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Currently logged in as: Nathan Anderson

Care Facilitation

Parker, Grace MRN: A123456789

Demographic Information

DOB (Age)
Gender
Address
City State, Zip
Telephone
Email

08/15/1957 (57)
Female
1025 Augusta Dr.
Agloe IL, 60351
(312)253-8921
Grace.A.Parker@gmail.com

Payor & Appointment Information

Primary Payor
Network
Primary Care
Last Appt.
Reason
Appt. Date

MEDICARE
Superior Assigned
Cathleen White
08/22/2014
Wellness Visit
None scheduled

Parker, Grace

MRN: 2691570 09/02/1939 (76) Female

( Results: 1 )

Care Type	Location	Service Date	Visit Reason
Emergency Department Visit	Holy Cross Hospital	05/27/2015	Fall - Sprain (Left Wrist)

01/01/2015 - Today

( Results: 2 )

HCC / Diagnosis	Date / Physician
17 - Diabetes with Acute Complications N/A Consider Assesment 1 year since last assessment.	—
96 - Specified Heart Arrhythmias N/A Consider Assesment 1 year since last assessment.	—

There are no HCCs for this patient in the current calendar year.

01/01/2012 - 12/31/2014

( Results: 2 )

HCC / Diagnosis	Date / Physician
17 - Diabetes with Acute Complications 250.10 - DMII keto nt st uncntrld	08/22/2014 Dr. Dr. Cathleen White
96 - Specified Heart Arrhythmias V55.9 - Artial flutter	08/22/2014 Dr. Dr. Cathleen White

There are no HCCs for this patient in the past three years.

( Results: 3 ) show all show less

Care Type / Visit Reason	Eligible Service Dates
Comprehensive Diabetes Care Last Completed: 08/22/2014 Consider Assessment Preventive Service visit due.	08/22/2015 - 08/22/2016
Adult BMI Assessment Last Completed: 08/22/2014 Consider Assessment Quality Service visit due.	08/22/2015 - 12/31/2015
Breast Cancer Screening Last Completed: 11/03/2013 Consider Referral Preventive Service visit due.	11/03/2015 - 12/31/2015

( Results: 1 )

Care Type / Visit Reason	Service Date / Location
Colorectal Cancer Screening Colonoscopy	02/01/2014 Northside Medical Center

( Results: 1 )

Disposition	Note	Owner
Demographic Reconciliation	Contact Information Changed	Practice Central Operations

( Results: 1 )

Action	Call Reason	When	Note
Referred Patient to Physician Portal	Colonoscopy	01/01/2015	N/A

Action	whiteNumberBox	Note	Activity	Call User
No answer, left message with person	09/27/2015 - 9:02 AM	Grace was not home. A message was left with her husband.	Patient Engagement	Susan Peterson
Left Voicemail	09/29/2015 - 11:05 AM	No answer. Left message.	Patient Engagement	Jared Allen
Guarantor Requests Call Back	09/30/2015 - 3:02 PM	Spoke with Grace, however something came up and the call needed to be disconnected	Patient Engagement	Susan Peterson