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Document NamePatientCategoryUploaded ByDateSizeActions
PDF
Patient Consent Form
Sarah JohnsonClinicalDr. ChenApr 1, 2026234 KB
PDF
CMS 1500 — Johnson S
Sarah JohnsonClaimsM. TorresMar 28, 202689 KB
PDF
HIPAA Authorization
Robert KimLegalAdminMar 25, 2026145 KB
PDF
Prior Auth — Lisinopril
Maria TorresAuthorizationsNP NguyenMar 22, 202667 KB
PNG
Lab Results — CBC Panel
James ParkClinicalDr. KimMar 20, 20261.2 MB
PDF
UB-04 — Hospital Claim
Angela DavisClaimsM. TorresMar 18, 2026112 KB
PDF
Enrollment Application
Lisa NguyenEnrollmentAdminMar 15, 2026188 KB
TIF
Scanned Referral — Cardiology
Marcus BrownAuthorizationsDr. ChenMar 12, 20263.4 MB
XLS
Member Roster Export
All MembersAdminJ. ParkMar 10, 2026420 KB
PDF
BAA — Valley Medical Group
LegalLegal DeptMar 5, 2026256 KB
PDF
Discharge Summary — Kim R
Robert KimClinicalHospitalMar 2, 2026344 KB
PDF
Medicare Eligibility Verification
Kevin ZhangEnrollmentAdminFeb 28, 202692 KB
PDF
Operative Report — Torres M
Maria TorresClinicalSurgeonFeb 20, 2026512 KB
JPG
X-Ray — Chest PA Lateral
Jessica LeeClinicalRadiologyFeb 15, 20262.1 MB
PDF
CMS 1500 — Brown M
Marcus BrownClaimsM. TorresFeb 10, 202678 KB
Showing 15 of 147 documents
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