Invoice Detail: # 20921
- Invoice Date
- 01/31/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1076 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to JH for Claim #: R12 004 977 via fax @800.638.4040 on Feb 1, 2022@8:12AM. Successful fax confirmation Feb 1, 2022@8:31AM
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Date Task Description Units Total 01/12/2022 Standing Unit of Care for Sylvia Smilen/hr. 01/12/2022 Care: 3:00PM-9:00PM 6.00 90.00 01/14/2022 Standing Unit of Care for Sylvia Smilen/hr. 01/14/2022 Care: 3:00PM-9:00PM 6.00 90.00 01/19/2022 Standing Unit of Care for Sylvia Smilen/hr. 01/19/2022 Care: 3:00PM-9:00PM 6.00 90.00 01/21/2022 Standing Unit of Care for Sylvia Smilen/hr. 01/21/2022 Care: 3:00PM-9:00PM 6.00 90.00 01/26/2022 Standing Unit of Care for Sylvia Smilen/hr. 01/26/2022 Care: 1:00PM-9:00PM 8.00 120.00 01/28/2022 Standing Unit of Care for Sylvia Smilen/hr. 01/28/2022 Care: 2:00PM-9:00PM 7.00 105.00 Invoice Totals: 39.00 $585.00 Invoice #20921 was created on Monday, January 31, 2022 This Invoice was paid on Thursday, February 17, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20220131_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20220131.pdf