MRO QC Daily Activity Report

Member Name

Prior
Authorization
#
Health Plan

1 Manapat, ferdinand

120509023

2 Santillan, Melinda
3 Carmona, Jerome

May/24/2012

120423050 Premier
n/a

4 Garcia, Simeon

120510052

5 Novesteras Mila

120521036 Premier

6 fagaragan, felicitas
7 Ramos, Elena

8 Nimfa Tan

9 Besure, Kanai

120418011 Premier
120322012 Premier

Veiovis

n/a

10 Russel De Belen

120302044 Premier

11 Estrada, Leonora

120330052 Premier

12 Mijares, Juliet

120424023 Fed. Strandard

13 Pascua, Garcia
13
14

120502053 Premier

Outpatient
TMC ECU> ECU
industrial B pkg. w/
additional stress
test and UTZ of the
3 organs

15
16
17
18
19
20
21
23
24
25
26
27

Thurssday

Inpatient ECU Initial Consult

Outpatient
Follow-up Consult Procedure

> Dr. Serrano(Cp)

>Dr. Vallar
>Dr. Lumapas

>Dr. Serrano
> Dr. Serrano (CP)
> Dr. Cruz-Javier

>

> UTZ of the biliary

tree, Total bilirubion,
b1, b2, Alk phos

> microalbumin,
HBA1c, SGPT ,
urinalysis
>12L ECG, TSH
>UTZ of the thyroid
> Dr. De Ocampo

> Xray of the lumbar

Spine

Inpatient
Procedure

Others:

Inquiry:

called to f/u referral packet

>came in but will just f/u next
week to Dr. Lim

>Copied med. Record

> TMC called about the payment

for pt.

> Discharged
statement issued
> Discharged
statement issued

>ECU results

Prepared by:
MARIE ANGELIE DE LOS REYES, RN

Notes: