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Provider Connect Home

Behavioral Health Supplemental Data


Saved drafts never expire. For each member, only one draft per submission type can be saved.
Initial Saved Date Member ID Member Name Provider ID Submission ID Submission Type Source Actions
09/15/2020 987654321 PASLAN, SUSAN 123456 000001678 Assessment Provider Connect Change    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001420 SUD: Substance Use Disorder Provider Connect Change    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001419 MH: Mental Health Provider Connect Change    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001399 SUD-WMS: SUD Withdrawal Management Services Provider Connect Change    Delete   
08/28/2020 987654321 PASLAN, SUSAN 123456 000001266 SUD: Substance Use Disorder Provider Connect Change    Delete   
08/13/2020 987654321 PASLAN, SUSAN 123456 000000586 Assessment Provider Connect Change    Delete   
08/07/2020 987654321 PASLAN, SUSAN 123456 000000456 MH: Mental Health Provider Connect Change    Delete   
08/07/2020 987654321 PASLAN, SUSAN 123456 000000454 Authorization Provider Connect Change    Delete   
08/06/2020 987654321 PASLAN, SUSAN 123456 000000447 Authorization Provider Connect Change    Delete   
07/22/2020 987654321 PASLAN, SUSAN 123456 000000124 Authorization Provider Connect Change    Delete