Order  Detail: # 13448

Order  Date
12/26/2015
Customer Name
Creative Worlds, Inc.
Statement Note
  
Date Task Description Units Total
12/14/2015 EMR #4259: JIRA TC-900 Create New Printout: IMMEDIATE: RTF special protocol project, (Create) Parameter form, (Create) SP.   <RB 6.27 203.78
12/15/2015 EMR #4259: JIRA TC-900 Test, Verify Accuracy of data.  --> EMR Review.  Create New Printout: IMMEDIATE: RTF special protocol project, (Create) Parameter form, (Create) SP.   <RB 1.41 45.83
12/18/2015 EMR #4302 GRC Genesis Youth Outpatient Consents:  Review and Create New. (Treatment Acknowledgements & Agreements Youth OP Form)   <RB 2.31 75.08
12/19/2015 EMR #4302 GRC Genesis Youth Outpatient Consents: (Treatment Acknowledgements & Agreements Youth OP Printout) 1.61 52.33
12/19/2015 EMR #4302 GRC Genesis Youth Outpatient Consents: (Physical Health Screen Form Review & Patient Personal Medical History Form).   <RB 2.03 65.98
12/19/2015 EMR #4302 GRC Genesis Youth Outpatient Consents: (Patient Personal Medical History Form & Printout).  <RB 5.11 166.08
12/20/2015 EMR #4302 GRC Genesis Youth Outpatient Consents: (Patient Personal Medical History Printout).  <RB 1.42 46.15
12/20/2015 EMR #4302 GRC Genesis Youth Outpatient Consents: (Advance Beneficiary Notice of Noncoverage Youth V1 Form).  <RB 2.21 71.83
12/20/2015 EMR #4302 GRC Genesis Youth Outpatient Consents: (Advance Beneficiary Notice of Noncoverage Youth V1 Printout).  <RB 1.72 55.90
12/20/2015 EMR #4302 GRC Genesis Youth Outpatient Consents: (Parental/Responsible Party Permission for Youth to Leave Premises for Meal Time Form & Report).  <RB 4.52 146.90
    Order Totals: 28.61 $929.83
Invoice #13448 was created on Saturday, December 26, 2015
This Invoice was paid on Friday, January 1, 2016