Order Detail: # 20966
- Order Date
- 12/31/2022
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1087 (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 Jan 9, 2023@10:11AM. Successful confirmation Jan 9@10:19AM
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Date Task Description Units Total 12/02/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/02/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/07/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/07/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/09/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/09/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/14/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/14/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/16/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/16/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/21/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/21/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/23/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/23/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/28/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/28/2022 Care: 3:00PM-9:00PM 6.00 102.00 12/30/2022 Standing Unit of Care for Sylvia Smilen/hr. 12/30/2022 Care: 3:00PM-9:00PM 6.00 102.00 Order Totals: 54.00 $918.00 Invoice #20966 was created on Saturday, December 31, 2022 This Invoice was paid on Tuesday, January 18, 2022
Source Document: Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20230109_Fax.pdf;Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20230102.pdf