ProviderConnect - Providers

View Clinical Drafts

Please select the Provider ID below to view and click the Search Request button to view Saved and Expired Clinical Request for a different provider.


Provider ID

Saved Clinical Request Drafts

Saved request drafts will automatically expire 30 days after the Initial Saved Date


	Next >>

Initial Saved Date	Member ID	Member Name	Provider ID	Level Of Service	Level Of Care	Type Of Care	Authorized User	Requested Start Date
11/12/2009	987654321	ASLAN, SUSAN	123456	MM	Outpatient			11/12/2009	View Open
02/24/2011	987654321	SUSAN, ASLAN	123456	IP	Group Home	Group Home - 2.0		02/23/2011	View Open
10/28/2019	987654321	ASLAN, SUSAN	123456	IP	Residential Treatment Center	SWPA SUBSTANCE ABUSE DETOX		10/28/2019	View Open
02/24/2011	987654321	SUSAN, ASLAN	123456	OP	Outpatient	ABA ASSESSMENT		06/08/2020	View Open

	Next >>

Expired Clinical Request Drafts

The requests listed below expired within the last 30 days

	Next >>

	Initial Saved Date	Member ID	Member Name	Provider ID	Level Of Service	Level Of Care	Type Of Care	Authorized User	Requested Start Date
	10/30/2009	987654321	ASLAN, SUSAN	123456	OP				10/30/2009

	Next >>

Saved Plan Drafts

Saved plan drafts include Individual Plans, Care Plans, etc. that have been saved as a draft.
These drafts will automatically expire 30 days after the Initial Saved Date.


	Next >>

	Initial Saved Date	Member ID	Member Name	Provider ID	Level of Service	Level of Care	Type of Care	Authorized User	Requested Start Date
	07/28/2010	987654321	SUSAN, ASLAN	123456	OP	SUPPORTED EMPLOYMENT	SUPPORTED EMPLOYMENT		07/28/2010	View Open

	Next >>

Expired Plan Drafts

Expired plan drafts include Individual Plans, Care Plans, etc. that expired within the last 30 days.

	Initial Saved Date	Member ID	Member Name	Provider ID	Level of Service	Level of Care	Type of Care	Authorized User	Requested Start Date
No Expired Draft Requests to display