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Action	Labels	DOS	Appointment ID	Confirmation No	Patient	Delivery Method	FU Appointment
Action	Labels	DOS	Appointment ID	Confirmation No	Patient	Delivery Method	FU Appointment
Profile Amend Merge Pt	New PT Covid	DOS	APTID-1-1	X34G56	PTID-1-2 Shakir Ansari 11/29/1982	Portal [email protected] 407-617-2692	10/25/2020 4:45 PM
Profile Amend Merge Pt	Est. PT Covid	DOS	APTID-1-2	TR45H4	PTID-1-1 Saimun Hasan 11/29/1998	Portal [email protected] 407-617-2692	10/25/2020 4:45 PM

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01/05/2021
3:21 PM

What country are you from?	USA
What are you symptoms	Fever
Rate Your experience	05 - Very Good
What are you symptoms	cough
Email	[email protected]
Phone	9153595860
Date of Service	01/20/2021

What country are you from?	USA
What are you symptoms	Fever
Rate Your experience	05 - Very Good
What are you symptoms	cough
Email	[email protected]
Phone	9153595860
Date of Service	01/20/2021

What country are you from?	USA
What are you symptoms	Fever
Rate Your experience	05 - Very Good
What are you symptoms	cough
Email	[email protected]
Phone	9153595860
Date of Service	01/20/2021

What country are you from?	USA
What are you symptoms	Fever
Rate Your experience	05 - Very Good
What are you symptoms	cough
Email	[email protected]
Phone	9153595860
Date of Service	01/20/2021

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Appt Date	DOS	Check In Status	Soap Status	Result Status	Follow up Status	Billing Status
Appt Date	DOS	Check In Status	Soap Status	Result Status	Follow up Status	Billing Status
10/22/2020	10/23/2020	Signed Off	Physical Exam	Waiting Notification	Follow Up Needed	Ready to Bill
10/22/2020	10/23/2020	Signed Off	Physical Exam	Waiting Notification	Follow Up Needed	Ready to Bill

Appointment Date	DOS	Collection Date	Payment Type	Amount
Appointment Date	DOS	Collection Date	Payment Type	Amount
Appointment Date	DOS	Collection Date	Payment Type	Amount

PTID	First Name	Last Name	DOB	Phone	Street	City	State	Zip
PTID-1-1	Shakir	Ansari	10/10/1990	9173595860	Street	City	State	Zip

PTID	First Name	Last Name	DOB	Phone	Street	City	State	Zip
PTID	First Name	Last Name	DOB	phone	street	City	State	Zip
PTID-1-1	First Name	Last Name	DOB	Phone	Street	City	State	Zip
PTID-1-2	First Name	Last Name	DOB	Phone	Street	City	State	Zip

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