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O horário de término não pode ser anterior ao início "você pode perguntar para ela por ISP? a m...
Sobre este Serviço
Billing Data More Information
Service Authorization Information
Authorization ID
SA-HTYLIMD-QD64S5ZZHGYFE
Program Name
Day Habilitation
Individual Name
Person, Fake
Authorization Number
Test 0001
Funding Source
GT Independence
Funding Provider Number
Begin Date
10/14/2026
End Date
11/19/2026
Service Coordinator
Service Coordinator Organization
Service Coordinator Number
Service Information
Service Code
DH11
Service Description
Day Habilitation 1:1
Unit of Measure
Quarter Hour
Unit Rate ($)
$5.00
Total Authorized Amount ($)
$0.00
Number of Units
100.00
Billing Data Input
* Service Date
, Required
Time In/Out
#
Time In
Time Out
Units
Remove
1
* Total Billable Units
, Required
Service Remaining Units
100.00
Unit Rate ($)
Total Non-billable Units
Procedure Modifiers
---
Primary Diagnosis Code
ICD-10: F71
Diagnosis Code Pointer
1---
Service Provider
- Please Select -
Happiness Consultant, Consultant/ Admin
Ahmein Watson, Executive Director
Myeika Waller, Dt
Software:
zoho
Setor:
Biotecnologia
