Professional Documents
Culture Documents
Member Name
1 Perez, Paulina
May/28/2012
Prior
Authorization
#
Health Plan
120509028 Premier
2 Salangad, Mario
120424017 Premier
3 Salangad, Evelyn
120417067 Premier
4 Banal, Adelaida
Premier
120319022 (Westin)
> E3 ECU on
06/01/2012
Banal, Joe
5 Banal, Jodelyn
6 Santos, Lourdes
Premier
120403052 (Westin)
7 Inciong, Expedita
8 Novesteras,Mila
9 Capacia, manny
Outpatient ECU
>E3 ECU
n/a
10 Morales, jose
federal
120504024 Standard
11 Ramos, Elena
120322012 Premier
12 Carmona, Gerome
120308016
13 Cruz, Raul
Federal
120329030 Standard
14 Gasal, Daivik
120119031 Premier
15 Galang, Jeryl
16 Alano, Susan
120502032 Premier
17 Roque, teresita
120416024 Premier
18 Ang, Linda
120509013 Premier
19 Ang, Willington
120509013 Premier
20 Taitano, Canice
21 Carmona, Venice
120308020
120430089 Premier
23 Paulo, Jaypee
120517052 Premier
24 Walsh, Philip
120525038
13
14
15
16
17
>Industrial pkg B
w/ additional
Stresst test
papsmaer and UTZ
of 3 organs
18
19
20
21
23
24
25
26
27
Monday
Outpatient
Follow-up Consult Procedure
>Dr. V. Serrano
>Chemistry8, 24 hr.
holter monitor, Stress
teseting, 2D echo w/
doppler modified
bruce, UTZ of the
parotid salivary glands
bilateral
>Gastroscopy
screening and
EGD/Colonoscopy
>Dr. V. Serrano
>Dr. castillo
>Dr.Nolido
>Uygongco
>SGOT, CXR(PA),
Digital Mammography,
UTZ of the LIVER,
Alkaline Phosphatase
>Chemistry
8, Stress test, 2D echo
w/ Doppler, Urinalysis,
UTZ of the KUB
>Dr. Wong
>Dr. Peralta
>Dr. Wong
>Dr. Castillo
>Dr. Castillo
>Dr. Estrellas(PARES
Eval)
>Cystoscopy
possible biopsy 06/02
>Dr. Serrano(CP)
>Dr. Castillo
>Dr.G.Serrano
>Dr.De Guzman
> 2Decho
>Dr.Aquino(Clearancea
)
>Dr. Sinamban
>Dr. WEE
>Dr. MV Cruz
>Dr. Kuizon
>Dr. WEE
>Dr. Gaston
>Bone densitometry
>Chest XRAY
Apicolordotic
>Dr.Tabberrah
>Dr. Vallar
>EMG-NCV
>Xray
Inpatient
Procedure
Others:
Inquiry:
>For Arth
Prepared by:
MARIE ANGELIE DE LOS REYES, RN
Notes: