| Room # | Patient Name | MR # | Admit Date | DOB | Age | Payor Source | Secondary Payor Source | LOS | Auth Days | Unauth days | Billing Provider and code | Referral Source | Action |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | Johnson, Robert | Male | 12/17/2019 | 12/17/2019 | 20 | ABC | DEF | - | 10 | 5 | 99232-live-guillen | ABC |
|
| 1 | Johnson, Robert | Male | 12/17/2019 | 12/17/2019 | 20 | ABC | DEF | - | 10 | 5 | 99232-live-guillen | ABC |
|
| 1 | Johnson, Robert | Male | 12/17/2019 | 12/17/2019 | 20 | ABC | DEF | - | 10 | 5 | 99232-live-guillen | ABC |
|