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| | HAPPY CHOICE HOME HEALTH SERVICES, INC. |
| | CHS pms5 |
| | www.pms5.com | 105 Happy Lane Street # 400 |
| | Hialeah. FL, 330102400 (305) 555-1212 |
| | Oasis entries sent to pms5 in this current session. | Wednesday, September 06, |
| | 2000 |
| | Qid | | Patient | SOC Date | First Name | abstdate | Assess | HIPPS | Episode |
| | Soc
Date
Patient Name | Reason | | Code | | Payment |
| | 3073-00001 | 2901 | 09/02/2000 | TERESA CHANG | 9/6/2000 | 01 | HCGL1 | $4,206.69 |
| | Wednesday, September 06, 2000 | Page 1 of 1 |