DATA MANAGEMENT PORTAL

USERNAME / EMAIL:

PASSWORD:

LOGIN

FORGET PASSWORD?
 KAMRAN ARAIN LOG OUT

IN TAKE DE PART ME NT
I n take D ep ar tmen t C o n si g n men t D ep ar tmen t C PAP / B I PA P D e pa r tm e nt R e s upply D e pa r tm e nt O nl i ne O rde rs

DEPART ME N T S R en tal Ord ers B i l l i n g D ep ar tmen t C l ai ms Fol l ow U p D e pa r tm e nt A ppe a l s D e pa r tm e nt C l a i m s Audi t D e pa r tm e nt

F ILT E R S A ll D ates C ategor ies Pending Search

No. PT NAME ITEM DR OFFICE NAME DOB LOCATION INSURANCE ORDER STATUS
PEN DING ( 89)

01 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
WAITING F O R AUT H (2 0 )
02 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE READY FOR DEPENSE

03 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE AUTH DENIED
AUTH DE NI E D ( 25)
04 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE SENT FOR BILLING

SEN T FO R BI L L I NG ( 1 2 5 ) 05 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF POCKET

06 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF NETWORK
R EA DY F O R DE S P E N SE (1 7 )
07 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

OU T OF NE T WO RK (0 6 ) 08 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE RESUPPLY

09 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE ONLINE
R ESUPPLY ( 70)
10 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

ON LINE O RDE RS ( 50 ) 11 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

12 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
SCHED UL E D ( 11)
13 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

14 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
C ANCELL E D ( 05)
15 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE COMPLETED

C OMPLE T E D ( 120) 16 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

17 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
 KAMRAN ARAIN LOG OUT

E R DE PART ME NT

Pa tient D etails O R D E R DAT E : 0 1 - 0 8 - 2 0 2 4

PENDING ( 89)

PAT I E N T N A M E : D O ROT H Y M O RTO N O R D E R S TAT U S PENDING

WA ITING F O R AUT H (2 0 )
I T E M : LY MP H E D E M A P U MP A N D S L E E V E
D E PA RT M E N T ER
PAT I E N T D O B : 0 6 - 0 9 - 1 9 7 5
AUTH DE NI E D ( 25)
PAT I E N T A D D R E S S : 2 9 1 1 C a r p e n t e r R d , A n n A r b o r 4 8 1 0 8 H I S TO RY

SENT FO R BI L L I NG (1 2 5 ) PAT I E N T I N S U R A N C E : ME D I C A R E SENT FOR BILLING

(B Y K A M R A N 0 1 -1 0 -2 0 2 4 )

ORDER #: 0011192 R E A DY F O R D I S P E N S E
(B Y K A M R A N 0 1 -0 9 -2 0 2 4 )

REA DY F O R DE S P E N S E (1 7 ) D R O F F I C E : OA K S T R E E T I N K S T E R A D D N OT E S
(B Y K A M R A N 0 1 -0 9 -2 0 2 4 )

DR OFFICE PHONE NO: (734) 975 6668 WA I T I N G F O R AU T H

(B Y K A M R A N 0 1 -0 8 -2 0 2 4 )

OU T OF NE T WO RK ( 0 6 ) D R O F F I C E FA X N O : ( 7 3 4 ) 9 7 5 6 6 6 8 C H A N G E S TAT U S F RO M P E N D I N G TO P RO C E S S I N G
(B Y K A M R A N 0 1 -0 8 -2 0 2 4 )

A D D N OT E S
RESUPP LY ( 70) (B Y K A M R A N 0 1 -0 5 -2 0 2 4 )

ADD NOTES SEE ALL NOTES

ON LINE O RDE RS ( 50 )

SC HED UL E D ( 11)

CANCELL E D ( 05)

COMPLE T E D ( 120)
 KAMRAN ARAIN LOG OUT

C PA P / B I PAP DE PART ME NT
I n take D ep ar tmen t C o n si g n men t D ep ar tmen t C PAP / B I PA P D e pa r tm e nt R e s upply D e pa r tm e nt O nl i ne O rde rs

DEPART ME N T S R en tal Ord ers B i l l i n g D ep ar tmen t C l ai ms Fol l ow U p D e pa r tm e nt A ppe a l s D e pa r tm e nt C l a i m s Audi t D e pa r tm e nt

F ILT E R S A ll D ates C ategor ies Pending Search

No. PT NAME ITEM DR OFFICE NAME DOB LOCATION INSURANCE ORDER STATUS
PEN DING ( 89)

01 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
WAITING F O R AUT H (2 0 )
02 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE READY FOR DEPENSE

03 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE AUTH DENIED
AUTH DE NI E D ( 25)
04 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE SENT FOR BILLING

SEN T FO R BI L L I NG ( 1 2 5 ) 05 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF POCKET

06 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF NETWORK
R EA DY F O R DE S P E N SE (1 7 )
07 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

OU T OF NE T WO RK (0 6 ) 08 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE RESUPPLY

09 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE ONLINE
R ESUPPLY ( 70)
10 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

ON LINE O RDE RS ( 50 ) 11 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

12 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
SCHED UL E D ( 11)
13 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

14 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
C ANCELL E D ( 05)
15 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE COMPLETED

C OMPLE T E D ( 120) 16 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

17 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
 KAMRAN ARAIN LOG OUT

B I L L ING DE PART ME NT
I n take D ep ar tmen t C o n si g n men t D ep ar tmen t C PAP / B I PA P D e pa r tm e nt R e s upply D e pa r tm e nt O nl i ne O rde rs

DEPART ME N T S R en tal Ord ers B i l l i n g D ep ar tmen t C l ai ms Fol l ow U p D e pa r tm e nt A ppe a l s D e pa r tm e nt C l a i m s Audi t D e pa r tm e nt

F ILT E R S A ll D ates C ategor ies Pending Search

No. PT NAME ITEM DR OFFICE NAME DOB LOCATION INSURANCE ORDER STATUS
PEN DING ( 89)

01 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
WAITING F O R AUT H (2 0 )
02 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE READY FOR DEPENSE

03 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE AUTH DENIED
AUTH DE NI E D ( 25)
04 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE SENT FOR BILLING

SEN T FO R BI L L I NG ( 1 2 5 ) 05 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF POCKET

06 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF NETWORK
R EA DY F O R DE S P E N SE (1 7 )
07 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

OU T OF NE T WO RK (0 6 ) 08 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE RESUPPLY

09 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE ONLINE
R ESUPPLY ( 70)
10 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

ON LINE O RDE RS ( 50 ) 11 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

12 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
SCHED UL E D ( 11)
13 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

14 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
C ANCELL E D ( 05)
15 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE COMPLETED

C OMPLE T E D ( 120) 16 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

17 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
 KAMRAN ARAIN LOG OUT

CONSIGNM E N T D E PA RT M E N T
I n take D ep ar tmen t C o n si g n men t D ep ar tmen t C PAP / B I PA P D e pa r tm e nt R e s upply D e pa r tm e nt O nl i ne O rde rs

DEPART ME N T S R en tal Ord ers B i l l i n g D ep ar tmen t C l ai ms Fol l ow U p D e pa r tm e nt A ppe a l s D e pa r tm e nt C l a i m s Audi t D e pa r tm e nt

F ILT ER S A ll D ates C ategor ies Pending Search

No. PT NAME ITEM DR OFFICE NAME DOB LOCATION INSURANCE ORDER STATUS
PENDING ( 89)

01 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
WA ITING F O R AUT H (2 0 )
02 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE READY FOR DEPENSE

03 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE AUTH DENIED
AUTH DE NI E D ( 25)
04 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE SENT FOR BILLING

SENT FO R BI L L I NG (1 2 5 ) 05 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF POCKET

06 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE OUT OF NETWORK
REA DY F O R DE S P E N S E (1 7 )
07 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

OU T OF NE T WO RK ( 0 6 ) 08 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE RESUPPLY

09 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE ONLINE
RESUPP LY ( 70)
10 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

ON LINE O RDE RS ( 50 ) 11 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE CANCELLED

12 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
SC HED UL E D ( 11)
13 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

14 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING
CANCELL E D ( 05)
15 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE COMPLETED

COMPLE T E D ( 120) 16 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING

17 DOROTHY MORTON KNEE BRACE HEALTHCARE DME 02-29-1993 ANN ARBOR MEDICARE PENDING