This page shows everything that has been prepared by you or your staff. None of these items have been or will be submitted to the requesting office until you review and submit each one.

Items will be removed from this list once you have successfully submitted them or 30 days from the date of preparation, regardless of whether you have taken action on them.

User Resources
 
Patient Name SSN (Last 4) DOB Prepared Date Prepared Time (ET) Prepared By Response Status
DOE, TESTCASE2222 2222 10/20/1979 06/30/2010 11:24 AM JDOE0003 NEW
DOE, TESTCASE1111 1111 10/20/1979 06/30/2010 11:24 AM JDOE0003 NEW