Invoice Detail: # 20786
- Invoice Date
- 07/31/2020
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1058 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock to jhltcclaims@jhancock.com on 08/06. I received an automated reply of receipt on 08/06@4:39pm. After submission to JH, I noticed that there was a mistake. July 15th Date was repeated twice. It should have shown July 17th as the second correct date. I did not re-submit the corrected form to JH. Along with this invoice, I am submitting the proper, corrected form.
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Date Task Description Units Total 07/03/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/03/2020 Care: 1:00PM-9:00PM 8.00 120.00 07/08/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/08/2020 Care: 1:00PM-9:00PM 8.00 120.00 07/10/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/10/2020 Care: 1:00PM-8:00PM 7.00 105.00 07/15/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/15/2020 Care: 1:00PM-9:00PM 8.00 120.00 07/17/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/17/2020 Care: 2:00PM-9:00PM 7.00 105.00 07/22/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/22/2020 Care: 2:00PM-9:00PM 7.00 105.00 07/24/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/24/2020 Care: 3:00PM-9:00PM 6.00 90.00 07/29/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/29/2020 Care: 1:00PM-9:00PM 8.00 120.00 07/31/2020 Standing Unit of Care for Sylvia Smilen/hr. 07/31/2020 Care: 3:00PM-9:00PM 6.00 90.00 Invoice Totals: 65.00 $975.00 Invoice #20786 was created on Friday, July 31, 2020 This Invoice was paid on Monday, August 10, 2020
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20200806_re.pdf