Invoice  Detail: # 13134

Invoice  Date
08/09/2014
Customer Name
Creative Worlds, Inc.
Statement Note
  
Date Task Description Units Total
07/28/2014 Gateway Consent Printouts Assignment of Benefits and AMA Risk creation, proofreading and testing. 0.92 27.50
07/28/2014 Gateway Consent Printouts Authorization and Release to Search Vehicle creation, proofreading and testing. 1.02 30.71
07/28/2014 Gateway Consent Printouts Consent for All Treatment creation, proofreading and testing. 1.10 32.87
07/28/2014 Gateway Consent Printouts Consent for Release to Crawford County creation, proofreading and testing. 2.20 66.13
07/28/2014 Gateway Consent Printouts Consent for Staff Contact-Post Discharge creation, proofreading and testing. 2.51 75.25
07/28/2014 Gateway Consent Printouts Consent for Treatment Halfway House creation, proofreading and testing. 0.77 23.00
07/28/2014 Gateway Consent Printouts Consent for Treatment Inpatient creation, proofreading and testing. 1.01 30.40
07/28/2014 Gateway Consent Printouts Consent for Treatment Outpatient Counseling creation, proofreading and testing. 0.56 16.71
07/29/2014 Gateway Consent Printouts Consent for Use of Buprenorphine for Assisted Recovery During in-Patient Treatment creation, proofreading and testing. 0.60 18.09
07/29/2014 Gateway Consent Printouts Consent to Contact Patient Via Mailing Address and/or Telephone Post-Discharge creation, proofreading and testing. 2.51 75.39
07/29/2014 Gateway Consent Printouts Consent to Release Information to Policy Holder creation, proofreading and testing. 2.03 60.86
07/29/2014 Gateway Consent Printouts Consent to Gather and Release Information creation, proofreading and testing. 2.18 65.25
07/29/2014 Gateway Consent Printouts Consent to Notify in Case of an Emergency creation, proofreading and testing. 2.01 60.20
07/30/2014 Gateway Consent Printouts Consent to Participate in Family Group Therapy and Share Information creation, proofreading and testing 1.57 47.05
07/30/2014 Gateway Consent Printouts Consent to Release Blue Cross creation, proofreading and testing. 1.27 38.00
07/30/2014 Gateway Consent Printouts Consent to Release CCBHO creation, proofreading and testing. 2.39 71.74
07/30/2014 Gateway Consent Printouts Consent to Release Cofidential Info New Life Recovery creation, testing and proofreading. 1.85 55.60
07/30/2014 Gateway Consent Printouts Consent to Release Confidential Information Back On Track creation, proofreading and testing. 1.88 56.50
07/30/2014 Gateway Consent Printouts Consent to Release Confidential Information Employer creation, proofreading and testing. 1.49 44.59
07/30/2014 Gateway Consent Printouts Consent to Release Confidential Information PNAP General-Evaluation creation, proofreading and testing. 1.43 43.00
07/30/2014 Gateway Consent Printouts Consent to Release Confidential Information P.N.A.P. creation, proofreading and testing. 1.42 42.50
07/30/2014 Gateway Consent Printouts Consent to Release Confidential Information General creation, proofreading and testing. 2.47 74.00
    Invoice Totals: 35.18 $1,055.32
Invoice #13134 was created on Saturday, August 9, 2014
This Invoice was paid on Thursday, August 14, 2014