Order Detail: # 20968
- Order Date
- 02/28/2023
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1089 (Old Invoice # system). Customer Sylvia Smilen Trust: Rate = 17.00/hr. Mrs. Sherman: I submitted to JH for Claim #: R12 004 977 via fax @800.638.4040 on Feb 27, 2023@7:16PM. Successful confirmation Feb 27, 2023@7:22PM
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Date Task Description Units Total 02/03/2023 Standing Unit of Care for Sylvia Smilen/hr. 02/03/2023 Care: 3:00PM-9:00PM 6.00 102.00 02/08/2023 Standing Unit of Care for Sylvia Smilen/hr. 02/08/2023 Care: 3:00PM-9:00PM 6.00 102.00 02/10/2023 Standing Unit of Care for Sylvia Smilen/hr. 02/10/2023 Care: 3:00PM-9:00PM 6.00 102.00 02/15/2023 Standing Unit of Care for Sylvia Smilen/hr. 02/15/2023 Care: 3:00PM-9:00PM 6.00 102.00 02/17/2023 Standing Unit of Care for Sylvia Smilen/hr. 02/17/2023 Care: 3:00PM-9:00PM 6.00 102.00 02/22/2023 Standing Unit of Care for Sylvia Smilen/hr. 02/22/2023 Care: 3:00PM-9:00PM 6.00 102.00 02/24/2023 Standing Unit of Care for Sylvia Smilen/hr. 02/24/2023 Care: 3:00PM-9:00PM 6.00 102.00 Order Totals: 42.00 $714.00 Invoice #20968 was created on Tuesday, February 28, 2023 This Invoice was paid on Sunday, March 6, 2022
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20230227.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20230227_Fax.pdf