PatientAuthorizationChangesDetails - struct

Body

PatientAuthorizationChangesDetails - struct GetPatientAuthorizationChangesResponse PatientAuthorizationChangesDetails - struct GetPatientAuthorizationChangesResult PatientAuthorizationChangesDetails - struct GetPatientAuthorizationChangesInfo PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AuthorizationID 39771975 AuthorizationNumber OP0795943421-1 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Primary generalized (osteo)arthritis DiagnosisCode M15.0 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 60530 Name Healthfirst (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 1495.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 35 hrs per week:PCA 35 HRS PER WEEK Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-918941 FirstName ALTAGRACIA ID 25985619 LastName FUENTES OfficeID 11876 UpdatedDate 2026-07-08T02:00:27.3 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 716636 Name T1019:U1 StartDate 2026-07-06 StopDate 2027-04-30 WeeklyMaxAuthorization 0 2 PatientAuthorizationChangesDetails - struct AuthorizationID 38404135 AuthorizationNumber OP0652816995-5 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Dizziness and giddiness DiagnosisCode R42 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 60530 Name Healthfirst (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 456.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 48 hours per week:Concurrent Authorization for PCA 48 total hours per week Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-917342 FirstName ASUNCION ID 24022262 LastName PARES OfficeID 11876 UpdatedDate 2026-07-08T07:14:14.29 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 716636 Name T1019:U1 StartDate 2026-05-01 StopDate 2026-07-06 WeeklyMaxAuthorization 0 3 PatientAuthorizationChangesDetails - struct AuthorizationID 38404056 AuthorizationNumber OP0652816995-5 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Dizziness and giddiness DiagnosisCode R42 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 52748 Name Healthfirst Discipline PatientAuthorizationChangesDetails - struct ID 15618 Name PCA EntirePeriodMaxAuthorization 456.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 48 hours per week:Concurrent Authorization for PCA 48 total hours per week Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-112562875 FirstName ASUNCION ID 15056030 LastName PARES OfficeID 11876 UpdatedDate 2026-07-08T07:39:24.163 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 551985 Name T1019:U1 StartDate 2026-05-01 StopDate 2026-07-06 WeeklyMaxAuthorization 0 4 PatientAuthorizationChangesDetails - struct AuthorizationID 39797116 AuthorizationNumber 0007831783 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 1253 Name Extended Home Care DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 3.00 Discipline PatientAuthorizationChangesDetails - struct ID 3612 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-0006024061 FirstName ARNJAY ID 25968913 LastName BASSO OfficeID 11876 UpdatedDate 2026-07-08T08:34:42.41 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 75997 Name Rate1 SpecificDateType No StartDate 2026-08-05 StopDate 2026-08-05 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 5 PatientAuthorizationChangesDetails - struct AuthorizationID 39797517 AuthorizationNumber 241501266-7 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 58291 Name Fidelis Care (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 2226.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 84 Hours/Week, 21 Hrs x 4 Days; Personal Care Aide-Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-914374 FirstName Humberto ID 21084076 LastName Ordonez OfficeID 11876 UpdatedDate 2026-07-08T09:16:48.84 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 614652 Name T1019:U1 StartDate 2026-07-01 StopDate 2026-12-31 WeeklyMaxAuthorization 0 6 PatientAuthorizationChangesDetails - struct AuthorizationID 39797516 AuthorizationNumber 241501266-7 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 47933 Name Fidelis Care Discipline PatientAuthorizationChangesDetails - struct ID 15376 Name PCA EntirePeriodMaxAuthorization 2226.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 84 Hours/Week, 21 Hrs x 4 Days; Personal Care Aide-Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-742942502 FirstName Humberto ID 14360221 LastName Ordonez OfficeID 11876 UpdatedDate 2026-07-08T09:18:26.497 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 432391 Name T1019:U1 StartDate 2026-07-01 StopDate 2026-12-31 WeeklyMaxAuthorization 0 7 PatientAuthorizationChangesDetails - struct AuthorizationID 37363583 AuthorizationNumber 252662756-2 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 58291 Name Fidelis Care (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 280.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 20 Hours/Week, 4 Hrs x 5 Days; Personal Care Aide-Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-912370 FirstName Svetlana ID 16917680 LastName Khaytina OfficeID 11876 UpdatedDate 2026-07-08T09:19:33.21 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 614652 Name T1019:U1 StartDate 2026-04-01 StopDate 2026-07-06 WeeklyMaxAuthorization 0 8 PatientAuthorizationChangesDetails - struct AuthorizationID 39797685 AuthorizationNumber 252662756-3 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 58291 Name Fidelis Care (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 164.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 20 Hours/week; 4 Hrs x 5 Days; Personal Care Aide Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-912370 FirstName Svetlana ID 16917680 LastName Khaytina OfficeID 11876 UpdatedDate 2026-07-08T09:19:34.31 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 614652 Name T1019:U1 StartDate 2026-07-07 StopDate 2026-09-01 WeeklyMaxAuthorization 0 9 PatientAuthorizationChangesDetails - struct AuthorizationID 39797963 AuthorizationNumber 260492233-4 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 58291 Name Fidelis Care (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 619.50 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 23.5 Hours/Week, 4.5 Hrs x 1 Days, 4 Hrs x 1 Days, 3 Hrs x 5 Days; Per Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-914264 FirstName Luis ID 21004565 LastName Barinassanchez OfficeID 11876 UpdatedDate 2026-07-08T09:23:55.127 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 614652 Name T1019:U1 StartDate 2026-08-01 StopDate 2027-01-31 WeeklyMaxAuthorization 0 10 PatientAuthorizationChangesDetails - struct AuthorizationID 37363580 AuthorizationNumber 252662756-2 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 47933 Name Fidelis Care Discipline PatientAuthorizationChangesDetails - struct ID 15376 Name PCA EntirePeriodMaxAuthorization 280.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 20 Hours/Week, 4 Hrs x 5 Days; Personal Care Aide-Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-744848827 FirstName Svetlana ID 16555819 LastName Khaytina OfficeID 11876 UpdatedDate 2026-07-08T09:27:01.923 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 432391 Name T1019:U1 StartDate 2026-04-01 StopDate 2026-07-06 WeeklyMaxAuthorization 0 11 PatientAuthorizationChangesDetails - struct AuthorizationID 39797684 AuthorizationNumber 252662756-3 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 47933 Name Fidelis Care Discipline PatientAuthorizationChangesDetails - struct ID 15376 Name PCA EntirePeriodMaxAuthorization 164.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 20 Hours/week; 4 Hrs x 5 Days; Personal Care Aide Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-744848827 FirstName Svetlana ID 16555819 LastName Khaytina OfficeID 11876 UpdatedDate 2026-07-08T09:27:02.857 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 432391 Name T1019:U1 StartDate 2026-07-07 StopDate 2026-09-01 WeeklyMaxAuthorization 0 12 PatientAuthorizationChangesDetails - struct AuthorizationID 39203927 AuthorizationNumber 261472029-1 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 58291 Name Fidelis Care (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 110.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 17.5 Hours/Week, 2.5 Hrs x 7 Days; Personal Care Aide-Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-918804 FirstName Isaac ID 25829255 LastName Candocontento OfficeID 11876 UpdatedDate 2026-07-08T09:27:49.83 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 614652 Name T1019:U1 StartDate 2026-06-03 StopDate 2026-07-16 WeeklyMaxAuthorization 0 13 PatientAuthorizationChangesDetails - struct AuthorizationID 39295977 AuthorizationNumber 261560435-0 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 58291 Name Fidelis Care (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 197.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 42 Hours/Week, 7 Hrs x 2 Days, 6 Hrs x 4 Days, 4 Hrs x 1 Days; Persona Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-913989 FirstName Janine ID 20826016 LastName Davis OfficeID 11876 UpdatedDate 2026-07-08T09:28:19.613 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 614652 Name T1019:U1 StartDate 2026-06-04 StopDate 2026-07-06 WeeklyMaxAuthorization 0 14 PatientAuthorizationChangesDetails - struct AuthorizationID 39203926 AuthorizationNumber 261472029-1 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 47933 Name Fidelis Care Discipline PatientAuthorizationChangesDetails - struct ID 15376 Name PCA EntirePeriodMaxAuthorization 110.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 17.5 Hours/Week, 2.5 Hrs x 7 Days; Personal Care Aide-Level 2 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-746767670 FirstName Isaac ID 25822555 LastName Candocontento OfficeID 11876 UpdatedDate 2026-07-08T09:38:05.33 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 432391 Name T1019:U1 StartDate 2026-06-03 StopDate 2026-07-16 WeeklyMaxAuthorization 0 15 PatientAuthorizationChangesDetails - struct AuthorizationID 39797380 AuthorizationNumber HEALTHPLUS MEDICAID BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 15190 Name Cassena Care At Home / Centerlight CHHA DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 4.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 4.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 3994 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes YOUR REFERRAL: J. W. PATIENT INSURANCE IS MANAGED MEDICAID - HEALTHPLUS MEDICAID PRIMARY LANGUANGE: ENGLISH PATIENT WANTS TO BE SERVICE FROM 9AM TO 1PM PATIENT IS REQUESTING ENGLISH SPEAKING AIDE PMH: SIGNIFICANT FOR POLYSUBSTANCE ABUSE (LAST COCAINE USE FEBRUARY 2026), 40-YEAR HISTORY OF TOBACCO USE, DIABETES MELLITUS, HYPERTENSION, HYPERLIPIDEMIA, SCHIZOPHRENIA, AND ACTIVE SMOKING. PATIENT WAS RECENTLY DISCHARGED FROM A DRUG REHABILITATION FACILITY (CORNERSTONE). PATIENT IS A 64-YEAR-OLD FEMALE. PATIENT IS ALERT AND ORIENTED. VITAL SIGNS STABLE. DENIES CURRENT CHEST PAIN OR DIZZINESS. RESPIRATIONS EVEN AND UNLABORED. CARDIOVASCULAR STATUS STABLE POST-CABG. SURGICAL SITE HEALING APPROPRIATELY WITH NO SIGNS OF INFECTION NOTED. PATIENT AMBULATES WITH A WALKER UNDER SUPERVISION. DEMONSTRATES GENERALIZED WEAKNESS AND DECREASED ENDURANCE. PATIENT PRESENTED WITH ACUTE ONSET DIZZINESS DESCRIBED AS NEAR-SYNCOPE, FOLLOWED BY TRANSIENT CHEST PAIN THAT RESOLVED PRIOR TO EVALUATION. CARDIAC CATHETERIZATION REVEALED SEVERE TRIPLE-VESSEL CORONARY ARTERY DISEASE. A DECISION WAS MADE TO PROCEED WITH CORONARY ARTERY BYPASS GRAFTING (CABG). PATIENT UNDERWENT CABG X3 ON JUNE 8, 2026 WITHOUT COMPLICATIONS. POSTOPERATIVELY, PATIENT WAS TRANSFERRED TO CT ICU, INITIALLY INTUBATED AND PLACED ON PRIMACOR DRIP. PATIENT WAS SUBSEQUENTLY EXTUBATED, PRIMACOR DRIP WEANED OFF, AND SWAN-GANZ CATHETER REMOVED. PATIENT WAS STARTED ON LOPRESSOR, LASIX, ASPIRIN/PLAVIX, AND STATIN THERAPY. PATIENT PROGRESSED WELL WITH AMBULATION. CHEST TUBES, CENTRAL LINE, ARTERIAL LINE, AND FOLEY CATHETER WERE REMOVED PRIOR TO DISCHARGE. ENDOCRINOLOGY CONSULT WAS OBTAINED FOR BLOOD GLUCOSE MANAGEMENT. Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-211474 FirstName JACQUELINE ID 25892676 LastName WASHINGTON OfficeID 11876 UpdatedDate 2026-07-08T09:51:49.64 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 77979 Name HHA Hourly SpecificDateType No StartDate 2026-07-09 StopDate 2026-07-10 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 16 PatientAuthorizationChangesDetails - struct AuthorizationID 39295976 AuthorizationNumber 261560435-0 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 47933 Name Fidelis Care Discipline PatientAuthorizationChangesDetails - struct ID 15376 Name PCA EntirePeriodMaxAuthorization 197.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 42 Hours/Week, 7 Hrs x 2 Days, 6 Hrs x 4 Days, 4 Hrs x 1 Days; Persona Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-746444916 FirstName Janine ID 20824536 LastName Davis OfficeID 11876 UpdatedDate 2026-07-08T09:56:40.16 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 432391 Name T1019:U1 StartDate 2026-06-04 StopDate 2026-07-06 WeeklyMaxAuthorization 0 17 PatientAuthorizationChangesDetails - struct AuthorizationID 39797240 AuthorizationNumber 08500751 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2706 Name Girling Health Care Of New York DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 4.00 Monday 4.00 Saturday 0.00 Sunday 0.00 Thursday 4.00 Tuesday 4.00 Wednesday 4.00 Discipline PatientAuthorizationChangesDetails - struct ID 2148 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-08500751 FirstName DINA ID 25988091 LastName ALFARO OfficeID 11876 UpdatedDate 2026-07-08T09:57:45.79 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 72585 Name Rate1 SpecificDateType No StartDate 2026-07-08 StopDate 2026-07-20 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 18 PatientAuthorizationChangesDetails - struct AuthorizationID 39076798 AuthorizationNumber EHE637493 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 52580 Name VILLAGE CARE MLTC DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 3.00 Monday 3.00 Saturday 0.00 Sunday 0.00 Thursday 3.00 Tuesday 3.00 Wednesday 3.00 Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 45.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-917992 FirstName ANDRES ID 24537127 LastName MIRANDA OfficeID 11876 UpdatedDate 2026-07-08T10:49:16.93 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 24.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 496458 Name PCA Hourly NYC SpecificDateType No StartDate 2026-05-18 StopDate 2026-06-07 Weekday No Weekend No WeeklyMaxAuthorization 0 19 PatientAuthorizationChangesDetails - struct AuthorizationID 39797962 AuthorizationNumber 260492233-4 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 47933 Name Fidelis Care Discipline PatientAuthorizationChangesDetails - struct ID 15376 Name PCA EntirePeriodMaxAuthorization 619.50 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 23.5 Hours/Week, 4.5 Hrs x 1 Days, 4 Hrs x 1 Days, 3 Hrs x 5 Days; Per Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-746176511 FirstName Luis ID 20992082 LastName Barinassanchez OfficeID 11876 UpdatedDate 2026-07-08T11:07:36.033 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 432391 Name T1019:U1 StartDate 2026-08-01 StopDate 2027-01-31 WeeklyMaxAuthorization 0 20 PatientAuthorizationChangesDetails - struct AuthorizationID 37787633 AuthorizationNumber 2470509 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 52568 Name ANTHEM BCBS (INTEGRA)MLTC Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 1540.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-910013 FirstName Derek ID 15832932 LastName Curtis OfficeID 11876 UpdatedDate 2026-07-08T11:09:48.457 Period PatientAuthorizationChangesDetails - struct ID 2 Name Weekly ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 496384 Name PCA Hourly NYC SpecificDateType No StartDate 2026-03-01 StopDate 2026-07-31 Weekday No Weekend No WeeklyMaxAuthorization 70.00 21 PatientAuthorizationChangesDetails - struct AuthorizationID 39802045 AuthorizationNumber OP0652816995-6 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Dizziness and giddiness DiagnosisCode R42 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 52748 Name Healthfirst Discipline PatientAuthorizationChangesDetails - struct ID 15618 Name PCA EntirePeriodMaxAuthorization 1424.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 56:FH 9120518H FH Requested: 1/13/2026 FH Request Received: 1/20/2026 Pares, Asuncion CIN: WC62335Q PCA N CCDECISION AND ORDERThe Plan's determination to deny the request for an increase in the Appellant's personal care services authorization from 48 hours per week to an unspecified number of hours was not correct and is reversed.1. The Plan is directed to authorize personal care services to the Appellant in the amount of 56 hours per week. Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-112562875 FirstName ASUNCION ID 15056030 LastName PARES OfficeID 11876 UpdatedDate 2026-07-08T11:11:41.677 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 551985 Name T1019:U1 StartDate 2026-07-07 StopDate 2026-12-31 WeeklyMaxAuthorization 0 22 PatientAuthorizationChangesDetails - struct AuthorizationID 39802046 AuthorizationNumber OP0652816995-6 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Dizziness and giddiness DiagnosisCode R42 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 60530 Name Healthfirst (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 1424.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 56:FH 9120518H FH Requested: 1/13/2026 FH Request Received: 1/20/2026 Pares, Asuncion CIN: WC62335Q PCA N CCDECISION AND ORDERThe Plan's determination to deny the request for an increase in the Appellant's personal care services authorization from 48 hours per week to an unspecified number of hours was not correct and is reversed.1. The Plan is directed to authorize personal care services to the Appellant in the amount of 56 hours per week. Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-917342 FirstName ASUNCION ID 24022262 LastName PARES OfficeID 11876 UpdatedDate 2026-07-08T11:16:42.153 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 716636 Name T1019:U1 StartDate 2026-07-07 StopDate 2026-12-31 WeeklyMaxAuthorization 0 23 PatientAuthorizationChangesDetails - struct AuthorizationID 39803464 AuthorizationNumber MEDICAID BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 15190 Name Cassena Care At Home / Centerlight CHHA DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 4.00 Monday 4.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 4.00 Discipline PatientAuthorizationChangesDetails - struct ID 3994 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-211306 FirstName ROBIN ID 25887980 LastName GREEN OfficeID 11876 UpdatedDate 2026-07-08T11:39:56.06 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 77979 Name HHA Hourly SpecificDateType No StartDate 2026-07-10 StopDate 2026-07-22 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 24 PatientAuthorizationChangesDetails - struct AuthorizationID 39799102 AuthorizationNumber 0005410590 BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 262 Name Prime Home Health Services DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 5.00 Discipline PatientAuthorizationChangesDetails - struct ID 445 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-0000123390 FirstName REYNALDO ID 21466221 LastName FRANKEL OfficeID 11876 UpdatedDate 2026-07-08T12:08:42.957 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 241086 Name HHAHRPED SpecificDateType No StartDate 2026-07-22 StopDate 2026-07-22 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 25 PatientAuthorizationChangesDetails - struct AuthorizationID 39804705 AuthorizationNumber BBI024930 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified osteoarthritis, unspecified site DiagnosisCode M19.90 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 64774 Name VILLAGE CARE MAP DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 10.00 Monday 10.00 Saturday 10.00 Sunday 10.00 Thursday 10.00 Tuesday 10.00 Wednesday 10.00 Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 10.00 MonthlyMaxAuthorization 0 Notes HOLD T1019 PCA 7D x 10 H. Effective 4/16/2026 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-913754 FirstName JUAN ID 20679230 LastName CONTRERAS OfficeID 11876 UpdatedDate 2026-07-08T12:22:48.867 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 10.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 990930 Name PCA HOURLY NYC SpecificDateType No StartDate 2026-04-15 StopDate 2026-04-15 Weekday No Weekend No WeeklyMaxAuthorization 0 26 PatientAuthorizationChangesDetails - struct AuthorizationID 39804733 AuthorizationNumber BBI024930 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified osteoarthritis, unspecified site DiagnosisCode M19.90 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 64774 Name VILLAGE CARE MAP DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 10.00 Monday 10.00 Saturday 10.00 Sunday 10.00 Thursday 10.00 Tuesday 10.00 Wednesday 10.00 Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 10.00 MonthlyMaxAuthorization 0 Notes Hold auth sent for PCA 7D x 10 H, member was hospitalized on 04/23/2026. Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-913754 FirstName JUAN ID 20679230 LastName CONTRERAS OfficeID 11876 UpdatedDate 2026-07-08T12:24:47.063 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 10.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 990930 Name PCA HOURLY NYC SpecificDateType No StartDate 2026-04-23 StopDate 2026-04-23 Weekday No Weekend No WeeklyMaxAuthorization 0 27 PatientAuthorizationChangesDetails - struct AuthorizationID 39804773 AuthorizationNumber BBI024930 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified osteoarthritis, unspecified site DiagnosisCode M19.90 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 64774 Name VILLAGE CARE MAP DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 10.00 Monday 10.00 Saturday 10.00 Sunday 10.00 Thursday 10.00 Tuesday 10.00 Wednesday 10.00 Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 50.00 MonthlyMaxAuthorization 0 Notes PCA T1019 services 7D/10H (Mon-Sun) mbr is admitted on 5/3/2026 Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-913754 FirstName JUAN ID 20679230 LastName CONTRERAS OfficeID 11876 UpdatedDate 2026-07-08T12:27:38.557 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 50.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 990930 Name PCA HOURLY NYC SpecificDateType No StartDate 2026-04-29 StopDate 2026-05-03 Weekday No Weekend No WeeklyMaxAuthorization 0 28 PatientAuthorizationChangesDetails - struct AuthorizationID 38392011 AuthorizationNumber BBI024930 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified osteoarthritis, unspecified site DiagnosisCode M19.90 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 64774 Name VILLAGE CARE MAP DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 10.00 Monday 10.00 Saturday 10.00 Sunday 10.00 Thursday 10.00 Tuesday 10.00 Wednesday 10.00 Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 3280.00 MonthlyMaxAuthorization 0 Notes PCA T1019 services 7D/10H (Mon-Sun). Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-913754 FirstName JUAN ID 20679230 LastName CONTRERAS OfficeID 11876 UpdatedDate 2026-07-08T12:29:56.247 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 3280.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 990930 Name PCA HOURLY NYC SpecificDateType No StartDate 2026-05-08 StopDate 2027-03-31 Weekday No Weekend No WeeklyMaxAuthorization 0 29 PatientAuthorizationChangesDetails - struct AuthorizationID 39803866 AuthorizationNumber HEALTHFIRST MEDICARE BankedHours N BillingDiagnosisCodes [empty string] BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 15190 Name Cassena Care At Home / Centerlight CHHA DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 4.00 Monday 4.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 4.00 Discipline PatientAuthorizationChangesDetails - struct ID 3994 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes YOUR REFERAL G. E. PATIENT INSURANCE IS MANAGED MEDICARE - HEALTHFIRST MEDICARE PRIMARY LANGUAGE: ENGLISH CLINICAL SUMMARY:   69 Y0  PATIENT MUSCLE WEAKNESS/UNSTEADY GAIT, DURATION: ?, THE PATIENT RATES THE INTENSITY AS MAJOR, AGGRAVATING FACTORS: MOVING, ALLEVIATING FACTORS: RESTING/MEDICATIONS AND PREVIOUS TREATMENTS / HOSPITALIZATIONS: PRESENTLY ED FOR CHEST PAIN POST H/D /H/ D TUES/THUR/SAT AMBULATION: PATIENT AMBULATES DEPENDENT ON WALKER MENTAL STATUS: PATIENT IS A&OX3 WITH NO SIGNS OF DISORIENTATION, AGITATION, WANDERING, COMMUNICATION ISSUES, MEMORY DEFICITS, IMPAIRED JUDGMENT, PSYCHOSIS, OR AGGRESSION. BOWEL / BLADDER STATUS: PATIENT IS INCONTINENT OF BLADDER DOES NOT USE CATHETER AND CONTINENT OF BOWEL. PAST MEDICAL HISTORY: ESRD ON H/D HTN HLD HMUSCLE WEAKNESS HTN UNSTEADY GAIT. PAST SURGICAL HISTORY: L ARM AV SHUNT Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-211821 FirstName EDDIE ID 25904656 LastName GRAJALES OfficeID 11876 UpdatedDate 2026-07-08T13:15:37.9 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 77979 Name HHA Hourly SpecificDateType No StartDate 2026-07-10 StopDate 2026-07-24 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 30 PatientAuthorizationChangesDetails - struct AuthorizationID 39805104 AuthorizationNumber 13389885 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 4.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-10 StopDate 2026-07-10 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 31 PatientAuthorizationChangesDetails - struct AuthorizationID 39805105 AuthorizationNumber 13389888 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 4.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-15 StopDate 2026-07-15 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 32 PatientAuthorizationChangesDetails - struct AuthorizationID 39805108 AuthorizationNumber 13389889 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 4.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-16 StopDate 2026-07-16 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 33 PatientAuthorizationChangesDetails - struct AuthorizationID 39805109 AuthorizationNumber 13389892 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 4.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-21 StopDate 2026-07-21 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 34 PatientAuthorizationChangesDetails - struct AuthorizationID 39805110 AuthorizationNumber 13389893 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 4.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-22 StopDate 2026-07-22 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 35 PatientAuthorizationChangesDetails - struct AuthorizationID 39805199 AuthorizationNumber 13389886 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 4.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-13 StopDate 2026-07-13 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 36 PatientAuthorizationChangesDetails - struct AuthorizationID 39805278 AuthorizationNumber 13389890 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 4.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-17 StopDate 2026-07-17 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 37 PatientAuthorizationChangesDetails - struct AuthorizationID 39805356 AuthorizationNumber 13389891 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 4.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-20 StopDate 2026-07-20 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 38 PatientAuthorizationChangesDetails - struct AuthorizationID 39805478 AuthorizationNumber 13389887 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, right side DiagnosisCode M54.41 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Lumbago with sciatica, left side DiagnosisCode M54.42 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Difficulty in walking, not elsewhere classified DiagnosisCode R26.2 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 4.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-488628 FirstName AUDREY ID 25824128 LastName MATTOCKS OfficeID 11876 UpdatedDate 2026-07-08T14:32:36.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 52475 Name HHA1 SpecificDateType No StartDate 2026-07-14 StopDate 2026-07-14 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 39 PatientAuthorizationChangesDetails - struct AuthorizationID 37112359 AuthorizationNumber OP0705341553-2 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Primary generalized (osteo)arthritis DiagnosisCode M15.0 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 60530 Name Healthfirst (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 1092.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 42:Concurrent PCA services 42 hours per week Mon x 10 hours and Tue-Fri x 8 hours effective 02/01/2026-07/31/2026. HHAeXchange message received from People Care - NYC LHCSA Date: 01/27/2026 Original message: Hi, could you please update the member s profile with the authorization continuation effective 02/01/2026 Thank you. UM II SC Notes: Agency was advised that line item 2 has been added to Authorization OP0705341553 effective 02/01/2026-07/31/2026. Please allow 24-72 business hours to r Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-917307 FirstName MEDISIS ID 24016788 LastName PENA OfficeID 11876 UpdatedDate 2026-07-08T14:51:17.343 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 716636 Name T1019:U1 StartDate 2026-02-01 StopDate 2026-07-31 WeeklyMaxAuthorization 0 40 PatientAuthorizationChangesDetails - struct AuthorizationID 39810420 AuthorizationNumber 13395787 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:24.467 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-20 StopDate 2026-07-20 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 41 PatientAuthorizationChangesDetails - struct AuthorizationID 39810421 AuthorizationNumber 13395789 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:25.5 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-22 StopDate 2026-07-22 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 42 PatientAuthorizationChangesDetails - struct AuthorizationID 39810423 AuthorizationNumber 13395795 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:27.373 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-28 StopDate 2026-07-28 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 43 PatientAuthorizationChangesDetails - struct AuthorizationID 39810427 AuthorizationNumber 13395803 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:31.38 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-05 StopDate 2026-08-05 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 44 PatientAuthorizationChangesDetails - struct AuthorizationID 39810428 AuthorizationNumber 13395817 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:32.48 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-19 StopDate 2026-08-19 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 45 PatientAuthorizationChangesDetails - struct AuthorizationID 39810429 AuthorizationNumber 13395819 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:33.41 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-21 StopDate 2026-08-21 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 46 PatientAuthorizationChangesDetails - struct AuthorizationID 39810430 AuthorizationNumber 13395825 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:34.353 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-27 StopDate 2026-08-27 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 47 PatientAuthorizationChangesDetails - struct AuthorizationID 39810431 AuthorizationNumber 13395830 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:35.287 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-09-01 StopDate 2026-09-01 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 48 PatientAuthorizationChangesDetails - struct AuthorizationID 39810432 AuthorizationNumber 13395834 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:36.24 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-09-05 StopDate 2026-09-05 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 49 PatientAuthorizationChangesDetails - struct AuthorizationID 39810433 AuthorizationNumber 13395835 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:42:37.177 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-09-06 StopDate 2026-09-06 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 50 PatientAuthorizationChangesDetails - struct AuthorizationID 39810498 AuthorizationNumber 13395784 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:43:52.833 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-17 StopDate 2026-07-17 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 51 PatientAuthorizationChangesDetails - struct AuthorizationID 39810500 AuthorizationNumber 13395793 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:43:55.16 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-26 StopDate 2026-07-26 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 52 PatientAuthorizationChangesDetails - struct AuthorizationID 39810503 AuthorizationNumber 13395798 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:43:56.177 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-31 StopDate 2026-07-31 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 53 PatientAuthorizationChangesDetails - struct AuthorizationID 39810504 AuthorizationNumber 13395801 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:43:57.203 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-03 StopDate 2026-08-03 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 54 PatientAuthorizationChangesDetails - struct AuthorizationID 39810505 AuthorizationNumber 13395804 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:43:58.337 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-06 StopDate 2026-08-06 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 55 PatientAuthorizationChangesDetails - struct AuthorizationID 39810506 AuthorizationNumber 13395810 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:43:59.29 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-12 StopDate 2026-08-12 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 56 PatientAuthorizationChangesDetails - struct AuthorizationID 39810507 AuthorizationNumber 13395812 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:00.303 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-14 StopDate 2026-08-14 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 57 PatientAuthorizationChangesDetails - struct AuthorizationID 39810508 AuthorizationNumber 13395814 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:01.297 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-16 StopDate 2026-08-16 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 58 PatientAuthorizationChangesDetails - struct AuthorizationID 39810509 AuthorizationNumber 13395815 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:02.297 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-17 StopDate 2026-08-17 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 59 PatientAuthorizationChangesDetails - struct AuthorizationID 39810510 AuthorizationNumber 13395820 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:03.283 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-22 StopDate 2026-08-22 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 60 PatientAuthorizationChangesDetails - struct AuthorizationID 39810511 AuthorizationNumber 13395823 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:04.217 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-25 StopDate 2026-08-25 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 61 PatientAuthorizationChangesDetails - struct AuthorizationID 39810512 AuthorizationNumber 13395829 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:05.267 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-31 StopDate 2026-08-31 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 62 PatientAuthorizationChangesDetails - struct AuthorizationID 39810513 AuthorizationNumber 13395831 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:06.47 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-09-02 StopDate 2026-09-02 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 63 PatientAuthorizationChangesDetails - struct AuthorizationID 39810514 AuthorizationNumber 13395832 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:07.4 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-09-03 StopDate 2026-09-03 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 64 PatientAuthorizationChangesDetails - struct AuthorizationID 39810564 AuthorizationNumber 13395776 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:44:58.397 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-09 StopDate 2026-07-09 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 65 PatientAuthorizationChangesDetails - struct AuthorizationID 39810568 AuthorizationNumber 13395792 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:45:03.993 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-25 StopDate 2026-07-25 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 66 PatientAuthorizationChangesDetails - struct AuthorizationID 39810570 AuthorizationNumber 13395796 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:45:06.387 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-29 StopDate 2026-07-29 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 67 PatientAuthorizationChangesDetails - struct AuthorizationID 39810574 AuthorizationNumber 13395807 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:45:09.67 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-09 StopDate 2026-08-09 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 68 PatientAuthorizationChangesDetails - struct AuthorizationID 39810575 AuthorizationNumber 13395813 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:45:10.813 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-15 StopDate 2026-08-15 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 69 PatientAuthorizationChangesDetails - struct AuthorizationID 39810576 AuthorizationNumber 13395826 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:45:11.797 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-28 StopDate 2026-08-28 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 70 PatientAuthorizationChangesDetails - struct AuthorizationID 39810577 AuthorizationNumber 13395827 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:45:12.907 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-29 StopDate 2026-08-29 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 71 PatientAuthorizationChangesDetails - struct AuthorizationID 39810655 AuthorizationNumber 13395777 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:13.227 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-10 StopDate 2026-07-10 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 72 PatientAuthorizationChangesDetails - struct AuthorizationID 39810656 AuthorizationNumber 13395786 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:14.78 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-19 StopDate 2026-07-19 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 73 PatientAuthorizationChangesDetails - struct AuthorizationID 39810657 AuthorizationNumber 13395788 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:15.817 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-21 StopDate 2026-07-21 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 74 PatientAuthorizationChangesDetails - struct AuthorizationID 39810661 AuthorizationNumber 13395790 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:18.363 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-23 StopDate 2026-07-23 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 75 PatientAuthorizationChangesDetails - struct AuthorizationID 39810665 AuthorizationNumber 13395794 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:21.56 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-27 StopDate 2026-07-27 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 76 PatientAuthorizationChangesDetails - struct AuthorizationID 39810672 AuthorizationNumber 13395808 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:27.107 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-10 StopDate 2026-08-10 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 77 PatientAuthorizationChangesDetails - struct AuthorizationID 39810674 AuthorizationNumber 13395811 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:28.02 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-13 StopDate 2026-08-13 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 78 PatientAuthorizationChangesDetails - struct AuthorizationID 39810675 AuthorizationNumber 13395824 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:46:28.93 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-26 StopDate 2026-08-26 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 79 PatientAuthorizationChangesDetails - struct AuthorizationID 39810762 AuthorizationNumber 13395782 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 12.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:44.237 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-15 StopDate 2026-07-15 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 80 PatientAuthorizationChangesDetails - struct AuthorizationID 39810765 AuthorizationNumber 13395785 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:46.417 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-18 StopDate 2026-07-18 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 81 PatientAuthorizationChangesDetails - struct AuthorizationID 39810768 AuthorizationNumber 13395791 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:48.487 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-24 StopDate 2026-07-24 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 82 PatientAuthorizationChangesDetails - struct AuthorizationID 39810771 AuthorizationNumber 13395799 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:50.66 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-01 StopDate 2026-08-01 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 83 PatientAuthorizationChangesDetails - struct AuthorizationID 39810773 AuthorizationNumber 13395800 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:51.563 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-02 StopDate 2026-08-02 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 84 PatientAuthorizationChangesDetails - struct AuthorizationID 39810776 AuthorizationNumber 13395818 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:53.487 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-20 StopDate 2026-08-20 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 85 PatientAuthorizationChangesDetails - struct AuthorizationID 39810777 AuthorizationNumber 13395821 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:54.463 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-23 StopDate 2026-08-23 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 86 PatientAuthorizationChangesDetails - struct AuthorizationID 39810778 AuthorizationNumber 13395822 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:47:55.39 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-24 StopDate 2026-08-24 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 87 PatientAuthorizationChangesDetails - struct AuthorizationID 39810881 AuthorizationNumber 13395778 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:14.013 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-11 StopDate 2026-07-11 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 88 PatientAuthorizationChangesDetails - struct AuthorizationID 39810883 AuthorizationNumber 13395779 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:15 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-12 StopDate 2026-07-12 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 89 PatientAuthorizationChangesDetails - struct AuthorizationID 39810885 AuthorizationNumber 13395780 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 12.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:16.137 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-13 StopDate 2026-07-13 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 90 PatientAuthorizationChangesDetails - struct AuthorizationID 39810888 AuthorizationNumber 13395781 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:18.73 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-14 StopDate 2026-07-14 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 91 PatientAuthorizationChangesDetails - struct AuthorizationID 39810893 AuthorizationNumber 13395783 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:22.627 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-16 StopDate 2026-07-16 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 92 PatientAuthorizationChangesDetails - struct AuthorizationID 39810899 AuthorizationNumber 13395797 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 12.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:26.417 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-07-30 StopDate 2026-07-30 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 93 PatientAuthorizationChangesDetails - struct AuthorizationID 39810902 AuthorizationNumber 13395802 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:43.237 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-04 StopDate 2026-08-04 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 94 PatientAuthorizationChangesDetails - struct AuthorizationID 39810903 AuthorizationNumber 13395805 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:44.18 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-07 StopDate 2026-08-07 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 95 PatientAuthorizationChangesDetails - struct AuthorizationID 39810905 AuthorizationNumber 13395806 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 12.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:45.107 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-08 StopDate 2026-08-08 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 96 PatientAuthorizationChangesDetails - struct AuthorizationID 39810910 AuthorizationNumber 13395809 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:46.033 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-11 StopDate 2026-08-11 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 97 PatientAuthorizationChangesDetails - struct AuthorizationID 39810913 AuthorizationNumber 13395816 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 12.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:47.05 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-18 StopDate 2026-08-18 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 98 PatientAuthorizationChangesDetails - struct AuthorizationID 39810916 AuthorizationNumber 13395828 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 0.00 Monday 0.00 Saturday 0.00 Sunday 12.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:47.953 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-08-30 StopDate 2026-08-30 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 99 PatientAuthorizationChangesDetails - struct AuthorizationID 39810918 AuthorizationNumber 13395833 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - array 1 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Autistic disorder DiagnosisCode F84.0 IsPrimary Yes 2 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Unspecified intellectual disabilities DiagnosisCode F79 IsPrimary No 3 PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Hydrocephalus, unspecified DiagnosisCode G91.9 IsPrimary No BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 2568 Name Americare DailyMaxAuthorization PatientAuthorizationChangesDetails - struct Friday 12.00 Monday 0.00 Saturday 0.00 Sunday 0.00 Thursday 0.00 Tuesday 0.00 Wednesday 0.00 Discipline PatientAuthorizationChangesDetails - struct ID 760 Name HHA EntirePeriodMaxAuthorization 0 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes [empty string] Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-350837 FirstName JUSTIN ID 23889233 LastName WINSTON OfficeID 11876 UpdatedDate 2026-07-08T15:49:48.903 Period PatientAuthorizationChangesDetails - struct ID 1 Name Daily ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 104219 Name HHAPEDSV SpecificDateType No StartDate 2026-09-04 StopDate 2026-09-04 Weekday [empty string] Weekend [empty string] WeeklyMaxAuthorization 0 100 PatientAuthorizationChangesDetails - struct AuthorizationID 38391207 AuthorizationNumber OP0630980187-4 BankedHours N BillingDiagnosisCodes PatientAuthorizationChangesDetails - struct BillingDiagnosisCode PatientAuthorizationChangesDetails - struct AdmittingDiagnosis No Description Essential (primary) hypertension DiagnosisCode I10 IsPrimary Yes BlackOutDates [empty string] Contract PatientAuthorizationChangesDetails - struct ID 60530 Name Healthfirst (NYL) Discipline PatientAuthorizationChangesDetails - struct ID 1 Name PCA EntirePeriodMaxAuthorization 733.00 IsAdditionalRule No MaxUnits 0.00 MonthlyMaxAuthorization 0 Notes 28 Hours Per Week:Concurrent Authorization for PCA,28 total hours per week Patient PatientAuthorizationChangesDetails - struct AdmissionNumber NYL-916966 FirstName SONIA ID 23827928 LastName RICHARDS OfficeID 11876 UpdatedDate 2026-07-08T15:57:26.683 Period PatientAuthorizationChangesDetails - struct ID 3 Name Entire Period ProviderNumber [empty string] RemainingUnits 0.00 ServiceCode PatientAuthorizationChangesDetails - struct ID 716636 Name T1019:U1 StartDate 2026-05-01 StopDate 2026-10-31 WeeklyMaxAuthorization 0 Result PatientAuthorizationChangesDetails - struct Details [empty string] ErrorInfo PatientAuthorizationChangesDetails - struct ErrorID 0 ErrorMessage [empty string]

AuthorizationID	AuthorizationNumber	BankedHours	BillingDiagnosisCodes	BlackOutDates	Contract	Discipline	EntirePeriodMaxAuthorization	IsAdditionalRule	MaxUnits	MonthlyMaxAuthorization	Notes	Patient	Period	ProviderNumber	RemainingUnits	ServiceCode	StartDate	StopDate	WeeklyMaxAuthorization
39771975	OP0795943421-1	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 60530 Healthfirst (NYL)	ID Name 1 PCA	1495.00	No	0.00	0	35 hrs per week:PCA 35 HRS PER WEEK	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-918941 ALTAGRACIA 25985619 FUENTES 11876 2026-07-08T02:00:27.3	ID Name 3 Entire Period		0.00	ID Name 716636 T1019:U1	2026-07-06	2027-04-30	0
38404135	OP0652816995-5	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 60530 Healthfirst (NYL)	ID Name 1 PCA	456.00	No	0.00	0	48 hours per week:Concurrent Authorization for PCA 48 total hours per week	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-917342 ASUNCION 24022262 PARES 11876 2026-07-08T07:14:14.29	ID Name 3 Entire Period		0.00	ID Name 716636 T1019:U1	2026-05-01	2026-07-06	0
38404056	OP0652816995-5	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 52748 Healthfirst	ID Name 15618 PCA	456.00	No	0.00	0	48 hours per week:Concurrent Authorization for PCA 48 total hours per week	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-112562875 ASUNCION 15056030 PARES 11876 2026-07-08T07:39:24.163	ID Name 3 Entire Period		0.00	ID Name 551985 T1019:U1	2026-05-01	2026-07-06	0
39797116	0007831783	N	empty		ID Name 1253 Extended Home Care	ID Name 3612 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-0006024061 ARNJAY 25968913 BASSO 11876 2026-07-08T08:34:42.41	ID Name 1 Daily		0.00	ID Name 75997 Rate1	2026-08-05	2026-08-05	0
39797517	241501266-7	N	empty		ID Name 58291 Fidelis Care (NYL)	ID Name 1 PCA	2226.00	No	0.00	0	84 Hours/Week, 21 Hrs x 4 Days; Personal Care Aide-Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-914374 Humberto 21084076 Ordonez 11876 2026-07-08T09:16:48.84	ID Name 3 Entire Period		0.00	ID Name 614652 T1019:U1	2026-07-01	2026-12-31	0
39797516	241501266-7	N	empty		ID Name 47933 Fidelis Care	ID Name 15376 PCA	2226.00	No	0.00	0	84 Hours/Week, 21 Hrs x 4 Days; Personal Care Aide-Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-742942502 Humberto 14360221 Ordonez 11876 2026-07-08T09:18:26.497	ID Name 3 Entire Period		0.00	ID Name 432391 T1019:U1	2026-07-01	2026-12-31	0
37363583	252662756-2	N	empty		ID Name 58291 Fidelis Care (NYL)	ID Name 1 PCA	280.00	No	0.00	0	20 Hours/Week, 4 Hrs x 5 Days; Personal Care Aide-Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-912370 Svetlana 16917680 Khaytina 11876 2026-07-08T09:19:33.21	ID Name 3 Entire Period		0.00	ID Name 614652 T1019:U1	2026-04-01	2026-07-06	0
39797685	252662756-3	N	empty		ID Name 58291 Fidelis Care (NYL)	ID Name 1 PCA	164.00	No	0.00	0	20 Hours/week; 4 Hrs x 5 Days; Personal Care Aide Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-912370 Svetlana 16917680 Khaytina 11876 2026-07-08T09:19:34.31	ID Name 3 Entire Period		0.00	ID Name 614652 T1019:U1	2026-07-07	2026-09-01	0
39797963	260492233-4	N	empty		ID Name 58291 Fidelis Care (NYL)	ID Name 1 PCA	619.50	No	0.00	0	23.5 Hours/Week, 4.5 Hrs x 1 Days, 4 Hrs x 1 Days, 3 Hrs x 5 Days; Per	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-914264 Luis 21004565 Barinassanchez 11876 2026-07-08T09:23:55.127	ID Name 3 Entire Period		0.00	ID Name 614652 T1019:U1	2026-08-01	2027-01-31	0
37363580	252662756-2	N	empty		ID Name 47933 Fidelis Care	ID Name 15376 PCA	280.00	No	0.00	0	20 Hours/Week, 4 Hrs x 5 Days; Personal Care Aide-Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-744848827 Svetlana 16555819 Khaytina 11876 2026-07-08T09:27:01.923	ID Name 3 Entire Period		0.00	ID Name 432391 T1019:U1	2026-04-01	2026-07-06	0
39797684	252662756-3	N	empty		ID Name 47933 Fidelis Care	ID Name 15376 PCA	164.00	No	0.00	0	20 Hours/week; 4 Hrs x 5 Days; Personal Care Aide Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-744848827 Svetlana 16555819 Khaytina 11876 2026-07-08T09:27:02.857	ID Name 3 Entire Period		0.00	ID Name 432391 T1019:U1	2026-07-07	2026-09-01	0
39203927	261472029-1	N	empty		ID Name 58291 Fidelis Care (NYL)	ID Name 1 PCA	110.00	No	0.00	0	17.5 Hours/Week, 2.5 Hrs x 7 Days; Personal Care Aide-Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-918804 Isaac 25829255 Candocontento 11876 2026-07-08T09:27:49.83	ID Name 3 Entire Period		0.00	ID Name 614652 T1019:U1	2026-06-03	2026-07-16	0
39295977	261560435-0	N	empty		ID Name 58291 Fidelis Care (NYL)	ID Name 1 PCA	197.00	No	0.00	0	42 Hours/Week, 7 Hrs x 2 Days, 6 Hrs x 4 Days, 4 Hrs x 1 Days; Persona	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-913989 Janine 20826016 Davis 11876 2026-07-08T09:28:19.613	ID Name 3 Entire Period		0.00	ID Name 614652 T1019:U1	2026-06-04	2026-07-06	0
39203926	261472029-1	N	empty		ID Name 47933 Fidelis Care	ID Name 15376 PCA	110.00	No	0.00	0	17.5 Hours/Week, 2.5 Hrs x 7 Days; Personal Care Aide-Level 2	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-746767670 Isaac 25822555 Candocontento 11876 2026-07-08T09:38:05.33	ID Name 3 Entire Period		0.00	ID Name 432391 T1019:U1	2026-06-03	2026-07-16	0
39797380	HEALTHPLUS MEDICAID	N	empty		ID Name 15190 Cassena Care At Home / Centerlight CHHA	ID Name 3994 HHA	0	No	0.00	0	YOUR REFERRAL: J. W. PATIENT INSURANCE IS MANAGED MEDICAID - HEALTHPLUS MEDICAID PRIMARY LANGUANGE: ENGLISH PATIENT WANTS TO BE SERVICE FROM 9AM TO 1PM PATIENT IS REQUESTING ENGLISH SPEAKING AIDE PMH: SIGNIFICANT FOR POLYSUBSTANCE ABUSE (LAST COCAINE USE FEBRUARY 2026), 40-YEAR HISTORY OF TOBACCO USE, DIABETES MELLITUS, HYPERTENSION, HYPERLIPIDEMIA, SCHIZOPHRENIA, AND ACTIVE SMOKING. PATIENT WAS RECENTLY DISCHARGED FROM A DRUG REHABILITATION FACILITY (CORNERSTONE). PATIENT IS A 64-YEAR-OLD FEMALE. PATIENT IS ALERT AND ORIENTED. VITAL SIGNS STABLE. DENIES CURRENT CHEST PAIN OR DIZZINESS. RESPIRATIONS EVEN AND UNLABORED. CARDIOVASCULAR STATUS STABLE POST-CABG. SURGICAL SITE HEALING APPROPRIATELY WITH NO SIGNS OF INFECTION NOTED. PATIENT AMBULATES WITH A WALKER UNDER SUPERVISION. DEMONSTRATES GENERALIZED WEAKNESS AND DECREASED ENDURANCE. PATIENT PRESENTED WITH ACUTE ONSET DIZZINESS DESCRIBED AS NEAR-SYNCOPE, FOLLOWED BY TRANSIENT CHEST PAIN THAT RESOLVED PRIOR TO EVALUATION. CARDIAC CATHETERIZATION REVEALED SEVERE TRIPLE-VESSEL CORONARY ARTERY DISEASE. A DECISION WAS MADE TO PROCEED WITH CORONARY ARTERY BYPASS GRAFTING (CABG). PATIENT UNDERWENT CABG X3 ON JUNE 8, 2026 WITHOUT COMPLICATIONS. POSTOPERATIVELY, PATIENT WAS TRANSFERRED TO CT ICU, INITIALLY INTUBATED AND PLACED ON PRIMACOR DRIP. PATIENT WAS SUBSEQUENTLY EXTUBATED, PRIMACOR DRIP WEANED OFF, AND SWAN-GANZ CATHETER REMOVED. PATIENT WAS STARTED ON LOPRESSOR, LASIX, ASPIRIN/PLAVIX, AND STATIN THERAPY. PATIENT PROGRESSED WELL WITH AMBULATION. CHEST TUBES, CENTRAL LINE, ARTERIAL LINE, AND FOLEY CATHETER WERE REMOVED PRIOR TO DISCHARGE. ENDOCRINOLOGY CONSULT WAS OBTAINED FOR BLOOD GLUCOSE MANAGEMENT.	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-211474 JACQUELINE 25892676 WASHINGTON 11876 2026-07-08T09:51:49.64	ID Name 1 Daily		0.00	ID Name 77979 HHA Hourly	2026-07-09	2026-07-10	0
39295976	261560435-0	N	empty		ID Name 47933 Fidelis Care	ID Name 15376 PCA	197.00	No	0.00	0	42 Hours/Week, 7 Hrs x 2 Days, 6 Hrs x 4 Days, 4 Hrs x 1 Days; Persona	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-746444916 Janine 20824536 Davis 11876 2026-07-08T09:56:40.16	ID Name 3 Entire Period		0.00	ID Name 432391 T1019:U1	2026-06-04	2026-07-06	0
39797240	08500751	N	empty		ID Name 2706 Girling Health Care Of New York	ID Name 2148 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-08500751 DINA 25988091 ALFARO 11876 2026-07-08T09:57:45.79	ID Name 1 Daily		0.00	ID Name 72585 Rate1	2026-07-08	2026-07-20	0
39076798	EHE637493	N	empty		ID Name 52580 VILLAGE CARE MLTC	ID Name 1 PCA	0	No	45.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-917992 ANDRES 24537127 MIRANDA 11876 2026-07-08T10:49:16.93	ID Name 1 Daily		24.00	ID Name 496458 PCA Hourly NYC	2026-05-18	2026-06-07	0
39797962	260492233-4	N	empty		ID Name 47933 Fidelis Care	ID Name 15376 PCA	619.50	No	0.00	0	23.5 Hours/Week, 4.5 Hrs x 1 Days, 4 Hrs x 1 Days, 3 Hrs x 5 Days; Per	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-746176511 Luis 20992082 Barinassanchez 11876 2026-07-08T11:07:36.033	ID Name 3 Entire Period		0.00	ID Name 432391 T1019:U1	2026-08-01	2027-01-31	0
37787633	2470509	N	empty		ID Name 52568 ANTHEM BCBS (INTEGRA)MLTC	ID Name 1 PCA	0	No	1540.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-910013 Derek 15832932 Curtis 11876 2026-07-08T11:09:48.457	ID Name 2 Weekly		0.00	ID Name 496384 PCA Hourly NYC	2026-03-01	2026-07-31	70.00
39802045	OP0652816995-6	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 52748 Healthfirst	ID Name 15618 PCA	1424.00	No	0.00	0	56:FH 9120518H FH Requested: 1/13/2026 FH Request Received: 1/20/2026 Pares, Asuncion CIN: WC62335Q PCA N CCDECISION AND ORDERThe Plan's determination to deny the request for an increase in the Appellant's personal care services authorization from 48 hours per week to an unspecified number of hours was not correct and is reversed.1. The Plan is directed to authorize personal care services to the Appellant in the amount of 56 hours per week.	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-112562875 ASUNCION 15056030 PARES 11876 2026-07-08T11:11:41.677	ID Name 3 Entire Period		0.00	ID Name 551985 T1019:U1	2026-07-07	2026-12-31	0
39802046	OP0652816995-6	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 60530 Healthfirst (NYL)	ID Name 1 PCA	1424.00	No	0.00	0	56:FH 9120518H FH Requested: 1/13/2026 FH Request Received: 1/20/2026 Pares, Asuncion CIN: WC62335Q PCA N CCDECISION AND ORDERThe Plan's determination to deny the request for an increase in the Appellant's personal care services authorization from 48 hours per week to an unspecified number of hours was not correct and is reversed.1. The Plan is directed to authorize personal care services to the Appellant in the amount of 56 hours per week.	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-917342 ASUNCION 24022262 PARES 11876 2026-07-08T11:16:42.153	ID Name 3 Entire Period		0.00	ID Name 716636 T1019:U1	2026-07-07	2026-12-31	0
39803464	MEDICAID	N	empty		ID Name 15190 Cassena Care At Home / Centerlight CHHA	ID Name 3994 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-211306 ROBIN 25887980 GREEN 11876 2026-07-08T11:39:56.06	ID Name 1 Daily		0.00	ID Name 77979 HHA Hourly	2026-07-10	2026-07-22	0
39799102	0005410590	N	empty		ID Name 262 Prime Home Health Services	ID Name 445 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-0000123390 REYNALDO 21466221 FRANKEL 11876 2026-07-08T12:08:42.957	ID Name 1 Daily		0.00	ID Name 241086 HHAHRPED	2026-07-22	2026-07-22	0
39804705	BBI024930	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 64774 VILLAGE CARE MAP	ID Name 1 PCA	0	No	10.00	0	HOLD T1019 PCA 7D x 10 H. Effective 4/16/2026	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-913754 JUAN 20679230 CONTRERAS 11876 2026-07-08T12:22:48.867	ID Name 1 Daily		10.00	ID Name 990930 PCA HOURLY NYC	2026-04-15	2026-04-15	0
39804733	BBI024930	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 64774 VILLAGE CARE MAP	ID Name 1 PCA	0	No	10.00	0	Hold auth sent for PCA 7D x 10 H, member was hospitalized on 04/23/2026.	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-913754 JUAN 20679230 CONTRERAS 11876 2026-07-08T12:24:47.063	ID Name 1 Daily		10.00	ID Name 990930 PCA HOURLY NYC	2026-04-23	2026-04-23	0
39804773	BBI024930	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 64774 VILLAGE CARE MAP	ID Name 1 PCA	0	No	50.00	0	PCA T1019 services 7D/10H (Mon-Sun) mbr is admitted on 5/3/2026	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-913754 JUAN 20679230 CONTRERAS 11876 2026-07-08T12:27:38.557	ID Name 1 Daily		50.00	ID Name 990930 PCA HOURLY NYC	2026-04-29	2026-05-03	0
38392011	BBI024930	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 64774 VILLAGE CARE MAP	ID Name 1 PCA	0	No	3280.00	0	PCA T1019 services 7D/10H (Mon-Sun).	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-913754 JUAN 20679230 CONTRERAS 11876 2026-07-08T12:29:56.247	ID Name 1 Daily		3280.00	ID Name 990930 PCA HOURLY NYC	2026-05-08	2027-03-31	0
39803866	HEALTHFIRST MEDICARE	N	empty		ID Name 15190 Cassena Care At Home / Centerlight CHHA	ID Name 3994 HHA	0	No	0.00	0	YOUR REFERAL G. E. PATIENT INSURANCE IS MANAGED MEDICARE - HEALTHFIRST MEDICARE PRIMARY LANGUAGE: ENGLISH CLINICAL SUMMARY:   69 Y0  PATIENT MUSCLE WEAKNESS/UNSTEADY GAIT, DURATION: ?, THE PATIENT RATES THE INTENSITY AS MAJOR, AGGRAVATING FACTORS: MOVING, ALLEVIATING FACTORS: RESTING/MEDICATIONS AND PREVIOUS TREATMENTS / HOSPITALIZATIONS: PRESENTLY ED FOR CHEST PAIN POST H/D /H/ D TUES/THUR/SAT AMBULATION: PATIENT AMBULATES DEPENDENT ON WALKER MENTAL STATUS: PATIENT IS A&OX3 WITH NO SIGNS OF DISORIENTATION, AGITATION, WANDERING, COMMUNICATION ISSUES, MEMORY DEFICITS, IMPAIRED JUDGMENT, PSYCHOSIS, OR AGGRESSION. BOWEL / BLADDER STATUS: PATIENT IS INCONTINENT OF BLADDER DOES NOT USE CATHETER AND CONTINENT OF BOWEL. PAST MEDICAL HISTORY: ESRD ON H/D HTN HLD HMUSCLE WEAKNESS HTN UNSTEADY GAIT. PAST SURGICAL HISTORY: L ARM AV SHUNT	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-211821 EDDIE 25904656 GRAJALES 11876 2026-07-08T13:15:37.9	ID Name 1 Daily		0.00	ID Name 77979 HHA Hourly	2026-07-10	2026-07-24	0
39805104	13389885	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-10	2026-07-10	0
39805105	13389888	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-15	2026-07-15	0
39805108	13389889	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-16	2026-07-16	0
39805109	13389892	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-21	2026-07-21	0
39805110	13389893	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-22	2026-07-22	0
39805199	13389886	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-13	2026-07-13	0
39805278	13389890	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-17	2026-07-17	0
39805356	13389891	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-20	2026-07-20	0
39805478	13389887	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-488628 AUDREY 25824128 MATTOCKS 11876 2026-07-08T14:32:36.05	ID Name 1 Daily		0.00	ID Name 52475 HHA1	2026-07-14	2026-07-14	0
37112359	OP0705341553-2	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 60530 Healthfirst (NYL)	ID Name 1 PCA	1092.00	No	0.00	0	42:Concurrent PCA services 42 hours per week Mon x 10 hours and Tue-Fri x 8 hours effective 02/01/2026-07/31/2026. HHAeXchange message received from People Care - NYC LHCSA Date: 01/27/2026 Original message: Hi, could you please update the member s profile with the authorization continuation effective 02/01/2026 Thank you. UM II SC Notes: Agency was advised that line item 2 has been added to Authorization OP0705341553 effective 02/01/2026-07/31/2026. Please allow 24-72 business hours to r	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-917307 MEDISIS 24016788 PENA 11876 2026-07-08T14:51:17.343	ID Name 3 Entire Period		0.00	ID Name 716636 T1019:U1	2026-02-01	2026-07-31	0
39810420	13395787	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:24.467	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-20	2026-07-20	0
39810421	13395789	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:25.5	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-22	2026-07-22	0
39810423	13395795	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:27.373	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-28	2026-07-28	0
39810427	13395803	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:31.38	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-05	2026-08-05	0
39810428	13395817	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:32.48	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-19	2026-08-19	0
39810429	13395819	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:33.41	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-21	2026-08-21	0
39810430	13395825	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:34.353	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-27	2026-08-27	0
39810431	13395830	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:35.287	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-09-01	2026-09-01	0
39810432	13395834	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:36.24	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-09-05	2026-09-05	0
39810433	13395835	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:42:37.177	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-09-06	2026-09-06	0
39810498	13395784	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:43:52.833	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-17	2026-07-17	0
39810500	13395793	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:43:55.16	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-26	2026-07-26	0
39810503	13395798	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:43:56.177	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-31	2026-07-31	0
39810504	13395801	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:43:57.203	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-03	2026-08-03	0
39810505	13395804	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:43:58.337	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-06	2026-08-06	0
39810506	13395810	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:43:59.29	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-12	2026-08-12	0
39810507	13395812	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:00.303	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-14	2026-08-14	0
39810508	13395814	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:01.297	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-16	2026-08-16	0
39810509	13395815	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:02.297	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-17	2026-08-17	0
39810510	13395820	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:03.283	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-22	2026-08-22	0
39810511	13395823	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:04.217	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-25	2026-08-25	0
39810512	13395829	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:05.267	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-31	2026-08-31	0
39810513	13395831	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:06.47	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-09-02	2026-09-02	0
39810514	13395832	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:07.4	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-09-03	2026-09-03	0
39810564	13395776	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:44:58.397	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-09	2026-07-09	0
39810568	13395792	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:45:03.993	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-25	2026-07-25	0
39810570	13395796	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:45:06.387	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-29	2026-07-29	0
39810574	13395807	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:45:09.67	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-09	2026-08-09	0
39810575	13395813	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:45:10.813	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-15	2026-08-15	0
39810576	13395826	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:45:11.797	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-28	2026-08-28	0
39810577	13395827	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:45:12.907	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-29	2026-08-29	0
39810655	13395777	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:13.227	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-10	2026-07-10	0
39810656	13395786	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:14.78	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-19	2026-07-19	0
39810657	13395788	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:15.817	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-21	2026-07-21	0
39810661	13395790	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:18.363	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-23	2026-07-23	0
39810665	13395794	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:21.56	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-27	2026-07-27	0
39810672	13395808	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:27.107	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-10	2026-08-10	0
39810674	13395811	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:28.02	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-13	2026-08-13	0
39810675	13395824	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:46:28.93	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-26	2026-08-26	0
39810762	13395782	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:44.237	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-15	2026-07-15	0
39810765	13395785	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:46.417	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-18	2026-07-18	0
39810768	13395791	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:48.487	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-24	2026-07-24	0
39810771	13395799	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:50.66	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-01	2026-08-01	0
39810773	13395800	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:51.563	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-02	2026-08-02	0
39810776	13395818	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:53.487	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-20	2026-08-20	0
39810777	13395821	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:54.463	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-23	2026-08-23	0
39810778	13395822	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:47:55.39	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-24	2026-08-24	0
39810881	13395778	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:14.013	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-11	2026-07-11	0
39810883	13395779	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:15	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-12	2026-07-12	0
39810885	13395780	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:16.137	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-13	2026-07-13	0
39810888	13395781	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:18.73	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-14	2026-07-14	0
39810893	13395783	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:22.627	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-16	2026-07-16	0
39810899	13395797	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:26.417	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-07-30	2026-07-30	0
39810902	13395802	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:43.237	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-04	2026-08-04	0
39810903	13395805	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:44.18	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-07	2026-08-07	0
39810905	13395806	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:45.107	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-08	2026-08-08	0
39810910	13395809	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:46.033	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-11	2026-08-11	0
39810913	13395816	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:47.05	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-18	2026-08-18	0
39810916	13395828	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:47.953	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-08-30	2026-08-30	0
39810918	13395833	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 2568 Americare	ID Name 760 HHA	0	No	0.00	0		AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-350837 JUSTIN 23889233 WINSTON 11876 2026-07-08T15:49:48.903	ID Name 1 Daily		0.00	ID Name 104219 HHAPEDSV	2026-09-04	2026-09-04	0
38391207	OP0630980187-4	N	AdmittingDiagnosis Description DiagnosisCode IsPrimary empty empty empty empty		ID Name 60530 Healthfirst (NYL)	ID Name 1 PCA	733.00	No	0.00	0	28 Hours Per Week:Concurrent Authorization for PCA,28 total hours per week	AdmissionNumber FirstName ID LastName OfficeID UpdatedDate NYL-916966 SONIA 23827928 RICHARDS 11876 2026-07-08T15:57:26.683	ID Name 3 Entire Period		0.00	ID Name 716636 T1019:U1	2026-05-01	2026-10-31	0