All American Home Health, Inc. Page: 1 Billing Status Report For Payor:Blue Cross of California From: 01/01/1999 to 05/16/1999 Today`s date: 05/16/1999 Serv. Last Not No Patient Name Type Billed Billed Billed Denied Charge ------------------------- ---- -------- -------- -------- -------- -------- ********** Blue Cross of California ********** Dow, John OT / / 7.25 8.00 0.00 0.00 Dow, John PT / / 6.25 8.00 0.00 0.00 Dow, John ST / / 6.25 4.00 0.00 0.00 Jackson, Michael OT 03/02/99 6.00 0.00 0.00 0.00 Jackson, Michael PT 03/02/99 8.00 0.00 0.00 0.00 Jackson, Michale ST 03/02/99 7.00 0.00 0.00 0.00 Smith, John OT / / 0.00 8.00 0.00 0.00 Smith, John PT / / 0.00 4.00 0.00 0.00 -------- -------- -------- -------- Totals 40.75 32.00 0.00 0.00 Total Not Billed = $ 2,415.00 Total Billed = $ 1,920.00 Total Denied = $ 0.00 Grand Total = $ 4,335.00