Provider History

This page lists the history of the patient's providers.

Field Name

Description

Source

Member

Provider first name, last name, and license

Multiple Sources

Program

Agency provider belongs to

Mulitple Sources

Beginning Date

First date of service for the provider or organization, or episode opening date

Multiple Sources

Ending Date

Last date of services for the provider organization, or episode closing date

Multiple Sources

Last Visit Date

Most recent date of service

Multiple Sources

Phone

Provider's contact phone number

Multiple Sources

Email

Provider's email address

Multiple Sources

Last updated