Invoice Detail: # 20965
- Invoice Date
- 11/30/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1086 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 15.00/hr. Mrs. Sherman: I submitted this to John Hancock for Claim #: R12 004 977 via fax @800.638.4040 on Dec 13, 2022@12:05PM. Successful confirmation Dec 13@12:22PM
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Date Task Description Units Total 11/02/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/02/2022 Care: 3:00PM-9:00PM 6.00 102.00 11/04/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/04/2022 Care: 3:00PM-9:00PM 6.00 102.00 11/09/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/09/2022 Care: 3:00PM-9:00PM 6.00 102.00 11/11/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/11/2022 Care: 3:00PM-9:00PM 6.00 102.00 11/16/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/16/2022 Care: 3:00PM-9:00PM 6.00 102.00 11/18/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/18/2022 Care: 3:00PM-9:00PM 6.00 102.00 11/23/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/23/2022 Care: 3:00PM-9:00PM 6.00 102.00 11/30/2022 Standing Unit of Care for Sylvia Smilen/hr. 11/30/2022 Care: 3:00PM-9:00PM 6.00 102.00 Invoice Totals: 48.00 $816.00 Invoice #20965 was created on Wednesday, November 30, 2022 This Invoice was paid on Thursday, December 29, 2022
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20221212.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20221212_Fax.pdf