Currently logged in as: Nathan Anderson  

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
White, Cathleen
Primary Care Provider
White, Cathleen

2Outreach

Patient
Name
DOB (Age)
Gender
Address
Grace Parker
09/02/1939   ( 76 )
Female
1025 Augusta Dr.
Agloe, IL 60351
Primary Phone
Secondary Phone
Email

Guarantor Authorization on File Guarantor Authorization on File
Guarantor On File
Name
DOB (Age)
Gender
Address
Grace Parker
09/02/1939   ( 76 )
Female
1025 Augusta Dr.
Agloe, IL 60351
Primary Phone
Secondary Phone
Email

Are you speaking with the right party? Completed Completed
May I please speak with Grace Parker?

Hello Grace, my name is Pamela Smith and I am calling on behalf of Dr. Cathleen White's office in Chicago, Illinois. For identification purposes, can you please verify your date of birth?




Call Back Request Details




Leave a Note About This Call


Cancel



Cancel

3Demographic Confirmation


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

  Edit

Contact Information


Contact Information

Primary


Cancel

Cancel

4Insurance Verification


Current Coverage
( Results: 2 )
  • 1
    Medicare   (US Health)
    E
    Code: C52
    Source: Payer
    Plan: Family
    Group: 14585324567
    Group: 123456789A
    Office Copay: $40.00
    ER Copay: $150.00
    Verification Status: Passed
    Verification Date: 09/10/2015
  • 2
    Medicaid   (US Health)
    E
    Code: A72
    Source: Payer
    Plan: Family
    Group: 14585324567
    Subscriber #: 298393821
    Office Copay: $3.00
    ER Copay: $0.00
    Verification Status: Passed
    Verification Date: 09/10/2015

  • Add A New Card

Historical Coverage
( Results: 1 )
  • 1
    Aetna Preferred
    E
    Code: F32
    Source: Payer
    Plan: Family
    Group: 12345
    Group: VBR2134523
    Office Copay: $40.00
    ER Copay: $75.00
    Verification Status: Inactive
    Verification Date: 08/01/2014

  • Add A New Card

Cancel

4Outcomes Review


Schedule Visit

Wellness Visit

  Schedule Patient

Disposition


Notes


Cancel


© Copyright 2015 Accretive Health, Inc. Privacy Statement Terms of Use