Yarley Geffrard

A Billing web application for Healthcare

Companies that took the research of 12 large

software applications and many Healthcare

agencies to create compatible workflow and

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BILLING

Billing

FEBRUARY 10-16, 2016 ۉ ƴ��| أ

Billable

UNBILLABLE | BILLABLE

L.O.BPAYER NAME CONTRACT

INVOICE DATE FROM

INVOICE DATE TO INVOICE #

INVOICE DATE

PATIENT NAME

PATIENT INS ID # LOCATION BILLED

SUBMISSION STATUS

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

ۆ

ڐ May 25, 2016, 12:22 PM | George Sandata Help?

Agency CareО Last Name First Name ID # (000) 000-0000 ඪ

PATIENT | STAFF

О

א

Payer

Payer ۇ

Contract

Contract ۇ

Location

Location ۇ

Line Of Business

Line Of Business ۇ

Invoice Date From

Invoice Date From

Invoice Date To

Invoice Date To

Invoice #

Invoice #

FILTER BY | SHOW COLUMNS

Submission Status

Submission Status ۇ

Patient Firstname

Patient Firstname

Patient Lastname

Patient Lastname

OK

Billing

FEBRUARY 10-16, 2016 ۉ ƴ��| أ

Billable

UNBILLABLE | BILLABLE

L.O.BPAYER NAME CONTRACT

INVOICE DATE FROM

INVOICE DATE TO INVOICE #

INVOICE DATE

PATIENT NAME

PATIENT INS ID # LOCATION BILLED

SUBMISSION STATUS

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

ۆ

ڐ May 25, 2016, 12:22 PM | George Sandata Help?

Agency CareО Last Name First Name ID # (000) 000-0000 ඪ

PATIENT | STAFF

О

Billing

FEBRUARY 10-16, 2016 ۉ ƴ��| أ

Billable

UNBILLABLE | BILLABLE

L.O.BPAYER NAME CONTRACT

INVOICE DATE FROM

INVOICE DATE TO INVOICE #

INVOICE DATE

PATIENT NAME

PATIENT INS ID # LOCATION BILLED

SUBMISSION STATUS

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

ۆ

ڐ May 25, 2016, 12:22 PM | George Sandata Help?

Agency CareО Last Name First Name ID # (000) 000-0000 ඪ

PATIENT | STAFF

О

Unbillable Details ПНא

DATE OF SERVICE SERVICE

BILL CODE MOD. 1 MOD. 2 MOD. 3 MOD. 4

REV. CODE

RENDERING PROVIDER UNITS

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

PREVIEW

Line Of Business

Diagnosis Code

Invoice Date Rage

Place Of Service/Bill Type

Invoice #

Media or Paper Format

Edit Error Reason

MCO

D15332

01/10/2016 - 02/10/2016

Home

12345678990

837I

Some reason will go here

Contract

Invoice Type

Patient Name

Patient Name

HHA 2015

Professional

Lastname, Firstname

Lastname, Firstname

Payer

Rendering Provider

Care Of America

Lastname, Firstname

Billed

Ref. / Attend. Provider

Location

Authorization ID #

$50,000.00

Lastname, Firstname

Location 1

74389230432

Patient Insurance ID #

Patient Insurance ID #

Invoice Date

Invoice Total

Submission Status

1234567890

1234567890

02/09/2016

$50,000.00

Submitted

أ

Billing

FEBRUARY 10-16, 2016 ۉ ƴ��| أ

Billable

UNBILLABLE | BILLABLE

L.O.BPAYER NAME CONTRACT

INVOICE DATE FROM

INVOICE DATE TO INVOICE #

INVOICE DATE

PATIENT NAME

PATIENT INS ID # LOCATION BILLED

SUBMISSION STATUS

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

HHA AetnaHHA Contract 1 01/10/16 02/10/16 1234567890 1234567890

Lastname, F. 1234567890 Location 1 $50,000.00 Not Submitted

ۆ

ڐ May 25, 2016, 12:22 PM | George Sandata Help?

Agency CareО Last Name First Name ID # (000) 000-0000 ඪ

PATIENT | STAFF

О

Unbillable Details ПНא

DATE OF SERVICE SERVICE

BILL CODE MOD. 1 MOD. 2 MOD. 3 MOD. 4

REV. CODE

RENDERING PROVIDER UNITS

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643Lastname, Firstname 150

PREVIEW

Line Of Business

Diagnosis Code

Invoice Date Rage

Place Of Service/Bill Type

Invoice #

Media or Paper Format

Edit Error Reason

MCO

D15332

01/10/2016 - 02/10/2016

Home

12345678990

837I

Some reason will go here

Contract

Invoice Type

Patient Name

Patient Name

HHA 2015

Professional

Lastname, Firstname

Lastname, Firstname

Payer

Rendering Provider

Care Of America

Lastname, Firstname

Billed

Ref. / Attend. Provider

Location

Authorization ID #

$50,000.00

Lastname, Firstname

Location 1

74389230432

Patient Insurance ID #

Patient Insurance ID #

Invoice Date

Invoice Total

Submission Status

1234567890

1234567890

02/09/2016

$50,000.00

Submitted

أ

Unit Rate

Unit Type Billed

80

$5,000.00 01/12/15

01/02/15 HHA 231245 TT1123 TT2345 TT3002 TT4234 325643 150

Lastname,Firstname

א

Yarley Geffrard

An e-commerce brand that supports the arts by sharing great arts, graphics, music, videos, and other visuals, while creating engagement of potential customers of their urban clothing

before their launch.

LUXTREAUX

TREAUXSHOP

GENDER?

BOYS

GIRLS

MEN

WOMEN

TREAUXGRAY-BLU$19.90

+ ADD TO CARGO

S M L XL 2XL 3XL

� 500

TREAUXWYTE-RED$19.90

� 1K

TREAUXWYTE-RED$19.90

� 1K

TREAUXWYTE-RED$19.90

� 1K

TREAUXWYTE-RED$19.90

� 1K

TREAUXBLU-RED$19.90

� 3.2K

TREAUXBLU-RED$19.90

� 3.2K

TREAUXBLU-RED$19.90

� 3.2K

TREAUXBLU-RED$19.90

� 3.2K

TREAUXBLU-RED$19.90

� 3.2K

TREAUXBLU-RED$19.90

� 3.2K

TREAUXBLU-RED$19.90

� 3.2K

Dave, Join Aboard Team #TREAUX

What’s Your Email?

SIGN ME UP!

Get Free Music and Gears, Coupons, and Inspiring Videos from LUXTREAUX

© 2015 LUXTEAUX

The name is only shown if user is logged in or enter their name above

�

SORT BY ? �S M L XL 2XL 3XL SHOW ME MY TREAUX

ARTISTSHOME CONTACTBLOGSHOP

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�FIND IT HERE �

PRODUCT?

TSHIRT

HOODIE

SWEATSHIRT

PHONECASE

Yarley Geffrard

A Home Health web application that took the

research of 3 large software applications that

over 30 years old, and the research of Home

Health Agencies across the country to create

compatible workflow and designs, that is

GHƒEKGPV�CPF�YGNN�CTEJKVGEVWTGF�HQT�VJG�RTGUGPV�and future.

SANDATA G1

10:00 AM

Tuesday, June 5th, 2015

Hello Amy

Agency Name

OPEN ORDERS

MISSED VISITS

VIEW ALL

VIEW ALL

PATIENT ID # DATE IN

FirstName L. 14726305 05/10/15

FirstName L. 14726305 05/10/15

FirstName L. 14726305 05/10/15

PATIENT STAFF START TIME

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Collapse Dashboard

FirstName L. 05:00AMFirstName L.

FirstName L. 05:00AMFirstName L.

FirstName L. 05:00AMFirstName L.

CALENDAR

FULLVIEW

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

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RECENTLY VIEWED

SCREEN TITLE 3SCREEN TITLE 4 SCREEN TITLE 5SCREEN TITLE 2SCREEN TITLE 1

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INTAKE NEW PATIENT RECENTLY ADDED CLEAR

ϧ�Logout๙PATIENT STAFF NO-SHOWS PATIENT LIST STAFF LIST TRAINING OVERVIEW

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Agency Name

5. Episode Manager

Patient Name : FirstName LastName Patient ID # : 123456789

ADD

SAVE ASSESS NEXTSCHEDULEPLAN OF CARE

Last Name

Last Name

Apt #

Apt #

Apt #

Apt #

Address

Address

Address

Address

Preferred Language

Preferred Languageۓ

ۓ

Marital Status

Marital Status

ۓ

Religion

Religion

Home Phone #

Home Phone #

Home Phone #

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ۓ

State ZipCode

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Disaster Level

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Emergency Contact Name

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EMERGENCY INFORMATION

GENERAL INFORMATION

Patient Name : FirstName LastName Patient ID # : 123456789

2. Medical1. Personal 3. Referral / Auth

Relationship To Patient

Relationship To Patient ۓ

ADD

EXCLUDED STAFFADDITIONAL PHONE #s ADDITIONAL ADDRESSES

VIEW ATTACHMENTS

NAME RELATIONSHIP EMAIL ADDRESS CELL PHONE HOME PHONE

Lastname, Firstname Brother josmoe@sandata.com123457 Something Long St. Brooklyn, NY 11002

(347) 555-0123 (347) 555-0123

Longlastlastname, F... Sisterlongjosmoelongsmo@sandata.com

123457 Something Long St. Brooklyn, NY 11002

(347) 555-0123 (347) 555-0123

Lastname, Firstname Mother josmoe@sandata.com123457 Something Long St. Brooklyn, NY 11002

(347) 555-0123 (347) 555-0123

10 A

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RECENTLY VIEWED ۔ ۔

PATIENT MENU

MONTHWEEKDAYPATIENT SCHEDULE Sue Jen JUL 5, 2015 - JUL 11, 2015ۆ ۉ0 4 5 4 4 4 4

0 3 5 6 0 0 0

0 3 5 7 0 0 0

SATURDAY SUNDAY MONDAY TUESDAY WEDNESDAY THUIRSDAY FRIDAY

Auth hrs

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08:00 AM

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12:00 PM

01:00 PM

02:00 PM

03:00 PM

04:00 PM

05:00 PM

06:00 PM

07:00 PM

08:00 PM

09:00 PM

11:00AM - 03:00PMJane DoeHHA

09:00AM - 01:00PM

Suzie BowneHHA

SMSCALL EMAIL

Sue Jen(347)555-1234

OPEN ORDERS ҭ

Search for a Patient

ے ە 100% ۓ ߺ߹

PATIENT INFO Patient Name : Sue Jen

Start Date

Start Date

Start Time

Start Time

Patient ID # : 123456789 Patient Coordinator : FirstName L. Case Manager : FirstName L.

Phone

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NEW PATIENTEDIT

Weekly

Frequency

ۓType of Care

One Visit

Several Visits

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ۓ

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SCHEDULE PATIENTSCHEDULE PATIENTSCHEDULE PATIENT

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๙PATIENT STAFF

MONTHLY CALENDAR

S S M T W Th F

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30

JULY 2015ے ە

TASK START TIME END TIME STAFF NOTE OTHER

CleaningBathingShower Cooking

Jul 5, 201510:00 AM

Jul 7, 201508:00 AM

FirstName LastNameID

Patient did well etc... Other info...

CleaningBathingShower Cooking

Jul 5, 201510:00 AM

Jul 7, 201508:00 AM

FirstName LastNameID

Patient did well etc... Other info...

CleaningBathingShower Cooking

Jul 5, 201510:00 AM

Jul 7, 201508:00 AM

FirstName LastNameID

Patient did well etc... Other info...

CleaningBathingShower Cooking

Jul 5, 201510:00 AM

Jul 7, 201508:00 AM

FirstName LastName ID

Patient did well etc... Other info...

Patient Name : Sue JenPATIENT SCHEDULE

Suzie Bowne(347)555-1234

FirstName LastName(347)555-1234

FirstName LastName(347)555-1234

FirstName LastName(347)555-1234

FirstName LastName(347)555-1234

FirstName LastName(347)555-1234

FirstName LastName(347)555-1234

FirstName LastName(347)555-1234

FirstName LastName(347)555-1234

AVAILABLE STAFF ҭ

Search for a Staff

෫

08:00AM - 12:00PMSuzie BowneHHA

08:00AM - 12:00PMSuzie BowneHHA

10:00 AM

Tuesday, June 5th, 2015

Hello Amy

Agency Name

MISSING INFORMATION

MISSED VISITS

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CALENDAR

FULLVIEW

1 2 3 4 5 6 7

8 9 10 11 12 13 14

15 16 17 18 19 20 21

22 23 24 25 26 27 28

29 30

SU MO TU WE TH FR SA

JUNE 2015ۆے ۉە

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PAYROLL STAFF ADD CLEARRECENT

ϧ�Logout๙FOR PAYROLL CAN GO COMPLIANCE TRAINING OR YOU CAN

Ǽ�Amy Greenɋ�Settings

Agency Name

RECENTLY VIEWED ۔ ۔

FILTER OPTIONS

Staff Lastname

Staff Lastname

Patient Lastname

Patient Lastname

Check Date

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GO

Patient ID #

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Check #

Staff Firstname

Staff Firstname

Patient Firstname

Patient Firstname

Check Amount

Check Amount

ҭ

Pay From Date

Service From Date

ۓ

Pay To Date

Service To Date

Servicesۓ

Services

ۓ

ҭ PAYMENTS DETAILSSERVICES FROM Jan 01, 2015 - Jan 21, 2015 EXPORT

1,000 PAYMENTS $10,045,000.0050,000 Hours

Pay Hours

Pay Hours

ۓ Pay Rate

Pay Rate

ۓ

TRANS. ID # 123456789PAID

PAIDPENDING

NAME Lasname, Firstname ID 1234567890 SS 1234567890

X

STAFF NAME STAFF ID SERVICES HRS CHECK AMT

CHECK # PAY ENDDATE

Jordan Tuning

123456789 HHAPCA

140 Hrs

$1000.00 123456789- 01234

11-01-15

Someone Else

H3678367 HHAPCA

140 Hrs

$1000.00 232678432-2344

11-01-15

Jordan Tuning

H32846 HHAPCA

40 Hrs

$1000.00 123456789-2345

11-01-15

Someone Else

H3678367 HHAPCA

42 Hrs

$1000.00 232678432-2344

11-01-15

Jordan Tuning

H32846 HHAPCA

40 Hrs

$1000.00 123456789-2345

11-01-15

Someone Else

H3678367 HHAPCA

42 Hrs

$1000.00 232678432-2344

11-01-15

Jordan Tuning

H32846 HHAPCA

40 Hrs

$1000.00 123456789-2345

11-01-15

Someone Else

H3678367 HHAPCA

42 Hrs

$1000.00 232678432-2344

11-01-15

Jordan Tuning

H32846 HHAPCA

40 Hrs

$1000.00 123456789-2345

11-01-15

Someone Else

H3678367 HHAPCA

42 Hrs

$1000.00 232678432-2344

11-01-15

Jordan Tuning

H32846 HHAPCA

40 Hrs

$1000.00 123456789-2345

11-01-15

Someone Else

H3678367 HHAPCA

42 Hrs

$1000.00 232678432-2344

11-01-15

Jordan Tuning

H32846 HHAPCA

40 Hrs

$1000.00 123456789-2345

11-01-15

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$1800.0040 hoursTOTAL FOR THIS PAY PERIOD

AZIZ’s VISITS Jan 14, 2015 - Jan 21, 2015

PAID

PAID ALL

PAYCHECK SUMMARY CHECK DATED 06-20-15

Check #

1234567890

Federal Tax

$30.0000

Voucher #

1234567890

State Tax

$30.0000

Gross

$600.0000

City Tax

$30.0000

Net

$300.0000

Other Tax

$30.0000

DOS DET CODE

RATE CODE

RATE HRS PAID AMOUNT

DOS ID # PATIENT NAME

06-02-15 Holiday E $10/Hr 13 Hrs

$130.00 1234567890 Lastname,Firstname

06-03-15 OT E $10/Hr 13 Hrs

$130.00 1234567890 Lastname,Firstname

06-02-15 Holiday E $10/Hr 13 Hrs

$130.00 1234567890 Lastname,Firstname

06-03-15 OT E $10/Hr 13 Hrs

$130.00 1234567890 Lastname,Firstname

06-02-15 Holiday E $10/Hr 13 Hrs

$130.00 1234567890 Lastname,Firstname

06-03-15 OT E $10/Hr 13 Hrs

$130.00 1234567890 Lastname,Firstname

06-02-15 Bonus E $100 1234567890 Lastname,Firstname

SENT TO PAYPRO PAYPRO

Yarley Geffrard

A native iOS and Android application, for tablets 7” or larger that allows Nurses to see Patients that they are scheduled to see for the day and

also complete and sign documents.

NURSE ASSESS

Yarley Geffrard

A web based platform that delivers entertainment, primarily music and videos to

an urban audience throughout the world, while providing a simple e-commerce solution for the

brand’s merchandises

NUVISION

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NU CONNECTStay updated with the latest from Nu(new) vision’s selection

of music, videos and apparel

New and innovative, Nu Vision Ent is setting a trend all it’s own. Merging hip hop cul-ture and fashion with savvy business skills, Nu Vision is well on it’s way to owning to-day’s industry. So I ask you, what do you know about that Nu Lifestyle?

A NU VISION, A NEW LIFESTYLE

Our content is a special blend of Intimacy, creativity, originality and raw talent. Though small, our mission is to engage our client and bring out the very in their talents.

NU AND INSPIRATIONAL CONTENT

Our brand is not just about the music; it’s a lifestyle, created by us, inspired by you. While hip-hop is our foundation, we aim to tap into every into every aspect of enter-

tainment and the journey starts with you.

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