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Moretti, Jonathan

Scheduling & Follow-Up Completed
Patient scheduling and follow-up has been completed successfully.

1Order Status

Required Service
Well Visit
Order Required
NO
Order Status
N/A
Authorization Required
NO
Ordering Provider
Phillips, Michael
Primary Care Provider
Phillips, Michael

2Outreach

Patient
Name
DOB (Age)
Gender
Address
Jonathan Moretti
  ( 70 )
Male
1049 Spring Rd.
Park View, IL 60318
Primary Phone
Secondary Phone
Email
(630) 919-3696 (Mobile)
(847) 495-9009 (Home)
Jonathan.A.Moretti@gmail.com

Guarantor Authorization on File Guarantor Authorization on File
Guarantor On File
Name
DOB (Age)
Gender
Address
Betty Moretti
08/07/1945   ( 70 )
Female
1049 Spring Rd.
Park View, IL 60318
Primary Phone
Secondary Phone
Email
Relationship
(630) 919-3680 (Mobile)
(630) 988-3671 (Home)
Elizabeth.Louise.Moretti@gmail.com
Spouse

Are you speaking with the right party? Completed Completed
May I please speak with Jonathan Moretti?

Hello Jonathan, my name is Paula Smith and I am calling on behalf of Dr. Michael Phillips's office in Park View, Illinois. For identification purposes, can you please verify your date of birth?


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3Demographic Confirmation


Patient Information Updated - Pending EMR Syncing
Your updates have been made, however, they are awaiting MPI syncing.

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Contact Information

Contact Information
Set as Primary
Primary
Set as Primary


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4Insurance Verification


Current Coverage
( Results: 2 )
  • 1
    Medicare   (US Health)
    Primary Member
    Jonathan Smith

    Code: C52
    Source: Payer
    Group: 123456789A
    Subscriber #: 298393821
    Verification Status: Passed
    Verification Date:

  • 2
    Medicaid   (US Health)
    Primary Member
    Jonathan Smith

    Code: A72
    Source: Payer
    Group: 14585324567
    Subscriber #: 298393821
    Verification Status: Passed
    Verification Date:


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Historical Coverage
( Results: 1 )
  • 1
    Aetna Preferred
    Primary Member
    Jonathan Smith

    Code: F32
    Source: Payer
    Group: 12345
    Subscriber #: VBR2134523
    Verification Status: Not Eligible
    Verification Date:
    Eligibility Dates: -


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4Outcomes Review


Schedule Visit

Wellness Visit

  Schedule Patient

Disposition


Notes


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