Active Patient Report,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
,,,,Report Date :,,,,,2/22/2004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,
Start Date :,,,,,2/1/2004,,,End Date :,,,,2/22/2004,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,

,Patient Name,Office,Admit Date,,,Facility,Address,,,City,Zip,RN,Attending Physician,Medical Director,Diag Code,Benefit Period,Dis Date,Dis Code,Hospice,R/B,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31
,"Innes, Jacob",Hospice Americare,10/20/2003,,,Colonial Care,2325 Colonial Oaks Dr.,,,Marion,46953,"Herbert, Joy","Hartman, Kevin","Haprot, Lilian",'429.2',,,,Private,Private,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,,,,,,,,,
,"Osberg, Charles",Hospice Americare,10/16/2003,,,,101 Elm St,,,Muncie,47304,"Whitehead, Jackie","Hartman, Kevin","Hartman, Kevin",'496',,,,Medicare,,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,,,,,,,,,
,"Kendall, Carrie",Hospice Americare,10/3/2003,,,Colonial Care,2325 Colonial Oaks Dr.,,,Marion,46953,"Herbert, Joy","Haprot, Lilian","Hartman, Kevin",'331.0',,,,Medicare,Medicare,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,RES,,,,,,,,,
,"Aarone, Henry",Hospice Americare,9/6/2003,,,,444 Wilson Ave,,,SD,92126,"Herbert, Joy","Hartman, Kevin","Haprot, Lilian",'332.0',,,,Medicare,,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,,,,,,,,,
,"Miller, Justine",New Hope Care,8/12/2003,,,Colonial Care,2325 Colonial Oaks Dr.,,,Marion,46953,"Mendoza, Cathy","Hartman, Kevin","Hartman, Kevin",'174.9',,,,Medicare,Medicare,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,,,,,,,,,
,"Gordon, Janet",Hospice Americare,5/16/2003,,,Colonial Care,2325 Colonial Oaks Dr.,,,Marion,46953,"Herbert, Joy","Hartman, Kevin","Hartman, Kevin",'438.9',,,,Medicare,Medicare,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,,,,,,,,,
,"Ellis, Daniel",Hospice Americare,11/27/1998,,,Colonial Care,2325 Colonial Oaks Dr.,,,Marion,46953,"Verpooten, Sue","Hartman, Kevin","Hartman, Kevin",'391.9',,,,Medicare,Medicare,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,RHC,,,,,,,,,