Order  Detail: # 13427

Order  Date
10/03/2015
Customer Name
Creative Worlds, Inc.
Statement Note
  
Date Task Description Units Total
09/20/2015 EMR #3226 GRC Project (Advance Beneficiary Notice of NonCoverage Medicare/Medicaid Form & Printout)  <RB 1.45 47.13
09/20/2015 EMR #3226 GRC Project (Consent to Disclose, Receive Exchange Info Youth Form & Printout)  <RB 1.73 56.23
09/21/2015 EMR #3226 GRC Project (Patient Permission to File Appeal/Grievance on Their Behalf Youth Form & Printout)  <RB 3.49 113.43
09/21/2015 EMR #3226 GRC Project (Patient Consent for Student Intern to Audiotape Therapy Session(s) Youth Form & Printout)  <RB 1.69 54.93
09/22/2015 EMR #2974: JIRA TC-327 Processed all correction to Emergency Contact subform and read over Logo changes.  Tested.  <RB 2.77 90.03
09/27/2015 EMR #3226 GRC Project (Consent to Participate in a Telemedicine Encounter Youth Form & Printout)  <RB 1.91 62.08
    Order Totals: 13.04 $423.80
Invoice #13427 was created on Saturday, October 3, 2015
This Invoice was paid on Friday, October 16, 2015