Invoice Detail: # 20969
- Invoice Date
- 03/31/2023
- Customer Name
- Sylvia Smilen Trust
- Statement Note
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Invoice # 1090 (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 Apr 11, 2023@8:46AM. Successful confirmation Apr 11, 2023@8:57AM
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Date Task Description Units Total 03/01/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/01/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/03/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/03/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/08/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/08/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/10/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/10/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/15/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/15/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/17/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/17/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/22/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/22/2023 Care: 3:00PM-6:00PM 3.00 51.00 03/24/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/24/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/29/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/29/2023 Care: 3:00PM-9:00PM 6.00 102.00 03/31/2023 Standing Unit of Care for Sylvia Smilen/hr. 03/31/2023 Care: 3:00PM-9:00PM 6.00 102.00 Invoice Totals: 57.00 $969.00 Invoice #20969 was created on Friday, March 31, 2023 This Invoice was paid on Monday, April 17, 2023
Source Document: Local Storage: Source Docs\John Hancock\JHLTC_DocScan_20230410.pdf;Local Storage: Source Docs\John Hancock\Confirmation_JHLTC_DocScan_20230410_Fax.pdf