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Behavioral Health Supplemental Data


Saved BHSD Drafts
 
Submitted BHSD
Last Submission Date Member ID Member Name Provider ID Submission ID Submission Type Source Actions
09/14/2020 987654321 PASLAN, SUSAN 123456 000001615 Authorization Provider Connect Change    Copy    Delete   
09/14/2020 987654321 PASLAN, SUSAN 123456 000001616 MH: Mental Health Provider Connect Change    Copy    Delete   
09/14/2020 987654321 PASLAN, SUSAN 123456 000001590 Authorization Provider Connect Change    Copy    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001417 MH: Mental Health Provider Connect Change    Copy    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001416 MH: Mental Health Provider Connect Change    Copy    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001415 MH: Mental Health Provider Connect Change    Copy    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001414 MH: Mental Health Provider Connect Change    Copy    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001412 Crisis: ITA Provider Connect Change    Copy    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001411 Crisis: DCR Provider Connect Change    Copy    Delete   
09/03/2020 987654321 PASLAN, SUSAN 123456 000001410 Crisis: DCR Provider Connect Change    Copy    Delete   
09/02/2020 987654321 PASLAN, SUSAN 123456 000001352 Authorization Provider Connect Change    Copy    Delete   
09/02/2020 987654321 PASLAN, SUSAN 123456 000001351 Authorization Provider Connect Change    Copy    Delete   
09/02/2020 987654321 PASLAN, SUSAN 123456 000001349 Authorization Provider Connect Change    Copy    Delete   
09/02/2020 987654321 PASLAN, SUSAN 123456 000001179 MH: Mental Health Provider Connect Change    Copy    Delete   
09/02/2020 987654321 PASLAN, SUSAN 123456 000001329 Assessment Provider Connect Change    Copy    Delete   
09/01/2020 987654321 PASLAN, SUSAN 123456 000001324 Authorization Provider Connect Change    Copy    Delete   
09/01/2020 987654321 PASLAN, SUSAN 123456 000001323 Program End or Service Episode End Reason Provider Connect Change    Copy    Delete   
09/01/2020 987654321 PASLAN, SUSAN 123456 000001321 Program End or Service Episode End Reason Provider Connect Change    Copy    Delete   
09/01/2020 987654321 PASLAN, SUSAN 123456 000001310 Crisis: DCR Provider Connect Change    Copy    Delete   
08/31/2020 987654321 PASLAN, SUSAN 123456 000001307 Authorization Provider Connect Change    Copy    Delete   
08/31/2020 987654321 PASLAN, SUSAN 123456 000001306 Authorization Provider Connect Change    Copy    Delete   
08/31/2020 987654321 PASLAN, SUSAN 123456 000001302 Authorization Provider Connect Change    Copy    Delete   
08/31/2020 987654321 PASLAN, SUSAN 123456 000001289 Authorization Provider Connect Change    Copy    Delete   
08/28/2020 987654321 PASLAN, SUSAN 123456 000000590 Assessment Provider Connect Change    Copy    Delete   
08/28/2020 987654321 PASLAN, SUSAN 123456 000001265 Authorization Provider Connect Change    Copy    Delete   
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