5/4/2023 14:35
BCBS-HMO / Checked-Out 5/4/2023 17:42
BCBS-PPO / Select insurance plan Checked-Out 5/4/2023 15:44
BCBS-HMO / Checked-Out 5/4/2023 17:10
BCBS-PPO / Checked-Out 5/4/2023 11:39
BCBS-PPO / Select insurance plan Scheduled 5/1/2023 7:39
UHC/Optum-Choice / BCBS-PPO Checked-Out 5/5/2023 10:21
UHC/Optum-Medicaid / Checked-Out 5/4/2023 17:27
TXChildrenMedicaid / Checked-Out 5/4/2023 16:47
UHC/Optum-Choice / Checked-Out 5/4/2023 17:16
Humana-PPO / Checked-Out 5/4/2023 12:55
BCBS-PPO / Checked-Out 5/4/2023 17:36
Ambetter-Marketplace / Checked-Out 5/4/2023 17:14
TXChildrenMedicaid / Checked-Out 5/4/2023 11:00
Aetna-PPO / Checked-Out 4/5/2023 12:16
Ambetter-Marketplace / Checked-Out 5/4/2023 12:37
BCBS-PPO / Checked-Out 5/4/2023 15:51
MedicareA&B / TexasMedicaid Checked-Out 5/5/2023 10:30
UHC/Optum-Medicaid / Checked-Out 5/4/2023 14:08
Ambetter-Medicare-Medicaid / Checked-Out 5/5/2023 10:36
Cigna-Healthspring / Amerigroup-Medicaid In Room 5/4/2023 17:17
Humana-PPO / BCBS-PPO Checked-Out 5/5/2023 12:05
UMR / Checked-Out 5/4/2023 15:32
Amerigroup-Medicaid / Checked-Out 5/5/2023 11:58
Aetna-MedicarePPO / MedicareA&B Checked-Out 5/4/2023 12:38
Magellan / Checked-Out 5/4/2023 16:00
UHC/Optum-ChoicePlus / Checked-Out 5/4/2023 16:11
BCBS-PPO / Checked-Out 5/4/2023 15:07
Allegieance / Checked-Out 5/4/2023 16:56
Ambetter-Marketplace / Select insurance plan Checked-Out 5/4/2023 12:38
UHC/Optum-Medicaid / Checked-Out 5/4/2023 17:41
Molina-Medicare / MedicareA&B Checked-Out 5/4/2023 17:46
Tricare / Checked-Out 5/4/2023 17:38
Amerigroup-Medicaid / Checked-Out 5/4/2023 16:44
TXChildrenMedicaid / Checked-Out 5/5/2023 13:07
MedicareA&B / BCBS-BlueAdvantage Checked-Out 5/5/2023 12:00
Ambetter-Marketplace / Checked-Out 5/4/2023 16:02
All / Select insurance plan Checked-Out 5/4/2023 15:13
 Cigna-OpenAccess / Checked-Out 5/5/2023 12:03
Aetna-HMO / Aetna-PPO Checked-Out 5/4/2023 15:57
Aetna-PPO / Checked-Out 5/4/2023 16:44
UHC/Optum-Choice / Select insurance plan Checked-Out 5/8/2023 10:40
Devoted / MedicareA&B Checked-Out 5/4/2023 15:46
CHC-Marketplace / Checked-Out 5/4/2023 12:43
Aetna-POS / Checked-Out 5/4/2023 16:58
BCBS-PPO / Checked-Out 5/4/2023 15:15
BCBS-POS / Checked-Out 5/4/2023 17:32
BCBS-PPO / Checked-Out 5/4/2023 16:18
Allied / Checked-Out 5/4/2023 11:24
UHC/Optum / Select insurance plan Checked-Out 5/5/2023 10:22
CHC-Medicaid / Checked-Out 5/8/2023 10:42
UHC/Optum-Medicaid / Checked-Out 5/4/2023 18:25
BCBS-HealthSelect / Checked-Out 5/4/2023 11:52
Healthsmart / Checked-Out 5/4/2023 15:05
UHC/Optum-ChoicePlus / BCBS-PPO Checked-Out 5/4/2023 17:50
Humana-MedicareHMO / Checked-In 5/4/2023 12:44
CHC-Medicaid / Checked-Out 5/4/2023 17:13
All / Checked-Out 5/4/2023 15:18
UHC/Optum / Amerigroup-Medicaid Checked-Out 5/4/2023 15:57
UHC/Optum-Medicaid / Checked-Out 5/4/2023 17:30
Ambetter-Marketplace / Checked-Out 5/5/2023 8:09
TexasMedicaid / Checked-Out 5/4/2023 17:20
CHC-Marketplace / Checked-Out 5/4/2023 15:45
BCBS-PPO / Checked-Out 5/4/2023 15:28
Devoted / MedicareA&B Checked-Out 5/4/2023 15:34
Aetna-POS / Checked-Out 5/4/2023 11:26
BCBS-PPO / Checked-Out 5/4/2023 17:52
UHC/Optum / Checked-Out 5/4/2023 16:52
Cigna-Healthspring / BCBS-BlueAdvantage Checked-Out 5/5/2023 12:16
Cigna-Healthspring / BCBS-BlueAdvantage Scheduled 5/4/2023 13:10
Molina-Medicare / Checked-Out 5/4/2023 12:33
UHC/Optum-Medicaid / Checked-Out 5/4/2023 14:50
Cigna-OpenAccess / MedicareA&B Checked-Out 5/5/2023 12:09
BCBS-HealthSelect / Checked-Out 5/4/2023 17:20
Medicare-Kelseycare / Checked-Out 5/4/2023 11:23
Checked-Out 5/4/2023 15:29
MedicareA&B / Scheduled 4/6/2023 13:41
BCBS-PPO / Checked-Out 5/4/2023 15:24
MedicareA&B / Medicare-AARPSupplemental Checked-Out 5/4/2023 15:57
Cigna-OpenAccess / Checked-Out 5/4/2023 11:37
Cigna-Healthspring / Checked-Out 5/4/2023 17:28
UHC/Optum-ChoicePlus / Checked-Out 5/4/2023 15:20
Wellcare-UXR-Medicaid/Medicare / MedicareA&B Checked-Out 5/4/2023 14:02
 Cigna-OpenAccessPlus / Checked-Out 5/4/2023 15:53
Tricare / Checked-Out 5/4/2023 13:55
Allegieance / Checked-Out 5/5/2023 10:33
BCBS-PPO / Checked-Out 5/4/2023 11:33
Ambetter-Marketplace / Checked-Out 5/4/2023 16:50
CHC-Medicaid / Checked-Out 5/4/2023 16:26
BCBS-PPO / Checked-Out 5/4/2023 17:52
MedicareA&B / Checked-Out 5/4/2023 15:54
Cigna-OpenAccessPlus / Select insurance plan Checked-Out 5/4/2023 10:51
All / Checked-Out 5/4/2023 16:53
Amerigroup-Medicaid / Checked-Out 5/4/2023 16:47
Cigna-OpenAccess / Checked-Out 5/4/2023 14:51
UHC/Optum / Checked-Out 5/4/2023 16:18
BCBS-PPO / Checked-Out 5/4/2023 17:27
BCBS-PPO / Checked-Out 5/4/2023 17:26
Amerigroup-Medicaid / Checked-Out 5/4/2023 17:30
UHC/Optum / Checked-Out 5/4/2023 15:12
Apt Veri Copay CoIns Balance Sign Balance in
Action
Due Paid Due Paid Due Paid CMD
Yes $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $150.00 $0.00 $0.00 $0.00 $440.00 Signed $140.00
Yes $0.00 $0.00 $0.00 $0.00 ($50.00) Signed ($50.00)
Yes $30.00 $0.00 $0.00 $0.00 $30.00 Signed $0.00
Yes $15.00 $0.00 $0.00 $0.00 $0.00 Signed ($15.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Yes $0.00 $0.00 $17.40 $0.00 $0.00 Signed ($17.40)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $35.00 $35.00 $0.00 $0.00 $35.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $289.00 Signed $288.99
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $30.00 $0.00 $0.00 $0.00 $1,414.00 Signed $1,383.56
Yes $50.00 $0.00 $0.00 $0.00 $300.00 Signed $250.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $30.00 $0.00 $0.00 $0.00 $0.00 Signed ($30.00)
Yes $30.00 $0.00 $0.00 $0.00 $0.00 Signed ($30.00)
Yes $0.00 $0.00 $0.00 $0.00 ($120.00) ($120.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $20.00 $0.00 $0.00 $0.00 $396.00 Signed $376.18
Yes $15.00 $0.00 $0.00 $0.00 $85.00 $70.49
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $15.00 $0.00 $0.00 $0.00 $14.00 Signed ($1.02)
Yes $35.00 $0.00 $0.00 $0.00 $35.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 ($50.00) Signed ($50.00)
Yes $25.00 $0.00 $0.00 $0.00 $0.00 Signed ($25.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $15.00 $0.00 $0.00 $0.00 $45.00 Signed $30.00
Yes $25.00 $0.00 $0.00 $0.00 $75.00 Signed $0.00
Yes $30.00 $0.00 $0.00 $0.00 $90.00 Signed ($30.00)
Yes $25.00 $0.00 $0.00 $0.00 $50.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $63.84 $0.00 $0.00 Signed ($64.00)
Yes $20.00 $0.00 $0.00 $0.00 $0.00 Signed ($20.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 ($54.00) Signed ($54.02)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $234.00 Signed $234.36
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $156.20
 Yes $35.00 $0.00 $0.00 $0.00 $140.00 Signed $105.00
Yes $15.00 $0.00 $0.00 $0.00 $30.00 Signed ($15.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $30.00 $0.00 $0.00 $0.00 $240.00 Signed $210.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 ($10.00) Signed ($40.00)
Yes $30.00 $0.00 $0.00 $0.00 $60.00 Signed $0.00
Yes $30.00 $0.00 $0.00 $0.00 $60.00 Signed ($30.00)
Yes $0.00 $0.00 $0.00 $0.00 $634.00 Signed $633.96
Yes $0.00 $0.00 $12.96 $0.00 $6.00 Signed ($6.81)
Yes $0.00 $0.00 $9.85 $0.00 $10.00 Signed $0.00
Yes $25.00 $0.00 $0.00 $0.00 $0.00 ($25.00)
Yes $29.34 $0.00 $0.00 $0.00 $29.00 Signed ($30.22)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Auth Req $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $35.00 $0.00 $0.00 $0.00 $35.00 Signed $0.00
Yes $30.00 $0.00 $0.00 $0.00 ($30.00) Signed ($60.00)
Auth Req $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Auth Req $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 ($120.00) Signed ($120.00)
Yes $30.00 $30.00 $0.00 $0.00 $0.00 Signed ($30.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $15.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Yes $0.00 $0.00 $0.00 $0.00 $243.00 Signed $243.46
Yes $0.00 $0.00 $24.08 $0.00 $24.00 Signed ($60.91)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $20.00 $0.00 $0.00 $0.00 $140.00 Signed $120.00
Yes $0.00 $0.00 $12.96 $0.00 $609.00 Signed $595.92
Yes $0.00 $0.00 $0.00 $0.00 $1,147.00 Signed $361.14
Yes $0.00 $0.00 $0.00 $0.00 $240.00 Signed $359.99
Yes $0.00 $0.00 $0.00 $0.00 $8.00 Signed $235.84
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $20.00 $0.00 $0.00 $0.00 $400.00 Signed $380.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Auth Req $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $804.00 Signed $161.93
Yes $60.00 $0.00 $0.00 $0.00 $180.00 Signed $60.00
 Yes $20.00 $0.00 $0.00 $0.00 $145.00 Signed $125.00
Yes $20.00 $0.00 $0.00 $0.00 $220.00 Signed $120.00
Yes $0.00 $0.00 $0.00 $0.00 $496.00 Signed $560.61
Yes $20.00 $0.00 $0.00 $0.00 $20.00 Signed $0.00
Yes $15.00 $0.00 $0.00 $0.00 $75.00 Signed $60.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $35.00 $0.00 $0.00 $0.00 $35.00 Signed ($35.00)
Yes $0.00 $0.00 $0.00 $0.00 $230.00 Signed $229.98
Yes $25.00 $25.00 $0.00 $0.00 $0.00 Signed ($25.00)
Yes $0.00 $0.00 $0.00 $0.00 $1,598.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $60.00 $0.00 $0.00 $0.00 $515.00 Signed $370.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $25.00 $0.00 $0.00 $0.00 ($25.00) Signed ($50.00)
Yes $50.00 $0.00 $0.00 $0.00 $114.00 Signed ($35.89)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $325.00
Yes $30.00 $0.00 $0.00 $0.00 $145.00 ($215.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $30.00 $0.00 $0.00 $0.00 $0.00 Signed ($30.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $53.14
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $35.00 $0.00 $0.00 $0.00 $35.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 ($15.00) Signed ($15.00)
Yes $35.00 $35.00 $0.00 $0.00 $0.00 Signed ($35.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $22.99 $0.00 $276.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
Yes $20.00 $0.00 $0.00 $0.00 $0.00 Signed ($20.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $387.00 Signed $186.57
Yes $25.00 $0.00 $0.00 $0.00 $50.00 Signed $0.00
Yes $15.00 $15.00 $0.00 $0.00 $30.00 Signed ($15.00)
Pending $0.00 $0.00 $0.00 $0.00 $0.00 Signed ($150.00)
Yes $0.00 $0.00 $0.00 $0.00 $879.00 $1,016.64
Yes $25.00 $0.00 $0.00 $0.00 $117.00 Signed $67.48
Yes $20.00 $0.00 $0.00 $0.00 ($163.00) Signed ($183.18)
Yes $35.00 $35.00 $0.00 $0.00 $70.00 Signed $0.00
Yes $20.00 $0.00 $0.00 $0.00 ($40.00) Signed ($100.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
 Yes $40.00 $0.00 $0.00 $0.00 $280.00 Signed $240.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $25.00 $25.00 $0.00 $0.00 ($25.00) Signed ($50.00)
Yes $0.00 $0.00 $31.24 $0.00 $79.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $15.00 Signed $0.00
Pending $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $25.00 $25.00 $0.00 $0.00 $50.00 Signed $0.00
Yes $25.00 $0.00 $0.00 $0.00 $25.00 Signed ($50.00)
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $45.00 $0.00 $0.00 $0.00 $0.00 Signed ($45.00)
Yes $40.00 $0.00 $0.00 $0.00 ($40.00) Signed ($40.00)
Yes $0.00 $0.00 $22.99 $0.00 $46.00 Signed $22.99
Yes $0.00 $0.00 $0.00 $0.00 $0.00 Signed $0.00
Yes $24.08 $0.00 $0.00 $0.00 $67.00 Signed $43.25
 Resource Name Patient ID Appt Facility ID Appt Resource ID
AMANDA RAY 37878069 10254997 10181064
AMANDA RAY 37939591 10254997 10181064
AMANDA RAY 38353631 10254997 10181064
AMANDA RAY 38859526 10254997 10181064
AMANDA RAY 39165437 10254997 10181064
AMANDA RAY 39248480 10254997 10181064
AMANDA RAY 39373577 10254997 10181064
AMANDA RAY 39484840 10254997 10181064
AMANDA RAY 39874083 10254997 10181064
AMANDA RAY 41294362 10254997 10181064
AMANDA RAY 41505380 10254997 10181064
AMANDA RAY 42430250 10254997 10181064
AMANDA RAY 42547522 10254997 10181064
AMANDA RAY 43640034 10254997 10181064
AMANDA RAY 43873775 10254997 10181064
AMANDA RAY 45622969 10254997 10181064
AMANDA RAY 46084678 10254997 10181064
AMANDA RAY 47882509 10254997 10181064
AMANDA RAY 48193585 10254997 10181064
AMANDA RAY 49263584 10254997 10181064
AMANDA RAY 51122397 10254997 10181064
AMANDA RAY 51195713 10254997 10181064
AMANDA RAY 51534188 10254997 10181064
AMANDA RAY 53715097 10254997 10181064
AMANDA RAY 53736147 10254997 10181064
AMANDA RAY 53854236 10254997 10181064
AMANDA RAY 54256992 10254997 10181064
AMANDA RAY 54292223 10254997 10181064
AMANDA RAY Totals
AMY VARGHESE 37696472 10254997 10189435
AMY VARGHESE 42001820 10254997 10189435
AMY VARGHESE 49409777 10254997 10189435
AMY VARGHESE 49498676 10254997 10189435
AMY VARGHESE 50913515 10254997 10189435
AMY VARGHESE 50927590 10254997 10189435
AMY VARGHESE 51355661 10254997 10189435
AMY VARGHESE 52545328 10254997 10189435
AMY VARGHESE Totals
APRIL LEWIS 41508410 10254997 10189974
APRIL LEWIS 48335813 10254997 10189974
APRIL LEWIS 52460706 10254997 10189974
APRIL LEWIS 53959155 10254997 10189974
APRIL LEWIS 53963800 10254997 10189974
APRIL LEWIS Totals
 CASSANDRA BODUCH 38984800 10254997 10189216
CASSANDRA BODUCH 40483255 10254997 10189216
CASSANDRA BODUCH 40544623 10254997 10189216
CASSANDRA BODUCH 42209956 10254997 10189216
CASSANDRA BODUCH 43979473 10254997 10189216
CASSANDRA BODUCH 47338222 10254997 10189216
CASSANDRA BODUCH 47783610 10254997 10189216
CASSANDRA BODUCH 47860302 10254997 10189216
CASSANDRA BODUCH 48191132 10254997 10189216
CASSANDRA BODUCH 49618455 10254997 10189216
CASSANDRA BODUCH 50257704 10254997 10189216
CASSANDRA BODUCH 50655346 10254997 10189216
CASSANDRA BODUCH 50770489 10254997 10189216
CASSANDRA BODUCH 51988577 10254997 10189216
CASSANDRA BODUCH 52713212 10254997 10189216
CASSANDRA BODUCH 53162442 10254997 10189216
CASSANDRA BODUCH 54079934 10254997 10189216
CASSANDRA BODUCH Totals
DR. MASOOD JILANI 39950467 10254997 10189626
DR. MASOOD JILANI 42633823 10254997 10189626
DR. MASOOD JILANI 48828097 10254997 10189626
DR. MASOOD JILANI 49963568 10254997 10189626
DR. MASOOD JILANI 50072289 10254997 10189626
DR. MASOOD JILANI 51142087 10254997 10189626
DR. MASOOD JILANI 51264096 10254997 10189626
DR. MASOOD JILANI 51492430 10254997 10189626
DR. MASOOD JILANI 51754224 10254997 10189626
DR. MASOOD JILANI 51912740 10254997 10189626
DR. MASOOD JILANI 52961616 10254997 10189626
DR. MASOOD JILANI 53293848 10254997 10189626
DR. MASOOD JILANI 53783450 10254997 10189626
DR. MASOOD JILANI 54301010 10254997 10189626
DR. MASOOD JILANI 54301536 10254997 10189626
DR. MASOOD JILANI Totals
DR. ZHE SONG 45114339 10254997 10188891
DR. ZHE SONG 47336560 10254997 10188891
DR. ZHE SONG 50545584 10254997 10188891
DR. ZHE SONG Totals
RANDI KATZ 45181722 10254997 10189766
RANDI KATZ 52855093 10254997 10189766
RANDI KATZ 52876011 10254997 10189766
RANDI KATZ 52876286 10254997 10189766
RANDI KATZ 52899773 10254997 10189766
RANDI KATZ 53050214 10254997 10189766
RANDI KATZ 53578636 10254997 10189766
 RANDI KATZ 53796638 10254997 10189766
RANDI KATZ 53882536 10254997 10189766
RANDI KATZ 54129759 10254997 10189766
RANDI KATZ 54129793 10254997 10189766
RANDI KATZ 54285771 10254997 10189766
RANDI KATZ Totals
SHAMARUKH KABIR 38496447 10254997 10189318
SHAMARUKH KABIR 39900727 10254997 10189318
SHAMARUKH KABIR 40954945 10254997 10189318
SHAMARUKH KABIR 42591540 10254997 10189318
SHAMARUKH KABIR 42813545 10254997 10189318
SHAMARUKH KABIR 44593597 10254997 10189318
SHAMARUKH KABIR 47177801 10254997 10189318
SHAMARUKH KABIR 47261439 10254997 10189318
SHAMARUKH KABIR 48780873 10254997 10189318
SHAMARUKH KABIR 49026898 10254997 10189318
SHAMARUKH KABIR 49216005 10254997 10189318
SHAMARUKH KABIR 49257066 10254997 10189318
SHAMARUKH KABIR 49557610 10254997 10189318
SHAMARUKH KABIR 49886031 10254997 10189318
SHAMARUKH KABIR 49968851 10254997 10189318
SHAMARUKH KABIR 49969322 10254997 10189318
SHAMARUKH KABIR 50175087 10254997 10189318
SHAMARUKH KABIR 50405457 10254997 10189318
SHAMARUKH KABIR 50586748 10254997 10189318
SHAMARUKH KABIR 50595958 10254997 10189318
SHAMARUKH KABIR 50912572 10254997 10189318
SHAMARUKH KABIR 50912944 10254997 10189318
SHAMARUKH KABIR 51329228 10254997 10189318
SHAMARUKH KABIR 51376940 10254997 10189318
SHAMARUKH KABIR 51579659 10254997 10189318
SHAMARUKH KABIR 51639179 10254997 10189318
SHAMARUKH KABIR 52028964 10254997 10189318
SHAMARUKH KABIR 52526955 10254997 10189318
SHAMARUKH KABIR 53198068 10254997 10189318
SHAMARUKH KABIR 53421615 10254997 10189318
SHAMARUKH KABIR 53548547 10254997 10189318
SHAMARUKH KABIR 53582837 10254997 10189318
SHAMARUKH KABIR 53754675 10254997 10189318
SHAMARUKH KABIR 53882585 10254997 10189318
SHAMARUKH KABIR 53971461 10254997 10189318
SHAMARUKH KABIR 53972750 10254997 10189318
SHAMARUKH KABIR 54032122 10254997 10189318
SHAMARUKH KABIR 54052617 10254997 10189318
SHAMARUKH KABIR Totals
 TAI JOHNSON, NP 39412000 10254997 10189991
TAI JOHNSON, NP 41691121 10254997 10189991
TAI JOHNSON, NP 42225581 10254997 10189991
TAI JOHNSON, NP 49412639 10254997 10189991
TAI JOHNSON, NP 49970640 10254997 10189991
TAI JOHNSON, NP 50672317 10254997 10189991
TAI JOHNSON, NP 50933933 10254997 10189991
TAI JOHNSON, NP 51286274 10254997 10189991
TAI JOHNSON, NP 51840652 10254997 10189991
TAI JOHNSON, NP 51987763 10254997 10189991
TAI JOHNSON, NP 52598041 10254997 10189991
TAI JOHNSON, NP 52642147 10254997 10189991
TAI JOHNSON, NP 52890105 10254997 10189991
TAI JOHNSON, NP 53411874 10254997 10189991
TAI JOHNSON, NP 53577289 10254997 10189991
TAI JOHNSON, NP 53904611 10254997 10189991
TAI JOHNSON, NP 53946149 10254997 10189991
TAI JOHNSON, NP 54022225 10254997 10189991
TAI JOHNSON, NP 54086468 10254997 10189991
TAI JOHNSON, NP 54103645 10254997 10189991
TAI JOHNSON, NP 54226144 10254997 10189991
TAI JOHNSON, NP 54277061 10254997 10189991
TAI JOHNSON, NP 54277207 10254997 10189991
TAI JOHNSON, NP 54277427 10254997 10189991
TAI JOHNSON, NP 54277594 10254997 10189991
TAI JOHNSON, NP 54284555 10254997 10189991
TAI JOHNSON, NP 54299435 10254997 10189991
TAI JOHNSON, NP 54300242 10254997 10189991
TAI JOHNSON, NP 54300784 10254997 10189991
TAI JOHNSON, NP 54302883 10254997 10189991
TAI JOHNSON, NP Totals
TRISHA LINDERMAN, NP 53226227 10254997 10189976
TRISHA LINDERMAN, NP 53765358 10254997 10189976
TRISHA LINDERMAN, NP 53766492 10254997 10189976
TRISHA LINDERMAN, NP 53782745 10254997 10189976
TRISHA LINDERMAN, NP 54008311 10254997 10189976
TRISHA LINDERMAN, NP 54128635 10254997 10189976
TRISHA LINDERMAN, NP Totals
WILLICIA TORAN 42471785 10254997 10189767
WILLICIA TORAN 42741543 10254997 10189767
WILLICIA TORAN 45344269 10254997 10189767
WILLICIA TORAN 49863166 10254997 10189767
WILLICIA TORAN 49878197 10254997 10189767
WILLICIA TORAN 50743278 10254997 10189767
WILLICIA TORAN 51724505 10254997 10189767
 WILLICIA TORAN 51807671 10254997 10189767
WILLICIA TORAN 52182839 10254997 10189767
WILLICIA TORAN 52253974 10254997 10189767
WILLICIA TORAN 52309083 10254997 10189767
WILLICIA TORAN 52405395 10254997 10189767
WILLICIA TORAN 52452045 10254997 10189767
WILLICIA TORAN 52464355 10254997 10189767
WILLICIA TORAN 52673969 10254997 10189767
WILLICIA TORAN 52943487 10254997 10189767
WILLICIA TORAN 52953676 10254997 10189767
WILLICIA TORAN 52966993 10254997 10189767
WILLICIA TORAN 53166154 10254997 10189767
WILLICIA TORAN 53572183 10254997 10189767
WILLICIA TORAN 53572244 10254997 10189767
WILLICIA TORAN 53645722 10254997 10189767
WILLICIA TORAN 53796141 10254997 10189767
WILLICIA TORAN 53814765 10254997 10189767
WILLICIA TORAN 53879605 10254997 10189767
WILLICIA TORAN 53882166 10254997 10189767
WILLICIA TORAN 53958618 10254997 10189767
WILLICIA TORAN 54097089 10254997 10189767
WILLICIA TORAN 54113139 10254997 10189767
WILLICIA TORAN 54114571 10254997 10189767
WILLICIA TORAN 54272312 10254997 10189767
WILLICIA TORAN Totals
Resource Name Appointment Date Appointment Date Patient First Name
AMANDA RAY 05/04/2023 May 2023 DAMIAN
AMANDA RAY 05/04/2023 May 2023 KENNETH
AMANDA RAY 05/04/2023 May 2023 WILLIAM
AMANDA RAY 05/04/2023 May 2023 VICTORIA
AMANDA RAY 05/04/2023 May 2023 KENNETH
AMANDA RAY 05/04/2023 May 2023 JOANNA
AMANDA RAY 05/04/2023 May 2023 CARROL
AMANDA RAY 05/04/2023 May 2023 JENNA
AMANDA RAY 05/04/2023 May 2023 DANIEL
AMANDA RAY 05/04/2023 May 2023 JULIA
AMANDA RAY 05/04/2023 May 2023 ROBERT
AMANDA RAY 05/04/2023 May 2023 STEFAN
AMANDA RAY 05/04/2023 May 2023 SAMANTHA
AMANDA RAY 05/04/2023 May 2023 JESSE
AMANDA RAY 05/04/2023 May 2023 MACY
AMANDA RAY 05/04/2023 May 2023 AMANDA
AMANDA RAY 05/04/2023 May 2023 ROSAZATTIA
AMANDA RAY 05/04/2023 May 2023 MARK
AMANDA RAY 05/04/2023 May 2023 KAYLA
AMANDA RAY 05/04/2023 May 2023 ASHLEY
AMANDA RAY 05/04/2023 May 2023 ISRAEL
AMANDA RAY 05/04/2023 May 2023 PAMELA
AMANDA RAY 05/04/2023 May 2023 CAYDEN
AMANDA RAY 05/04/2023 May 2023 VICKI
AMANDA RAY 05/04/2023 May 2023 HANNAH
AMANDA RAY 05/04/2023 May 2023 KOSLEE
AMANDA RAY 05/04/2023 May 2023 ANTHONY
AMANDA RAY 05/04/2023 May 2023 NICHOLAUS

AMY VARGHESE 05/04/2023 May 2023 RICARDO

AMY VARGHESE 05/04/2023 May 2023 SYLVIA
AMY VARGHESE 05/04/2023 May 2023 TOSHA
AMY VARGHESE 05/04/2023 May 2023 MARK
AMY VARGHESE 05/04/2023 May 2023 ELENA
AMY VARGHESE 05/04/2023 May 2023 LATORY
AMY VARGHESE 05/04/2023 May 2023 HEATHER
AMY VARGHESE 05/04/2023 May 2023 ALLEN

APRIL LEWIS 05/04/2023 May 2023 AUDREY

APRIL LEWIS 05/04/2023 May 2023 CECILYA
APRIL LEWIS 05/04/2023 May 2023 JUDY
APRIL LEWIS 05/04/2023 May 2023 JEREMY
APRIL LEWIS 05/04/2023 May 2023 DATHY
CASSANDRA BODUCH 05/04/2023 May 2023 JO NELL
CASSANDRA BODUCH 05/04/2023 May 2023 MELANIE
CASSANDRA BODUCH 05/04/2023 May 2023 CAMERYN
CASSANDRA BODUCH 05/04/2023 May 2023 JOSE
CASSANDRA BODUCH 05/04/2023 May 2023 GAIL
CASSANDRA BODUCH 05/04/2023 May 2023 DINA
CASSANDRA BODUCH 05/04/2023 May 2023 RONDA
CASSANDRA BODUCH 05/04/2023 May 2023 KIMBERLEY
CASSANDRA BODUCH 05/04/2023 May 2023 SANDRA
CASSANDRA BODUCH 05/04/2023 May 2023 JACOBLY
CASSANDRA BODUCH 05/04/2023 May 2023 NAOMI
CASSANDRA BODUCH 05/04/2023 May 2023 ORLANDO
CASSANDRA BODUCH 05/04/2023 May 2023 FELICIDAD
CASSANDRA BODUCH 05/04/2023 May 2023 MICAH
CASSANDRA BODUCH 05/04/2023 May 2023 EVENE
CASSANDRA BODUCH 05/04/2023 May 2023 DEANNA
CASSANDRA BODUCH 05/04/2023 May 2023 BARRETTE

DR. MASOOD JILANI 05/04/2023 May 2023 RIAZ

DR. MASOOD JILANI 05/04/2023 May 2023 SELIA
DR. MASOOD JILANI 05/04/2023 May 2023 GINA
DR. MASOOD JILANI 05/04/2023 May 2023 MIGUEL
DR. MASOOD JILANI 05/04/2023 May 2023 REBECCA
DR. MASOOD JILANI 05/04/2023 May 2023 KASCEY
DR. MASOOD JILANI 05/04/2023 May 2023 PEYTON
DR. MASOOD JILANI 05/04/2023 May 2023 TODD
DR. MASOOD JILANI 05/04/2023 May 2023 MARIAH
DR. MASOOD JILANI 05/04/2023 May 2023 SUSAN
DR. MASOOD JILANI 05/04/2023 May 2023 NORMA
DR. MASOOD JILANI 05/04/2023 May 2023 KATHERINE
DR. MASOOD JILANI 05/04/2023 May 2023 NANCY
DR. MASOOD JILANI 05/04/2023 May 2023 RACHEL
DR. MASOOD JILANI 05/04/2023 May 2023 SHELDON

DR. ZHE SONG 05/04/2023 May 2023 KIMBERLY

DR. ZHE SONG 05/04/2023 May 2023 BERNICE
DR. ZHE SONG 05/04/2023 May 2023 HERBERT

RANDI KATZ 05/04/2023 May 2023 LEEANE

RANDI KATZ 05/04/2023 May 2023 MASON
RANDI KATZ 05/04/2023 May 2023 JUDITH
RANDI KATZ 05/04/2023 May 2023 JEFF
RANDI KATZ 05/04/2023 May 2023 KELLY
RANDI KATZ 05/04/2023 May 2023 BREANNA
RANDI KATZ 05/04/2023 May 2023 BETTY
 RANDI KATZ 05/04/2023 May 2023 KRISTINA
RANDI KATZ 05/04/2023 May 2023 SHANTEL
RANDI KATZ 05/04/2023 May 2023 AALIYAH
RANDI KATZ 05/04/2023 May 2023 SCOTTETTE
RANDI KATZ 05/04/2023 May 2023 DEZIREE

SHAMARUKH KABIR 05/04/2023 May 2023 JUDY

SHAMARUKH KABIR 05/04/2023 May 2023 OSCAR
SHAMARUKH KABIR 05/04/2023 May 2023 SUZETTE
SHAMARUKH KABIR 05/04/2023 May 2023 MARIA
SHAMARUKH KABIR 05/04/2023 May 2023 ALCIRA
SHAMARUKH KABIR 05/04/2023 May 2023 ROSA
SHAMARUKH KABIR 05/04/2023 May 2023 MICAH
SHAMARUKH KABIR 05/04/2023 May 2023 ADRIAN
SHAMARUKH KABIR 05/04/2023 May 2023 CHRISTINE
SHAMARUKH KABIR 05/04/2023 May 2023 DANIELLE
SHAMARUKH KABIR 05/04/2023 May 2023 HOLLY
SHAMARUKH KABIR 05/04/2023 May 2023 CARLIE
SHAMARUKH KABIR 05/04/2023 May 2023 ARON
SHAMARUKH KABIR 05/04/2023 May 2023 AMANDA
SHAMARUKH KABIR 05/04/2023 May 2023 NATALY
SHAMARUKH KABIR 05/04/2023 May 2023 NANCY
SHAMARUKH KABIR 05/04/2023 May 2023 KATHRYN
SHAMARUKH KABIR 05/04/2023 May 2023 LEONARDO
SHAMARUKH KABIR 05/04/2023 May 2023 CHRISTIAN
SHAMARUKH KABIR 05/04/2023 May 2023 LUIS
SHAMARUKH KABIR 05/04/2023 May 2023 CATHERINE
SHAMARUKH KABIR 05/04/2023 May 2023 EDWARD
SHAMARUKH KABIR 05/04/2023 May 2023 ERIK
SHAMARUKH KABIR 05/04/2023 May 2023 JAELYNN
SHAMARUKH KABIR 05/04/2023 May 2023 ASHLEY
SHAMARUKH KABIR 05/04/2023 May 2023 ROSA
SHAMARUKH KABIR 05/04/2023 May 2023 LATRINA
SHAMARUKH KABIR 05/04/2023 May 2023 HAYDEE
SHAMARUKH KABIR 05/04/2023 May 2023 MORGAN
SHAMARUKH KABIR 05/04/2023 May 2023 LEONARD
SHAMARUKH KABIR 05/04/2023 May 2023 CHRISTINA
SHAMARUKH KABIR 05/04/2023 May 2023 JACQUELINE
SHAMARUKH KABIR 05/04/2023 May 2023 CATHERINE
SHAMARUKH KABIR 05/04/2023 May 2023 REBECCA
SHAMARUKH KABIR 05/04/2023 May 2023 CONSTANTINE
SHAMARUKH KABIR 05/04/2023 May 2023 JIMMIE
SHAMARUKH KABIR 05/04/2023 May 2023 JUSTIN
SHAMARUKH KABIR 05/04/2023 May 2023 SCOTTY
 TAI JOHNSON, NP 05/04/2023 May 2023 JENNIFER
TAI JOHNSON, NP 05/04/2023 May 2023 EUGENE
TAI JOHNSON, NP 05/04/2023 May 2023 LILLIAN
TAI JOHNSON, NP 05/04/2023 May 2023 JUSTICE
TAI JOHNSON, NP 05/04/2023 May 2023 LENNETTE
TAI JOHNSON, NP 05/04/2023 May 2023 KARINA
TAI JOHNSON, NP 05/04/2023 May 2023 MICHAEL
TAI JOHNSON, NP 05/04/2023 May 2023 CHLOE
TAI JOHNSON, NP 05/04/2023 May 2023 DANIEL
TAI JOHNSON, NP 05/04/2023 May 2023 MICAH
TAI JOHNSON, NP 05/04/2023 May 2023 MADALYN
TAI JOHNSON, NP 05/04/2023 May 2023 MARCI
TAI JOHNSON, NP 05/04/2023 May 2023 PEGGY
TAI JOHNSON, NP 05/04/2023 May 2023 MELANIE
TAI JOHNSON, NP 05/04/2023 May 2023 DEON
TAI JOHNSON, NP 05/04/2023 May 2023 EUGENE
TAI JOHNSON, NP 05/04/2023 May 2023 JHAUKAYDIA
TAI JOHNSON, NP 05/04/2023 May 2023 CHELSEA
TAI JOHNSON, NP 05/04/2023 May 2023 MARISA
TAI JOHNSON, NP 05/04/2023 May 2023 TAMIKA
TAI JOHNSON, NP 05/04/2023 May 2023 KAYLA
TAI JOHNSON, NP 05/04/2023 May 2023 BLAKE
TAI JOHNSON, NP 05/04/2023 May 2023 TYSON
TAI JOHNSON, NP 05/04/2023 May 2023 NATHAN
TAI JOHNSON, NP 05/04/2023 May 2023 JANIA
TAI JOHNSON, NP 05/04/2023 May 2023 AUBREY
TAI JOHNSON, NP 05/04/2023 May 2023 DEREK
TAI JOHNSON, NP 05/04/2023 May 2023 LAUREN
TAI JOHNSON, NP 05/04/2023 May 2023 PAMELA
TAI JOHNSON, NP 05/04/2023 May 2023 JENNIFER

TRISHA LINDERMAN, NP 05/04/2023 May 2023 EMILY

TRISHA LINDERMAN, NP 05/04/2023 May 2023 JESSICA
TRISHA LINDERMAN, NP 05/04/2023 May 2023 BRANDON
TRISHA LINDERMAN, NP 05/04/2023 May 2023 ERIN
TRISHA LINDERMAN, NP 05/04/2023 May 2023 MUSTAFA
TRISHA LINDERMAN, NP 05/04/2023 May 2023 SEBASTIAN

WILLICIA TORAN 05/04/2023 May 2023 CAROLINE

WILLICIA TORAN 05/04/2023 May 2023 PATRICIA
WILLICIA TORAN 05/04/2023 May 2023 SAVANNA
WILLICIA TORAN 05/04/2023 May 2023 KATELYN
WILLICIA TORAN 05/04/2023 May 2023 NATHANIEL
WILLICIA TORAN 05/04/2023 May 2023 PHILLIP
WILLICIA TORAN 05/04/2023 May 2023 DARIELLA
WILLICIA TORAN 05/04/2023 May 2023 MARK
WILLICIA TORAN 05/04/2023 May 2023 CHARLES
WILLICIA TORAN 05/04/2023 May 2023 NYLA
WILLICIA TORAN 05/04/2023 May 2023 SARAH
WILLICIA TORAN 05/04/2023 May 2023 NORKA
WILLICIA TORAN 05/04/2023 May 2023 RUBY
WILLICIA TORAN 05/04/2023 May 2023 DUNG
WILLICIA TORAN 05/04/2023 May 2023 TIMOTHY
WILLICIA TORAN 05/04/2023 May 2023 VORIA
WILLICIA TORAN 05/04/2023 May 2023 HAVALA
WILLICIA TORAN 05/04/2023 May 2023 DONNA
WILLICIA TORAN 05/04/2023 May 2023 JAZLYNN
WILLICIA TORAN 05/04/2023 May 2023 ALEC
WILLICIA TORAN 05/04/2023 May 2023 DOMINIC
WILLICIA TORAN 05/04/2023 May 2023 MATTHEW
WILLICIA TORAN 05/04/2023 May 2023 HAILEY
WILLICIA TORAN 05/04/2023 May 2023 DAWN
WILLICIA TORAN 05/04/2023 May 2023 SOFIA
WILLICIA TORAN 05/04/2023 May 2023 MACLEAN
WILLICIA TORAN 05/04/2023 May 2023 RHONDA
WILLICIA TORAN 05/04/2023 May 2023 JEREMIAH
WILLICIA TORAN 05/04/2023 May 2023 MILLA
WILLICIA TORAN 05/04/2023 May 2023 AVIAN
WILLICIA TORAN 05/04/2023 May 2023 JAYVEON
Patient Last Name Patient Full Name Patient Birthday Appt Status
KLEIN KLEIN, DAMIAN 11/08/1977 Checked-Out
WILSON WILSON, KENNETH R 09/01/1963 Checked-Out
CORDER III CORDER III, WILLIAM CLYDE 02/04/1962 No Show
MOORE MOORE, VICTORIA N 03/21/1986 Checked-Out
MURKOT MURKOT, KENNETH 01/27/1995 Checked-Out
AYALA AYALA, JOANNA 06/25/1970 Checked-Out
RUTLEDGE RUTLEDGE, CARROL L 03/21/1975 Checked-Out
KNOTH KNOTH, JENNA E 06/13/1994 Checked-Out
HUMPHREY HUMPHREY, DANIEL C 02/01/2017 Checked-Out
CHAFFIN CHAFFIN, JULIA D 05/05/1994 No Show
WATERWALL WATERWALL, ROBERT 06/26/1992 Checked-Out
WOOD WOOD, STEFAN 06/03/1988 No Show
SEGL IGLESIAS SEGL IGLESIAS, SAMANTHA 10/17/1999 Checked-Out
JORDAN JORDAN, JESSE LEE 04/24/1983 Checked-Out
GARCIA GARCIA, MACY 04/17/1993 No Show
RIVERA RIVERA, AMANDA 04/26/1988 No Show
MASON MASON, ROSAZATTIA 12/06/1977 Checked-Out
PIERCY PIERCY, MARK A 11/10/2007 Checked-Out
POPE POPE, KAYLA B 08/13/1994 Checked-Out
BARNOSKY BARNOSKY, ASHLEY D 05/07/1983 Checked-Out
VILLARREAL VILLARREAL, ISRAEL 11/27/1981 ins Verified
PORTER PORTER, PAMELA L 07/12/1961 Checked-Out
SELKE SELKE, CAYDEN 05/07/2014 Checked-Out
ODENWELLER ODENWELLER, VICKI 11/20/1961 Checked-Out
VANN VANN, HANNAH 05/09/1986 Checked-Out
RICHARDSON RICHARDSON, KOSLEE 07/09/2007 Checked-Out
ACKLEY ACKLEY, ANTHONY 06/15/2002 Checked-Out
BATES BATES, NICHOLAUS C 05/21/2016 No Show
28
RIOS RIOS, RICARDO A 03/17/2005 Rescheduled
BRISLIS BRISLIS, SYLVIA 01/03/2011 Canceled
TADLOCK TADLOCK, TOSHA 05/06/1972 Rescheduled
WARPMAEKER WARPMAEKER, MARK 05/17/1969 Rescheduled
HAIGHT HAIGHT, ELENA S 09/25/1951 Rescheduled
DESSELLE DESSELLE, LATORY 06/15/1984 Rescheduled
SIMMS SIMMS, HEATHER 02/03/1981 Rescheduled
LAMB LAMB, ALLEN J 08/26/1981 Rescheduled
8
CHATTMON CHATTMON, AUDREY 04/11/1963 In Room
ANDERSON ANDERSON, CECILYA 11/01/2004 In Room
EASON EASON, JUDY C 05/22/1990 In Room
HOLMBERG HOLMBERG, JEREMY 06/25/1975 Checked-Out
IYAPO IYAPO, DATHY A 11/17/1965 Checked-Out
5
 BLYTHE BLYTHE, JO NELL N 01/28/1958 Checked-Out
HARMON HARMON, MELANIE K 08/09/1969 Checked-Out
WARD WARD, CAMERYN 11/18/2003 Checked-Out
GARCIA GARCIA, JOSE E 11/17/2011 Checked-Out
CURTIS CURTIS, GAIL D 09/13/1950 Checked-Out
SNOW SNOW, DINA 02/21/1972 No Show
DYSON DYSON, RONDA 01/28/1986 Checked-Out
BATES BATES, KIMBERLEY A 01/29/1977 Checked-Out
MARTINEZ MARTINEZ, SANDRA 04/17/1984 Checked-Out
SINGLETON SINGLETON, JACOBLY 09/22/2009 Checked-Out
BAKUWA BAKUWA, NAOMI TADALA 05/06/1995 Checked-Out
CARDONA CARDONA, ORLANDO 12/24/1980 Checked-Out
GUERRA GUERRA, FELICIDAD 03/31/1923 Checked-Out
THOMAS THOMAS, MICAH J 11/13/2016 Checked-Out
HOPES HOPES, EVENE A 06/21/1984 Checked-Out
OPAL OPAL, DEANNA 11/29/1983 Checked-Out
WILLIAMS WILLIAMS, BARRETTE 09/18/1981 Checked-Out
17
FATEHI FATEHI, RIAZ 02/14/1950 Checked-Out
RUIZ RUIZ, SELIA 10/06/1969 Checked-Out
RAMSEY RAMSEY, GINA G 11/11/1964 Checked-Out
VARELA VARELA, MIGUEL O 09/05/1958 Checked-In
AMADOR AMADOR, REBECCA J 05/09/1958 ins Verified
CASTILLO CASTILLO, KASCEY L 03/30/1974 Checked-Out
FUGER FUGER, PEYTON 06/05/2000 Checked-Out
MILLS MILLS, TODD 10/16/1964 Checked-Out
BAZ BAZ, MARIAH 09/28/1997 Checked-Out
CUTSHAW CUTSHAW, SUSAN 02/01/1952 Checked-Out
WHITE WHITE, NORMA M 02/25/1951 Checked-Out
KEVIN KEVIN, KATHERINE 10/05/1984 Checked-Out
HOLMES HOLMES, NANCY L 07/01/1960 ins Verified
WAMSLEY WAMSLEY, RACHEL 12/13/1984 Checked-Out
WILLIAMS WILLIAMS, SHELDON R 09/17/1966 Checked-Out
15
YAWN YAWN, KIMBERLY K 05/22/1973 ins Verified
BURTON BURTON, BERNICE 01/20/1972 Rescheduled
ESSIEN ESSIEN, HERBERT 04/30/1988 ins Verified
3
TERRIZZI TERRIZZI, LEEANE 11/04/1956 Canceled
BROOKS BROOKS, MASON 02/17/2000 Checked-Out
GIARRATANO GIARRATANO, JUDITH 10/10/1972 Canceled
WEINSTOCK WEINSTOCK, JEFF 08/01/1978 Checked-Out
CULVER CULVER, KELLY 04/23/1985 Checked-Out
PONCE PONCE, BREANNA 01/15/2004 Checked-Out
BOWENS BOWENS, BETTY J 08/01/1962 Checked-Out
 TATOM TATOM, KRISTINA K 02/10/1980 Canceled
HORACE HORACE, SHANTEL D 03/10/1974 Canceled
VALTIERRA VALTIERRA, AALIYAH 05/28/2007 Checked-Out
HARTWELL HARTWELL, SCOTTETTE 12/08/1971 Checked-Out
ANDERSON ANDERSON, DEZIREE L 09/25/2008 Checked-Out
12
HARRIS HARRIS, JUDY 03/14/1967 Canceled
PEREZ PEREZ, OSCAR 08/18/2003 Checked-Out
LARA LARA, SUZETTE G 01/15/1996 Checked-Out
MORALES MORALES, MARIA A 01/05/1959 Checked-Out
FARSHAD FARSHAD, ALCIRA 09/20/1983 Rescheduled
CANTU CANTU, ROSA M 05/15/1966 Canceled
WHEELER WHEELER, MICAH N 04/24/1995 Checked-Out
GARCIA GARCIA, ADRIAN 12/04/1996 Checked-Out
VASQUEZ VASQUEZ, CHRISTINE M 12/27/1972 Checked-Out
GARGOTTA GARGOTTA, DANIELLE K 04/19/2007 Checked-Out
SHEPHERD SHEPHERD, HOLLY 10/29/1995 Checked-Out
HOWELL HOWELL, CARLIE 10/04/2004 Checked-Out
OLIVARES OLIVARES, ARON D 08/23/2000 Checked-Out
HINOJOSA HINOJOSA, AMANDA 04/30/1984 Checked-Out
PEREZ PEREZ, NATALY 02/24/2006 Checked-Out
PEREZ PEREZ, NANCY 12/29/2009 Checked-Out
STAM STAM, KATHRYN R 08/17/2000 Checked-Out
SANCHEZ SANCHEZ, LEONARDO A 07/26/1998 Checked-Out
PEREZ PEREZ, CHRISTIAN 01/21/2005 Checked-Out
MORALES MORALES, LUIS A 06/20/1953 Checked-Out
TALLEY TALLEY, CATHERINE R 10/24/1985 No Show
RAETZLOFF RAETZLOFF, EDWARD ANDREW 02/17/1987 Checked-Out
SANCHEZ SANCHEZ, ERIK 05/17/1979 Checked-Out
MIMS MIMS, JAELYNN 11/29/2007 Checked-Out
MACK MACK, ASHLEY 07/11/1985 Checked-Out
PENA PENA, ROSA I 06/25/1965 Checked-Out
JONES JONES, LATRINA A 11/29/1979 Checked-Out
CRAVEY CRAVEY, HAYDEE 12/19/1965 Checked-Out
WILLIAMS WILLIAMS, MORGAN 09/03/1983 Checked-Out
DELOACH DELOACH, LEONARD L 11/24/1995 Checked-Out
MARLER MARLER, CHRISTINA 04/08/1993 Checked-Out
LIEBER LIEBER, JACQUELINE 12/04/1977 Rescheduled
FLORES FLORES, CATHERINE N 08/22/2000 Checked-Out
BUTCHER BUTCHER, REBECCA MICHELLE 04/20/1993 Checked-Out
KAPATOS KAPATOS, CONSTANTINE 09/30/1999 Checked-Out
GILL GILL, JIMMIE 10/10/1982 Checked-Out
TAMEZ TAMEZ, JUSTIN 07/11/2003 Checked-Out
CARMON CARMON, SCOTTY 08/24/1964 Checked-Out
38
 NOVOSAD NOVOSAD, JENNIFER R 11/01/1979 ins Verified
HALL HALL, EUGENE R 10/26/1956 ins Verified
WATTS WATTS, LILLIAN L 01/22/1969 ins Verified
MCDANIEL MCDANIEL, JUSTICE T 12/15/1997 ins Verified
BENJAMIN BENJAMIN, LENNETTE J 05/14/1941 ins Verified
SAENZ SAENZ, KARINA L 03/04/1983 ins Verified
FERNANDES FERNANDES, MICHAEL 02/28/2010 Checked-Out
BURTON BURTON, CHLOE 02/11/2008 ins Verified
CAMP CAMP, DANIEL 09/09/2011 Checked-Out
CAMP CAMP, MICAH R 10/29/2009 Checked-Out
PEREZ PEREZ, MADALYN 07/06/1981 No Show
RESCH RESCH, MARCI 07/31/1969 ins Verified
SAMPSON SAMPSON, PEGGY 07/22/1976 ins Verified
RUIZ RUIZ, MELANIE 06/26/2007 ins Verified
HARVEY HARVEY, DEON 08/29/1994 ins Verified
COLEMAN COLEMAN, EUGENE 12/22/1989 ins Verified
BUTLER BUTLER, JHAUKAYDIA 07/27/2006 ins Verified
MCINTOSH MCINTOSH, CHELSEA 03/07/1991 ins Verified
ESTRADA ESTRADA, MARISA 07/12/2007 Checked-Out
LOCKETT LOCKETT, TAMIKA 08/06/1978 Checked-Out
MITCHELLE MITCHELLE, KAYLA 02/04/2000 No Show
CALLENS CALLENS, BLAKE 12/19/1988 ins Verified
NEWTON NEWTON, TYSON 04/14/1981 ins Verified
YOUNG YOUNG, NATHAN D 02/08/1992 Pending
MCGINTY MCGINTY, JANIA N 06/30/2004 ins Verified
OROSCO OROSCO, AUBREY 09/16/2009 Checked-Out
GILL GILL, DEREK 09/11/1976 ins Verified
MATULA MATULA, LAUREN G 11/11/2005 ins Verified
DOWELL DOWELL, PAMELA 08/21/1951 ins Verified
MELCHIONNE MELCHIONNE, JENNIFER 08/25/1983 ins Verified
30
BOOTH BOOTH, EMILY 06/13/1997 Checked-Out
PIPPIN PIPPIN, JESSICA 10/27/1989 No Show
YARBROUGH YARBROUGH, BRANDON J 11/07/1995 ins Verified
SAVAGE SAVAGE, ERIN 08/22/1996 Checked-Out
BADER BADER, MUSTAFA 09/01/2006 Checked-Out
ABREU ABREU, SEBASTIAN 06/03/2005 ins Verified
6
BRASSEUX BRASSEUX, CAROLINE ANN 05/19/1982 No Show
MACKINNON MACKINNON, PATRICIA M 06/25/1988 Checked-Out
HUCKINS HUCKINS, SAVANNA 10/16/2001 No Show
DENKHAUS-GRAY DENKHAUS-GRAY, KATELYN 04/01/1996 No Show
RIVERA RIVERA, NATHANIEL 01/30/1990 Checked-Out
SMITH SMITH, PHILLIP 12/20/1962 Checked-Out
DOMINGUEZ DOMINGUEZ, DARIELLA 01/25/2005 No Show
 MCVEY MCVEY, MARK 08/06/1969 Checked-Out
BREEDLOVE BREEDLOVE, CHARLES D 07/03/1984 Checked-Out
DAVIS DAVIS, NYLA S 07/11/2004 Checked-Out
REDMOND REDMOND, SARAH M 08/17/1982 Checked-Out
VERA VERA, NORKA 08/15/1985 Checked-Out
ROJAS ROJAS, RUBY V 01/07/2005 Checked-Out
CHU CHU, DUNG 01/23/1998 Checked-Out
OQUINN OQUINN, TIMOTHY M 01/15/1969 Checked-Out
BOOTH BOOTH, VORIA N 12/28/1975 Checked-Out
HIDALGO HIDALGO, HAVALA A 12/01/1987 Checked-Out
CASKIE CASKIE, DONNA L 03/06/1952 Rescheduled
WASHINGTON WASHINGTON, JAZLYNN M 02/15/2007 Checked-Out
JENNINGS JENNINGS, ALEC 09/13/1995 Rescheduled
FIELDING FIELDING, DOMINIC S 02/10/1997 Checked-Out
CHAVEZ CHAVEZ, MATTHEW 08/02/2007 Checked-Out
REVES REVES, HAILEY KATHERINE 11/26/1997 Checked-Out
SAENZ SAENZ, DAWN 10/26/1971 Checked-Out
CARRERA CARRERA, SOFIA 10/22/2002 Checked-Out
SKILLERN SKILLERN, MACLEAN 05/13/1997 Checked-Out
JACKSON JACKSON, RHONDA YVONNE 08/18/1984 Canceled
SINER SINER, JEREMIAH 01/05/2012 Checked-Out
SALAZAR SALAZAR, MILLA E 03/20/2010 Checked-Out
STEVENS STEVENS, AVIAN 09/25/2009 Rescheduled
BENNETT BENNETT, JAYVEON 11/02/2010 No Show
31
193
 Pat. Primary Payer Name Primary Member ID
BLUE CROSS AND BLUE SHIELD OF TEXAS SCJ135641669001
UNITED HEALTHCARE MEDICAID 506152982
AMBETTER U9358975101
AMERIGROUP 715200422
AMBETTER U9317448001
UNITED HEALTHCARE MEDICARE 118715488
HUMANA H44531467
BLUE CROSS MEDICARE ADVANTAGE T2U805782979
UNITED HEALTHCARE 947097359
UNITED HEALTHCARE 125562310
CIGNA U6090372501
OSCAR MENTAL HEALTH 636077703
TRICARE FOR LIFE 640683546
AMBETTER U9362089001
UNITED HEALTHCARE MEDICAID 527100785
CIGNA U6448584101
WELLCARE TEXAN PLUS 18358832
BLUE CROSS AND BLUE SHIELD OF TEXAS JEA003737460
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP808450814
BLUE CROSS MEDICARE ADVANTAGE BOK837966372
CIGNA 10740035600
MOLINA HEALTHCARE OF TEXAS 8000880264976
CIGNA U4972217403
BLUE CROSS AND BLUE SHIELD OF TEXAS NVL823101989
BLUE CROSS AND BLUE SHIELD OF TEXAS T2U832668488
TRICARE EAST 287741189
BLUE CROSS AND BLUE SHIELD OF TEXAS T2U923804371
SUPERIOR HEALTH 712050067

CIGNA 10847250902
BLUE CROSS AND BLUE SHIELD OF TEXAS RWO127697169001
MOLINA HEALTHCARE OF TEXAS 0013092063
BLUE CROSS AND BLUE SHIELD OF TEXAS ELPPT4900031
VAN LANG IPA 683M86773
UNITED HEALTHCARE 996965353
CIGNA U7695701801
CIGNA U4860300801

UNITED HEALTHCARE MEDICARE 116782803

UNITED HEALTHCARE COMMUNITY PLAN 524890152
HEALTHSPRING 36664996
AETNA W190560901
AMERIGROUP 394W15176
 TEXAS MEDICARE 5UW0FK6QQ08
UNITED HEALTHCARE 125540171
BLUE CROSS AND BLUE SHIELD OF TEXAS T2U831268472
AMBETTER U9311924306
UNITED HEALTHCARE 995534595
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP836211694
HEALTHSPRING 77435653101
MOLINA HEALTHCARE OF TEXAS 8000880251154
CIGNA 919191049589
BLUE CROSS AND BLUE SHIELD OF TEXAS HLF747W13515
AMBETTER U9347397201
BLUE CROSS AND BLUE SHIELD OF TEXAS TCPF10010105
TEXAS MEDICARE 4EH7C11GE40
UNITED HEALTHCARE MEDICAID 714810516
BLUE CROSS AND BLUE SHIELD OF TEXAS UTS0BF8FN38D
CIGNA U2329460402
BLUE CROSS MEDICARE ADVANTAGE AQT603346909

TEXAS MEDICARE 6FM2JP6TU83

BLUE CROSS AND BLUE SHIELD OF TEXAS HEB831360426
HUMANA H44398229
HUMANA H40393774
TEXAS MEDICARE 5YN5C22CE72
AETNA 101460467000
BLUE CROSS AND BLUE SHIELD OF TEXAS JEA013003400
BLUE CROSS AND BLUE SHIELD OF TEXAS DAD843193246
COMMUNITY HEALTH MARKETPLACE 000705179602
WELLCARE TEXAN PLUS 26925833
MAGELLAN BEHAVIORAL HEALTH DF28HR
BCBS MAGELLAN 925781700EP
AMERIGROUP 716402013
SELF PAY 3333333333
TEXAS MEDICARE 6JQ4WM8RV97

BLUE CROSS AND BLUE SHIELD OF TEXAS T2S849060062

CIGNA U2182580301
UNITED HEALTHCARE 954623457

MAGELLAN BEHAVIORAL HEALTH D2SA23

BLUE CROSS AND BLUE SHIELD OF TEXAS BFS821541678
UNITED HEALTHCARE 123266647
HUMANA 108522610
CIGNA 779746351322
COMMUNITY HEALTH CHOICE MEDICAID 524621530
UNITED HEALTHCARE 114053683
 AMERIGROUP 719512863
UNITED HEALTHCARE 123201730
COMMUNITY HEALTH CHOICE MEDICAID 527669992
AMBETTER U9614304601
CIGNA 10674562503

UNITED HEALTHCARE MEDICAID 525758824

UNITED HEALTHCARE COMMUNITY PLAN 523627299
AMERIGROUP 516789714
MAGELLAN BEHAVIORAL HEALTH D5A42C
COMMUNITY HEALTH MARKETPLACE 000202225002
HEALTHSPRING 77419128101
SANA BENEFITS 2206165700
SELF PAY 999999999
UMR 21521151
BLUE CROSS AND BLUE SHIELD OF TEXAS HEB826663706
BLUE CROSS AND BLUE SHIELD OF TEXAS XUP203079508
HEALTHEZ LTF0736AF46
UMR 17533132
COMMUNITY HEALTH MARKETPLACE 001288253200
UNITED HEALTHCARE MEDICAID 526475530
UNITED HEALTHCARE MEDICAID 530333004
UNITED HEALTHCARE 904254719
ALL SAVERS C06236969
AMERIGROUP 713012767
AETNA 101501906800
BLUE CROSS AND BLUE SHIELD OF TEXAS TWA442M83058
MOLINA MEDICAID 500000075417
AMBETTER U9013403901
UNITED HEALTHCARE 756031477
AMERIGROUP 524997886
UNITED HEALTHCARE 969779527
AMERIGROUP MEDICAID 519129837
BCBS MAGELLAN 925756791EP
BOON CHAPMAN ADMINSTRATORS INC 1005143
AMBETTER U9334006002
AETNA W204727404
BCBS MAGELLAN 92577611501
BLUE CROSS AND BLUE SHIELD OF TEXAS T2U924157905
BLUE CROSS AND BLUE SHIELD OF TEXAS DJM831974851
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP834516984
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP809146372
UMR Y19999718
COMMUNITY HEALTH CHOICE MEDICAID 736506805
 OPTUM BEHAVIORAL HEALTH 122015503
TEXAS MEDICARE 4V28UJ8HD43
CIGNA U5728217201
HUMANA 122889907
TEXAS MEDICARE 3N83NY0WX85
AMERIGROUP 727175801
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP825935912
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP826632846
BLUE CROSS AND BLUE SHIELD OF TEXAS JEA003749620
BLUE CROSS AND BLUE SHIELD OF TEXAS JEA003749620
BCBS MAGELLAN 925722935EP
UNITED HEALTHCARE 959666601
ALLEGIANCE BENEFIT PLAN MANAGEMENT INC. 91919105737200
COMMUNITY HEALTH CHOICE MEDICAID 527738376
MOLINA MEDICAID 750050293
SUREST 771900371631
TEXAS CHILDRENS HEALTH PLAN 526886416
BLUE CROSS AND BLUE SHIELD OF TEXAS DZV838W13190
AETNA W236967617
CIGNA 91919103396400
BLUE CROSS AND BLUE SHIELD OF TEXAS UPX832578557
UNITED HEALTHCARE 985594108
BLUE CROSS AND BLUE SHIELD OF TEXAS RGN889184706
TRI-COUNTY KW PINES PATIENTS MRN000046169
TEXAS CHILDRENS HEALTH PLAN 524442202
COMMUNITY HEALTH CHOICE MEDICAID 604362446
AMBETTER U9527192102
TEXAS CHILDRENS HEALTH PLAN 622445010
HEALTHSPRING 36552231
AMBETTER U9696756001

BCBS MAGELLAN 925445023EP

SUPERIOR HEALTH 608389757
BLUE CROSS AND BLUE SHIELD OF TEXAS WUR3HZN42924840
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP808941311
UNITED HEALTHCARE 125502090
Texas Children s Health Plan 609612974

MOLINA HEALTHCARE OF TEXAS 526593130

UNITED HEALTHCARE MEDICAID 710958337
COMMUNITY HEALTH CHOICE MEDICAID 608575075
UNITED HEALTHCARE MEDICAID 702050742
COMMUNITY HEALTH MARKETPLACE 001136595000
OPTUM BEHAVIORAL HEALTH A00053685
UNITED HEALTHCARE MEDICAID 709897691
BLUE CROSS AND BLUE SHIELD OF TEXAS W4F826366429
AMERIGROUP MEDICAID 715356485
AETNA W255564639
BLUE CROSS AND BLUE SHIELD OF TEXAS UAL822213046
BLUE CROSS AND BLUE SHIELD OF TEXAS ZGP825514017
CIGNA U8562199503
AMBETTER U9669134301
UNITED HEALTHCARE 973358782
UNITED HEALTHCARE EDQ7624
BLUE CROSS AND BLUE SHIELD OF TEXAS ZQR005M98762
AETNA 101372993400
UNITED HEALTHCARE COMMUNITY PLAN 527435390
TEXAS MEDICARE 9XR3QG5CM71
AMERIGROUP MEDICAID 724760687
Allied ASO ZZ0152388
UNITED HEALTHCARE 942599655
BLUE CROSS AND BLUE SHIELD OF TEXAS T2U834357215
CIGNA 10672654102
AETNA W275532798
SANA BENEFITS 2210124401
TEXAS CHILDRENS HEALTH PLAN 611444453
COMMUNITY HEALTH CHOICE MEDICAID 604984763
TEXAS CHILDRENS HEALTH PLAN 758085242
TEXAS CHILDRENS HEALTH PLAN 531178456
Pat. Secondary Payer Name Secondary Member ID Patient Credits
$50.00
$0.00
$0.00
$0.00
$0.00
UNITED HEALTHCARE MEDICAID 509679131 $0.00
$0.00
$60.00
TEXAS CHILDRENS HEALTH PLAN 716513366 $0.00
UNITED HEALTHCARE MEDICAID 514824388 $0.00
$35.00
$100.00
$0.00
$120.00
$0.00
$0.00
$0.00
$50.00
$0.00
$0.00
$25.00
$20.00
$60.00
$0.00
$60.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00
$140.00
$0.00
$35.00
$0.00

$0.00
$120.00
AMERIGROUP 732723694 $0.00
$0.00
$0.00
 TEXAS MEDICAID 510733059 $0.00
$0.00
$26.44
$0.00
$0.00
$0.00
$120.00
$0.00
$0.00
TEXAS CHILDRENS HEALTH PLAN 705439834 $40.00
$0.00
$0.00
TEXAS MEDICAID 519887019 $0.00
$0.00
$0.00
$25.00
$17.40

AARP 03159335711 $183.18

$15.00
$100.00
$270.00
$0.00
$0.00
$25.00
$40.00
$0.00
$50.00
MOLINA MEDICAID 513264592 $0.00
$0.00
$0.00
$150.00
$0.00

$0.00
$60.00
$195.91

$0.00
$60.00
$0.00
$0.00
$150.00
$0.00
$0.00
 $0.00
UNITED HEALTHCARE COMMUNITY PLAN 521660960 $0.00
$0.00
$0.00
$20.00

$0.00
$0.00
$0.00
$0.00
$270.00
$40.00
$50.00
$270.00
$70.00
$30.00
$0.00
$0.00
$15.00
TEXAS MEDICAID 505421291 $50.00
$0.00
$0.00
$786.04
$0.00
$0.00
$0.00
$0.00
TEXAS MEDICAID 709179366 $0.00
$110.20
$0.00
$0.00
$0.00
$0.00
$6.81
$30.00
$0.00
$1.02
$0.00
$30.00
$25.00
$0.00
$30.00
$60.91
$0.00
 $0.00
AETNA SENIOR SUPPLEMENTAL CAP6221722 $0.00
$20.00
BLUE CROSS AND BLUE SHIELD OF TEXAS HVNAN4017931 $0.00
BLUE CROSS AND BLUE SHIELD OF TEXAS MXF144W02636 $0.00
$0.00
UNITED HEALTHCARE 927334291 $40.00
$0.00
$25.00
$50.00
$0.00
$0.00
$0.00
$0.00
$0.00
$30.00
$0.00
$0.00
$35.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$64.00
$0.00
BLUE CROSS AND BLUE SHIELD OF TEXAS R59290580 $0.00
$0.00

$0.00
$0.00
$0.00
$0.00
AMERIGROUP 728278988 $0.00
$0.00

$0.00
$0.00
$0.00
$0.00
$15.00
$30.00
$0.00
$176.76
$0.00
$0.00
$50.00
$35.00
$0.00
$54.02
$45.00
$24.08
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$60.00
$25.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Patient Ins Credits Patient Balance Patient Ins. Balance Last Eligibility Check
$0.00 -$50.00 $0.00 05/09/2023
$0.00 $0.00 $275.00 05/03/2023
$0.00 $0.00 $0.00 05/10/2023
$0.00 $0.00 $642.00 05/03/2023
$0.00 $0.00 $0.00 02/27/2023
$0.00 $0.00 $1,653.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$60.00 $0.00 05/03/2023
$0.00 $0.00 $50.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$160.28 -$50.00 $164.72 05/05/2023
$0.00 $0.00 $1,292.00 05/04/2023
$0.00 -$120.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $60.00 $0.00 05/02/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$25.00 $0.00 05/03/2023
$0.00 $359.99 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 -$25.00 $0.00 05/03/2023
$0.00 -$20.00 $0.00 05/03/2023
$0.00 -$30.00 $0.00 05/03/2023
$0.00 $22.99 $0.00 05/03/2023
$0.00 -$30.00 $0.00 05/11/2023
$0.00 $0.00 $1,284.00 05/03/2023
$0.00 $0.00 $0.00 05/08/2023
$0.00 $0.00 $0.00 05/10/2023

$0.00 $50.00 $0.00 05/09/2023

$0.00 $25.00 $0.00 05/11/2023
$0.00 $450.00 $642.00 05/10/2023
$0.00 $0.00 $0.00 05/10/2023
$0.00 -$140.00 $642.00 05/03/2023
$0.00 $160.00 $375.00 05/08/2023
$0.00 $0.00 $0.00 05/10/2023
$0.00 $84.39 $0.00 05/10/2023

$0.00 $0.00 $0.00 05/02/2023

$0.00 -$120.00 $0.00 05/02/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 $0.00 $642.00 05/04/2023
$0.00 $0.00 $2,031.00 05/04/2023
 $0.00 $0.00 $444.99 05/03/2023
$0.00 $370.00 $642.00 05/04/2023
$0.00 $1,383.56 $2,475.00 05/03/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 $0.00 $1,299.00 05/10/2023
$0.00 $114.99 $0.00 05/03/2023
$0.00 -$100.00 $1,609.00 05/03/2023
$0.00 $380.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$30.22 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $2,925.00 05/11/2023
$0.00 $0.00 $642.00 05/03/2023
$0.00 $210.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$17.40 $0.00 05/02/2023

$0.00 -$183.18 $0.00 05/04/2023

$254.29 $0.00 $9,167.71 05/04/2023
$0.00 -$40.00 $12,730.00 05/12/2023
$0.00 -$215.00 $12,088.00 05/04/2023
$0.00 $1,016.64 $5,580.00 05/11/2023
$0.00 $120.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$40.00 $0.00 05/03/2023
$0.00 $0.00 $642.00 04/06/2023
$0.00 -$50.00 $967.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $595.92 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/10/2023
$0.00 -$150.00 $0.00 05/04/2023
$0.00 $0.00 $0.00 05/05/2023

$0.00 $589.26 $0.00 05/10/2023

$0.00 -$30.00 $0.00 05/10/2023
$0.00 -$51.45 $0.00 05/10/2023

$0.00 $0.00 $200.91 02/24/2023

$0.00 $0.00 $2,589.00 05/10/2023
$0.00 $163.00 $642.00 05/04/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 $235.84 $1,284.00 05/09/2023
$0.00 $0.00 $642.00 05/04/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 $0.00 $642.00 05/05/2023
$0.00 $0.00 $3,184.00 05/12/2023
$0.00 $0.00 $0.00 05/02/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$20.00 $0.00 05/05/2023

$0.00 $0.00 $0.00 05/08/2023

$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $642.00 04/27/2023
$0.00 $60.00 $0.00 03/31/2023
$0.00 -$270.00 $2,568.00 05/02/2023
$0.00 -$40.00 $1,225.00 05/04/2023
$0.00 -$35.89 $1,284.00 08/01/2022
$0.00 $140.00 $0.00
$0.00 $0.00 $0.00 05/04/2023
$0.00 $30.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $250.00 $0.00 05/03/2023
$0.00 -$15.00 $0.00 05/03/2023
$0.00 -$50.00 $2,309.00 05/04/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $361.14 $0.00 05/03/2023
$0.00 $60.00 $642.00 05/03/2023
$0.00 $0.00 $642.00 05/03/2023
$0.00 $120.00 $2,576.00 05/08/2023
$0.00 $45.98 $0.00 05/03/2023
$0.00 $0.00 $1,368.00 05/12/2023
$0.00 $156.20 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $1,284.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $454.00 05/03/2023
$0.00 -$6.81 $0.00 05/03/2023
$0.00 -$30.00 $3,051.00 05/03/2023
$0.00 $161.93 $1,997.00 05/08/2023
$0.00 -$1.02 $0.00 05/04/2023
$0.00 $72.00 $642.00 05/04/2023
$0.00 -$30.00 $0.00 05/04/2023
$0.00 $67.48 $0.00 05/04/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$30.00 $0.00 05/03/2023
$0.00 -$60.91 $838.00 05/03/2023
$0.00 $0.00 $3,716.00 05/03/2023
$0.00 $0.00 $642.00 05/12/2023
$0.00 $0.00 $1,130.05 05/04/2023
$0.00 $125.00 $0.00 05/04/2023
$0.00 $243.46 $416.77 05/03/2023
$0.00 $0.00 $20.05 05/04/2023
$0.00 $0.00 $1,284.00 05/04/2023
$0.00 $325.00 $0.00 05/04/2023
$0.00 $70.49 $0.00 05/03/2023
$0.00 -$25.00 $0.00 05/03/2023
$0.00 -$50.00 $0.00 05/03/2023
$0.00 $96.03 $1,017.00 04/07/2023
$0.00 $0.00 $700.00 05/04/2023
$0.00 $186.57 $406.00 05/04/2023
$0.00 $0.00 $1,831.00 05/04/2023
$0.00 $0.00 $642.00 05/04/2023
$0.00 -$15.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 $376.18 $0.00 05/04/2023
$0.00 -$35.00 $1,480.00 05/08/2023
$0.00 $0.00 $838.00 05/03/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/08/2023
$0.00 $0.00 $1,998.00
$0.00 $0.00 $1,592.00 05/04/2023
$0.00 $0.00 $0.00 05/08/2023
$0.00 -$64.00 $0.00 05/04/2023
$0.00 $0.00 $0.00 05/04/2023
$0.00 $0.00 $0.00 05/11/2023
$0.00 $0.00 $0.00 05/04/2023

$0.00 $234.36 $642.00 05/10/2023

$0.00 $0.00 $0.00 05/10/2023
$0.00 $288.99 $0.00 05/10/2023
$0.00 $105.00 $0.00 05/03/2023
$0.00 $53.14 $5,917.00 05/11/2023
$0.00 $0.00 $642.00 05/03/2023

$0.00 $0.00 $0.00 05/03/2023

$0.00 $0.00 $5,442.00 05/03/2023
$0.00 $0.00 $967.00 05/03/2023
$0.00 $0.00 $1,284.00 05/10/2023
$0.00 -$15.00 $1,284.00 04/19/2023
$0.00 -$15.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $229.98 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$50.00 $0.00 05/03/2023
$0.00 -$35.00 $0.00 05/04/2023
$0.00 $240.00 $0.00 04/19/2023
$0.00 -$54.02 $0.00 05/03/2023
$0.00 -$45.00 $0.00 05/03/2023
$0.00 $43.25 $0.00 05/04/2023
$0.00 $633.96 $0.00 05/03/2023
$0.00 $40.00 $0.00 05/04/2023
$0.00 $0.00 $2,632.00 05/03/2023
$0.00 $0.00 $795.49 05/09/2023
$0.00 $0.00 $838.00 05/03/2023
$0.00 $0.00 $1,480.00 05/04/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 -$30.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $560.61 $642.00 05/03/2023
$0.00 $50.00 $642.00
$0.00 $0.00 $0.00 05/04/2023
$0.00 $0.00 $838.00 05/03/2023
$0.00 $0.00 $0.00 05/03/2023
$0.00 $0.00 $0.00 05/04/2023
Last Patient Payment Patient Last Payment Amount
11/17/2022 $25.00
$0.00
04/06/2023 $50.00
$0.00
08/28/2020 $50.00
$0.00
05/03/2022 $35.00
02/08/2023 $225.00
12/28/2022 $25.00
$0.00
05/04/2023 $35.00
05/08/2023 $50.00
$0.00
09/27/2021 $60.00
$0.00
12/17/2021 $30.00
$0.00
05/04/2023 $25.00
$0.00
04/24/2023 $336.88
05/04/2023 $25.00
02/16/2023 $30.00
05/04/2023 $30.00
04/11/2023 $25.58
05/04/2023 $60.00
$0.00
$0.00
$0.00

05/04/2023 $50.00
03/08/2023 $50.00
07/01/2022 $100.00
04/24/2023 $229.98
01/06/2023 $70.00
01/11/2023 $30.00
03/07/2023 $70.00
04/15/2023 $84.39

$0.00
02/06/2023 $120.00
$0.00
05/07/2023 $25.00
$0.00
 $0.00
11/18/2022 $120.00
01/13/2023 $60.00
05/04/2023 $15.00
09/20/2022 $45.00
08/07/2022 $351.40
08/08/2022 $20.00
05/06/2022 $160.00
$0.00
05/04/2023 $40.00
04/22/2023 $70.00
05/04/2023 $252.97
$0.00
$0.00
$0.00
04/18/2023 $25.00
05/04/2023 $17.40

05/04/2023 $20.00
04/28/2023 $15.00
04/21/2022 $35.00
05/05/2023 $90.00
01/13/2023 $26.64
02/02/2023 $15.00
05/04/2023 $25.00
05/04/2023 $40.00
01/10/2023 $20.00
05/04/2023 $25.00
$0.00
$0.00
$0.00
05/11/2023 $150.00
$0.00

01/11/2023 $31.92
05/04/2023 $30.00
01/25/2023 $195.91

05/12/2022 $15.00
05/12/2023 $1,598.19
02/08/2023 $37.00
05/01/2023 $105.00
02/09/2023 $250.00
$0.00
$0.00
 $0.00
$0.00
$0.00
$0.00
05/04/2023 $20.00

$0.00
$0.00
$0.00
04/28/2022 $73.49
02/16/2023 $150.00
03/09/2023 $40.00
04/27/2023 $50.00
05/04/2023 $150.00
05/04/2023 $35.00
01/12/2023 $60.00
05/01/2023 $190.56
11/10/2022 $100.00
05/04/2023 $15.00
02/23/2023 $25.00
$0.00
$0.00
05/04/2023 $786.04
04/09/2023 $120.00
$0.00
$0.00
$0.00
$0.00
04/06/2023 $100.00
$0.00
$0.00
05/03/2023 $83.55
$0.00
04/05/2023 $132.00
05/04/2023 $30.00
$0.00
04/06/2023 $17.02
$0.00
05/03/2023 $30.00
05/04/2023 $25.00
$0.00
05/04/2023 $30.00
05/04/2023 $24.08
$0.00
 $0.00
02/18/2023 $20.71
05/04/2023 $20.00
12/16/2022 $21.28
$0.00
$0.00
01/31/2023 $40.00
$0.00
05/04/2023 $25.00
05/04/2023 $25.00
$0.00
03/22/2023 $100.00
$0.00
$0.00
$0.00
05/04/2023 $30.00
$0.00
$0.00
05/04/2023 $35.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
05/04/2023 $64.00
$0.00
$0.00
$0.00

$0.00
$0.00
$0.00
$0.00
$0.00
$0.00

$0.00
04/08/2022 $97.34
$0.00
$0.00
12/07/2022 $20.00
05/04/2023 $15.00
$0.00
03/30/2023 $380.13
$0.00
$0.00
05/04/2023 $25.00
05/04/2023 $35.00
02/27/2023 $40.00
02/09/2023 $27.00
05/04/2023 $45.00
05/04/2023 $24.08
$0.00
03/03/2023 $40.00
$0.00
$0.00
$0.00
$0.00
$0.00
05/04/2023 $90.00
05/04/2023 $25.00
04/20/2023 $150.00
$0.00
$0.00
$0.00
$0.00
$0.00
Appointment Comment
Copay: $00.00
Balance: Prepaid
KENNETH $50.00
WILSON
Copay: $30.00
Balance: 30.00
Copay: $0.00
Balance:$0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Copay: $00.00
Balance: $0.00
Balance: $00.00
Copay: $30.00
Balance Prepaid:
Copay: $0.00$30.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $35.00
Balance: $70.00
Copay: $50.00
Balance: $50.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance Prepaid:
Copay: $120.00
$0.00
Balance: $0.00
Copay: $30.00
Balance: $90.00
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $25.00
Deductible: $114.99
Copay: $239.99
Balance: $0.00
Ded: $114.99
Copay: $25.00
Balance: $0.00
Balance; $25.00
Copay: $20.0
Balance: $0.00
Copay: $30.00
Balance: $30.00
Co-ins; $22.99
Balance: $45.98
Copay: $30.00
Balance: $60.00
Copay: $0.00
Balance: $0.00
Copay: $30.00
Balance: $30.00
Copay: $0.00
Balance: $0.00
Copay: $50.00
Balance: $150.00
Copay: $25.00
Balance: $50.00
Copay:$0.00
Balance: $450.00
Deductible: $114.99
Copay: $0.00
Balance: $0.00
Balance: Prepaid$140.00
Copay: $30.00
Balance: $190.00
Copay: $35.00
Copay: $0.00
Balance: $35.00
Ded: $84.39
Balance: $84.39
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $75.00
 Copay: $0.00
Balance: $0.00
Copay: $60.00
Balance:$1413.65
Balance: $515.00
Copay: $0.00
Balance: $15.00
Copay: $0.00
Balance: $0.00
Pt is on deductible of $114.99.
Balance: $114.99
Copay: $0.00
Balance: Prepaid
Copay: $120.00
$20.00
Balance:
Copay: $400.00
$0.00
Balance: $0.00
Copay: $29.34
Balance: $29.34
Copay: $35.00
Balance: $35.00
Co-ins: $22.99
Balance:
Copay: $275.96
$0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $30.00
Balance: $240.00
Copay: $25.00
Balance:
Coinsurance:$50.00
$17.40
Balance: $17.40
Copay: $20.00
Balance: Prepaid
Copay: $163.18
$0.00
Balance: $15
Copay: $0.00
Balance: Prepaid$10.00
Copay: $30.00
Patient is on $145.00
Balance: deductible.
Balance: $879.07
Copay: $20.00
Balance: $140.00
Copay: $25.00
Balance: $50.00
Copay: $40.00
Balance: $40.00
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $25.00
Copay: $0.00
Balance: $0.00
Copay: $12.96
Balance:
Copay: $608.88
$0.00
Balance: $0.00
Profile Incomplete
Insurance Info Missing
Deductible: $97.62
Coins: $5.21
Copay: $30.00
Balance: $594.47
Deductible:$30.00
Balance: $120.38
Balance Prepaid: $51.45
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $1,598.19
inactive insurance
Balance: $123.00
Copay: $35.00
Balance: $35.00
Deductible: $157.92
Balance: $7.92
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
 Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Coins: $31.24
Balance: $79.12
Copay: $20.00
Balance: $20.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $15.00
Balance: $75.00
Copay: $0.00
Balance: Prepaid
Copay: $0.00$270.00
Balance: Prepaid
Copay: $50.00 $40.00
Balance: $114.11
Copay: $150.00
Balance:
Copay:$440.00
$35
Balance: $35
Copay: $15.00
Deductible: $65.72
Balance: $45.00
Coins: $9.85
Copay: $9.85
Balance: $50
Balance: $300
Copay: $15
Balance:$0.00
Copay: $15
Balance: Prepaid$50.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Deductible: $120.38
Balance: $1,147.18
Copay: $60.00
Copay: $00.00
Balance: $180.00
Balance: $00.00
Copay: $20.00
Balance: $220.00
Copay: $22.99
Balance: $68.97
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Deductible: $120.38
Balance: $83.55
Copay: $0.00
Balance: $0.00
Coins: $12.96
Balance: $6.15
Copay: $30.00
Balance: $30.00
Copay: $0.00
Balance: $803.93
Copay: $15.00
Balance:
Copay: $72 Towards$13.98
Deductible
Balance:
Copay: $30$72
Balance:
Copay: $25$30
Balance: $117.48
Copay: $00.00
Balance: $00.00
Copay: $30.00
Balance: $30.00
Coins: $24.08
Balance: $24.08
Copay: $0.00
Balance: $0.00
 OA
Copay: $0.00
Copay: $0.00
Balance: $0.00
Balance:OA $0.00
Copay: $20.00
Copay: $145.00
Balance: $0.00
Balance: OA$243.46
Copay: OA$0.00
Balance: $0.00
Copay: $0.00
Copay: $0.00
Balance: $0.00
Copay: $15.00
Balance: $0.00
Balance: $85.49
Copay: $25.00
Balance: $25.00
Copay: $25.00
Balance: $25.00
Copay: $0.00
Balance:OA $0.00
Copay:OA$20.00
Balance:
Copay: $20.00
OA$0.00
Balance:
Copay: $386.57
OA$0.00
Balance:
Copay: $0.00
OA$0.00
Balance:
Copay: $0.00
Auth$15.00
Req
Balance:
Copay: $30.00
OA$0.00
Balance: $0.00
Balance: $20.00
Copay:$396.18
Balance: $35
Balance:$0.00
Copay: $35
Balance:
Copay: $0.00
$25
Balance:
Copay: $35$25
Balance:
Copay: $60$35
insuranceBalance:
information
$60 missing
Copay:
Auth req$
Balance:
Copay: $0.00 $
Copay: $0.00
Balance: $0.00
Balance: $0.00
Copay: $63.84
Auth Req
Balance: $63.84
Copay: OA$0.00
Balance: $0.00
Copay: $0.00
Coinsurance:
Balance: $0.00$47.88
Balance: $47.88
Copay: $0.00
Balance:
Copay: $234.36
$0.00
This Patient Balance:
is on Deductible
$0.00 of 114.99.
Balance: $288.99
Copay: $35.00
Balance:
Copay: $140.00
$0.00
AUTH REQ
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $00.00
Balance: $00.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: Prepaid
Copay: $15.0015.00
Balance: $30.00
Copay: $0.00
Balance: $0.00
 Deductible: $114.99
Balance:
Copay: $229.98
$0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $25.00
Balance: $25.00
Copay: $35.00
Balance: $35.00
Copay: $40.00
Balance:
Copay: $280.00
$0.00
Balance: Prepaid$54.02
Copay: $45.00
Balance: $45.00
Copay: $24.08
Balance: $67.33
Deductible: $114.99
Balance: $633.96
Copay: $20.00
Balance: $60.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $0.00
Balance: $0.00
Copay: $30.00
Balance: $60.00
Copay: $30.00
Balance: $90.00
Copay: $25.00
Balance:
Patient is on $50.00
deductible
Balance: $495.61
Copay: $50.00
Auth $150.00
Balance: Req
Copay: $0.00
Copay: $0.00
Balance: $0.00
Auth Req
Balance: $0.00
Copay:
Auth$00.00
Req
Balance: $00.00
Copay: $0.00
Balance: $0.00