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GM: South Region
DOO: Tampa Bay Area
Site Manager: Harbor Clinic
Pharmacist: Harbor Clinic
Technician: Harbor Clinic
build 1790355941
sqlite · demo
JT
0
Intake / data entry
Oldest —
2
Clinical accuracy (DUR/PV1)
Oldest 2006-08-17
3
Benefit Verification
Oldest 2006-12-22
2
Dispensing
Oldest 2013-02-01
2
PV2
Oldest 2026-08-13
0
Ready for pickup / shipping
Oldest —
8190
Completed
Oldest 2006-08-01
Edit patient
Synthetic, Demo 2
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95 CORNHUSKERS ROCK
AGING TEST
ALPHA HOUSE
APS TEST FACILITY
ARCADIA
BAHIA VISTA
BAHIA VISTA CLOZAPINE
BAILEY WOODS
BEHAVIORAL HEALTH CENTER
BERRYVILLE CAMPUS
BROOK HOUSE
CAMPELL GATE
CARING DATA TEST FACILITY
CARMEL OUTPATIENT
CENTER FOR DEVELOP DISABLED
CENTRAL FILL CONTROLS
CLOZAPINE
CLOZAPINE 14-DAY
CLOZAPINE 28 DAY
CLOZAPINE 7-DAY
COMPASS
CONCERNED CARE
CORE OUTPATIENT
CORE SERVICES
CSU
CSU PROVIDENCE
CYCLE FILL
CYCLE FILL 2
DAWN
DEAF CLUSTER
DELTA HOUSE
DOCUFLOW TRANSFER TEST FAC
EDGEWOOD
ELM STREET CAMPUS
EMILY'S HOUSE
EMPLOYEES
FAMILY SERVICES
GENOA A QOL HEALTHCARE COMPANY
GENOA HEALTH CARE-20158
GENOA HEALTHCARE
GENOA HEALTHCARE, LLC - 00082
GENOA, A QOL HEALTHCARE CO.
GREEHAVEN HOUSE
GROUP HOME
GROUP HOME #39
GROUP HOME #45
GROUP HOME #632
GROUP HOME 101
GROUP HOME 111
GROUP HOME 144
GROUP HOME 67
GROUP HOME 7
GROUP HOME 8
GROUP HOME 99
HL7 0 THRU 17 TESTING
HL7 18 THRU 34 TESTING
HL7 35 THRU 55 TESTING
HL7 TEST INT 52 54 55
HOUSE 675
HOUSE ACCOUNT TEST FACILITY
IMPRUVON TEST FACILITY
JACKSON TESTING
KATIE'S TEST
KATRINA'S PLACE
LAKELAND GROUP HOME
LILY ARYA
MATUNUCK OYSTER BAR
MAX VIAL
MAX VIAL AND SYNMED
MAXVIAL/VBM/SYNMED FACILITY
NINTENDO
NO PMR FACILITY
OAKDALE
PLEASANT ACRES
POS SMS CONSENT TESTING
QA TEST FACILITY
RHAPSODY TEST FACILITY
ROANOKE
RUTH BIRCH CAMPUS
SAFE HOUSE (TEST)
SOUTH METRO
SOUTHSIDE
STUPID HOUSE
Synthetic Demo Facility 990989
Synthetic Demo Facility 990995
TCGRX FACILITY
TEST FAC AGING
TEST FAC TEST
TEST FACILITY
TEST INTERFACES 40 AND BEYOND
TYLER'S FACILITY
VBM FACILITY
VENICE
VENICE CLOZAPINE
VIPER
VISTA BEHAVIORAL CRISIS SVCS
YAHARA HOUSE
YESSICA'S FACILITY
Room
Bed
Address
City
State
Zip
Allergies
Diagnosis
Primary payer
No payer assigned
505 · OMAP (MEDICARE/MEDICAID)
99 · SPECIAL THIRD PARYT
AAA · ADVANCED PCS/AAA
AAD · INDIANA STATE DEPT OF HEA
AAS · ABILIFY ASSISTPR
AB+ · AMERICA'S BEST CARE PLUS
ADD · ADDERAL
ADV · ADVANCE/PCS
AE · AETNA
ALL · ALL MEDICARE
ALP · ALPHASCRIP
ANT · ANTHEM PRESCRIPTIONS
AO · ALPHA & OMEGA
APC · ADVANCE/PCS 8
ARB · ARGUS REGENCE BLUECROSS/S
ARF · ARGUS-FEDERAL BLUECROSS
ARG · ARG-PROVIDENCE HEALTH PLA
ARM · ARGUS-BMS ABILIFY PROGRAM
ART · ARGUS-TOGETHER RX
B@L · TEST BALANCE FORWARD ACCT
BAB · BUY & BILL
BBV · BUY & BILL VACCINE
BBX · BRIDGE BRIXADI
BCF · BC/BS OF FLORIDA-PRIME
BCW · BCW
BNK · BANKRUPTCY
BNT · BNET CHARGES ATTN:ROSALEE
BRB · TEST 2
BSW · REGENCE BLUE SHIELD WASHI
BVP · TEST
CAA · COLORADO ACCESS PCS
CAT · CATALYST
CBH · COASTAL BAHIA VISTA
CCM · CLACKAMAS COUNTY INDIGENT
CGH · CIGNA HEALTHCARE
CGP · CHANGE HEALTHCARE
CH1 · CHANGE HEALTHCARE
CHM · CAREMARK (HMA PREFERRED)
CIT · CITRUSCAID
CLA · CLAIMS PRO
CMH · THIRD PARTY TESTING
CMS · CHILDRENS MEDICAL SVCS
CNP · NATIONAL PHARMACEUTICAL S
CO1 · COLORADO MEDICAID 1
COM · COLORADO MEDICAID
COP · FACILITY COPAY
CPE · CLOZAPINE PAP REMS
CRK · CAREMARK
CTA · COMMUNITY ACTIONS TEAM
CUA · CLOZAPINE UAT
DAA · MED D COLORADO ACCESS ADV
DAE · MED D AETNA
DAN · MED D ASURIS NORTHWEST
DAX · MED D RX AMERICA
DBC · MED D BC/BS OF FLORIDA
DBP · MED D CAREMARK
DCA · MED D CAREMARK
DCI · MED D CIGNA
DCJ · DOUGLAS COUNTY JAIL
DCM · DOUGLAS COUNTY INDIGENT
DCO · MED D COVENTRY ADVANTRARX
DCR · MED D COMMUNITY CCRX PENN
DDR · MED D RX AMERICA
DES · MED D EXPRESS SCRIPTS
DHB · MED D HORIZON BC/BS
DHD · MED D HUMANA LIMITED INCO
DHI · DEAN HEALTH INSURANCE
DHN · MED D HEALTHNET
DHO · MED D HEALTHNET OPTIONS +
DHR · MED D HEALTHNET ORANGE
DHU · MED D HUMANA
DHX · MED D CIGNA HEALTHSPRING
DLI · MED D LIMITED INCOME NEWL
DMC · MED D MEDCO & UNITED AMER
DNH · MED D HEALTHNET
DOG · DOUGLAS COUNTY IPA-MEDIMP
DPC · MED D RX SOL (PACIFICARE)
DPH · MED D PHARMACARE (PRESCIP
DPR · MED D PRIME THERAPEUTICS
DPX · MED D PRIORITY MED RX
DQH · MED D QUALITY HEALTH PLAN
DRA · MED D RX AMERICA
DRG · MED D REGENCE RX
DRM · MED D RX AMERICA MOLINA
DRO · MED D RX AMERICA OREGON
DRS · MED D RX SOL (PACIFICARE)
DRX · MED D RX AMERICA
DSM · MED D SMARTD RX
DSP · MED D HEALTHSPRING
DWA · MED D WELLPOINT NEXT RX
DWD · MED D WINDSOR RX
DWP · MED D WELLPOINT
DWU · MED D WALGREENS(UNITED HE
DWW · MED D WALGREENS(WELLCARE)
DXO · MED D RX OPTIONS
DXR · MED D RX AMERICA
ECJ · ELLIS COUNTY JAIL
EHM · EHIM EMPLOYEE HEALTH
ENV · ENVISION/RX OPTIONS
ESI · EXPRESS SCRIPTS INSURANCE
F6CARE · PSB CARE DEMO
F6COMM · PSB COMMERCIAL DEMO
F6PSB · PSB STAGE TRANSMISSION
FAM · FAMILY WIZE DISCOUNT CARD
FAP · FACILITY PRICING
FAW · FAMILY WISE DS CARD
FLM · FLORIDA MEDICAID
FPR · FACILITY PRIVATE PAY
G85 · GENESEE CNTY 340B $8.50
GAF · GEORGIA PINES
GAP · GEORGIA PINES
GPI · GEORGIA PINES INDIGENT
GR · GUARANTEED RETURNS CREDIT
HAA · ASSOCIATED ADMINISTRATORS
HAE · AETNA HEALTHCARE
HAP · ADVANCE PCS DEPT MC128
HBC · BLUE CROSS OF OREGON STD
HCC · CASCADE COMPREHENSIVE
HCO · CARE OREGON
HCS · CORESOURCE
HD1 · HARDSHIP 1
HD2 · HARDSHIP 2
HDC · DOUGLAS COUNTY IPA
HEA · HEALTHESYSTEMS
HFB · BLUE CROSS
HFC · MAGELLAN HEALTH SERVICES
HFL · FLORIDA MEDICAID
HGH · GROUP HEALTH
HHE · HEALTHNET FOR TRICARE/CHA
HHI · HAWAII HOME INFUSION
HIC · INTERCOMMUNITY HEALTH
HIU · IUOE LOCAL 701 TRUST FUND
HKP · HCFA KAISER HEALTH PLAN
HLA · LANE INDIVIDUAL PRACTICE
HLI · LIFEWISE HEALTHCARE
HMN · MINNESOTA MEDICAID
HMR · MID ROGUE IPA
HOH · OREGON HEALTH MANAGEMENT
HOL · HOLD
HOM · OMAP
HPA · PACIFICARE OF OREGON
HPC · PACIFICARE OF WASHINGTON
HPG · CIGNA GOV.SERVICES MCR-B
HPH · PROVIDENCE HEALTH PLAN
HPI · HEALTH PARTNERS INSURANCE
HPR · PREMERA BLUE CROSS
HPS · KPS
HR1 · HRSA PROGRAM PENDING
HRD · HARDSHIP ASSISTANCE
HTR · WPS TRICARE FOR LIFE
HUC · UCARE MINNESOTA
HUN · UNITED HEALTHCARE
HWB · HCFA-WASHINGTON BASIC HEA
IDI · IDP PROGRAM INPATIENT
IDO · IDP PROGRAM OUTPATIENT
IDP · IDP PROGRAM
IL · ILLINOIS MEDICAID
IMA · INTERMUSCULAR LAI ADMIN
IN · INDIANA MEDICAID
INN · INNOVIANT 1
IVX · IVAX INDIGENT PROGRAM
KPS · KPS-MEDIMPACT
KVC · KVC WHEATLAND HOSPITAL
LAN · LCMH INDIGENT FUND
M3P · M3P BENEFIT PLAN (TEST)
MB1 · MED B CLAIMS
MCA · MONTANA CONTRACTORS ASSOC
MED · MEDIMPACT
MET · METROPOLITAN HEALTH PLAN
MFC · MED-IMPACT 9
MFG · MAX FAIR PRICING PLAN
MFP · MAX FAIR PRICE (DO NOT US
MGL · MANATEE GLEN
MHS · MCKESSON HEALTH SOLUTIONS
MID · MID-ROGUE VALLEY IPA-MEDI
MIP · MEDIMPACT
MMT · MEDICATION THERAPY MANAGE
MN · MINNESOTA MEDICAID 3
MPH · MARION POLK COMM HEALTH
MYC · MYCARD
NAV · NAVITUS PLAN
NCS · NETCARD SYSTEMS RX WEST
NDD · NEEDYMEDS DRUG DISCOUNT
NPA · NPA
NPS · MED D NATIONAL PHARMACEUT
NRX · NETRX PRICE IT
NUE · ADAVIR PHARMACEUTICALS
NWP · NORTHWEST RX SOLUTIONS
NY · NEW YORK MEDICAID
ODS · ODS MED-IMPACT
OH · OHIO MEDICAID
OPH · OPUSHEALTH
OPU · OPUS DEBIT CARD COPAYS
PAB · PAP 2
PAI · PLAN ADMINISTRATORS INC
PAP · PATIENT ASSISTANCE PROGRA
PCI · PARK CENTER IN-PATIENT
PCK · PCS
PCS · PCS 5.1
PD · PAID INSURANCE
PDI · J&J PAP PROGRAM
PDM · PHARMACY DATA MGMT
PEA · PEACE RIVER
PHA · PHARMACARE
PHC · PHARMACARE PC2 PLAN
PHP · PROVIDENCE HEALTH PLAN
PMP · PAYMENT PLAN
PQ · PRICE QUOTES SALES TEAM
PQ1 · PRICE QUOTE FOR FACILITIE
PQ2 · PRICE QUOTE 2
PR · PRIVATE
PRE · PRESCRIPT-DISCOUNT CARD W
PRI · PRIME THERAPEUTICS
PRO · PROSERVE/WELLPOINT
PTB · PRIME THERAPEUTICS BC
QHG · ELECT MCR B REG.C
RCD · RAY COUNTY DETENTION
RES · RESTAT
RIS · RISPERDAL CONSTA
RPF · RESPONSIBLE PARTY FORM
RPX · RX PRESCRIPTION SOLUTIONS
RRT · RELAY REJ TEST PLAN
RSO · RUSSELL COUNTY SHERIFFS O
RXA · RX AMERICA
RXC · RX AMERICA CARESOURCE
RXS · RX PRESCRIPTION SOLUTIONS
S30 · CFHC 340B 30 DS
S3B · CFHC 340B $10
S7B · CFHC 340B $7
SAM · SAMPLES
SAR · SAV-RX
SCJ · SHERMAN COUNTY JAIL
SD · SPENDDOWN
SGT · SUREGENE GENETIC TESTING
SSC · SIMPLE SAVINGS CARD
TAR · TRANSACTRX 1
TAT · TRANSACTRX AETNA
TDI · TDI MANAGED CARE
THI · TRX HIP-DO NOT USE
TRB · TRX MED B 2015-DO NOT USE
TS2 · RELAY TEST PLAN COPAY
TS3 · RELAY TEST PLAN TERTIARY
TSC · RELAY TEST CAPTURED RESP
TST · RELAY TEST PLAN
TXJ · TRANSACTRX MEDICAID INDIA
UCF · UNIVERSAL CLAIM FORM
UHC · UNITED HEALTHCARE
USS · US SCRIPTS 3
VIP · VIPER
WHI · WALGREEN HEALTH INITIATIV
WV · WEST VIRGINIA ME
WWH · WASHINGTON MEDICAID
YNU · YESSICA'S TEST OPEN ITEM
YYY · YATES YEAGER YOGURT
ZZZ · ZINC ZILLANOID ZOMBIES
PSB · PSBF6
Relationship
1 · Self
2 · Spouse
3 · Child
4 · Other
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