Provider History
Last updated
Last updated
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
Provider's email address
Multiple Sources