Data_Source|Patient_Type_PE|Site_of_Care_ID|Encounter_ID|Medical_Record_Number|Patient_Name_Prefix|Patient_First_Name|Patient_Middle_Name|Patient_Last_Name|Patient_Name_Suffix|Patient_Street_Address|Patient_Street_Address_2|Patient_City|Patient_State|Patient_Zip_Code|Patient_Birth_Date|Patient_Gender|Encounter_Date|Discharge_Date|Type_of_Visit|Point_of_Origin|Discharge_Status_Code|Total_Charges|Financial_Class_Code|Financial_Class_Name|Insurance_Plan_Code|Insurance_Plan_Name|ICD9_Primary_Dx_Code|ICD10_Primary_Dx_Code|POA_Flag|ICD9_Principal_Px_Code|ICD10_Principal_Px_Code|Admitting_Physician_ID|Admitting_Physician_NM|Attending_Provider_ID|Attending_Provider_NM|Operating_Provider_ID|Operating_Provider_NM|Referring_Provider_ID|Referring_Provider_NM|Primary_Care_Provider_ID|Primary_Care_Provider_NM|MSDRG_Code|Total_Reimbursement|Net_Income|Do_Not_Solicit|Marital_Status|Spoken_Language|Race_Code|Employer_Code|Email_Address|Home_Phone_Number|Cell_Phone_NumberEpic|O|22101|150512377|10419917||Carla|A|Starks||4215 LOON LOOP||BIG LAKE|MN|55309-9023|19840521|F|20230214|20230214|3|1|01|471|1|Commercial|100341|MEDICA||O47.1||||28938|SCHIRM, DANIELLE MARIE|28938|SCHIRM, DANIELLE MARIE|||||20096|LABOUNTY, ABBY RAE||-158|||Single|English|103|112917|
carla.merced@hotmail.com||763-482-7015Epic|O|10101|150512391|00106994||Janie|G|Kielty||272 JOHNSON AVE NW||COKATO|MN|55321-4634|19511031|F|20221228|20221228|3|1|01|252|2|Medicare|200000|MEDICARE A AND B||M17.12||||32450|DEIVARAJU, CHENTHURAN|300046|PLAZA F1|||||01138|MEYERHOFER, TAMMY||-90|||Married|English|105||
janie.kielty@yahoo.com||320-237-2906Epic|O|50134|150512401|11052954||Ivy|I|Herdering||18918 COUNTY ROAD 54||ALBANY|MN|56307-9314|20220415|F|20221226|||||634|10|Blue Shield|400003|BCBS||R05.1||||||31718|POPMA, EASTON JAY|||||50539|BREVER, LIBBY MARIE||634|||Single|English|105||||Epic|O|10101|150512404|00163329||Jeffrey|R|Jennings||14 WOODHILL RD||SAINT CLOUD|MN|56301-5131|19520410|M|20230109|20230109|3|1|30|14639|10|Blue Shield|400069|MR-BCBS MN||C25.0||||09012|JURGENS, DONALD J|11084|PLAZA, PIC LAB|||09012|JURGENS, DONALD J|08548|FLOREA, CAMELIA||-2492|||Married|English|105||
jeffjenn@jenningsins.com||320-267-4636Epic|O|80201|150512414|00762536||Marta|A|Fernandez||187 PAR DR SW||MELROSE|MN|56352-1511|19741223|F|20230102|20230102|3|1|30|966|1|Commercial|100844|MR-HEALTH PARTNERS||J84.9||||95731|KIM, HYUN JOO|401096|SAUK PULMONARY REHAB|||95731|KIM, HYUN JOO|50539|BREVER, LIBBY MARIE||-390|||Single|English|103||
alicia_pana2000@yahoo.com||320-282-0055Epic|O|20101|150512427|10570533||Victor|J|Martinez Marquez||204 1ST AVE S APT 1||FREEPORT|MN|56331|20191101|M|20221229|20221229|3|1|01|45|10|Blue Shield|400054|BLUE PLUS PMAP||Z23||||01212|CHMIELEWSKI, LINDSEY R|01212|CHMIELEWSKI, LINDSEY R|||||01212|CHMIELEWSKI, LINDSEY R||0|||Single|Spanish|103||||Epic|O|50112|150512438|10564281||Sydney|M|Janson||3978 MAYHEW LAKE RD NE||SAUK RAPIDS|MN|56379-9775|20191001|F|20230112|||||357|1|Commercial|100312|HEALTH PARTNERS||H66.004||||||06023|MINNERATH, DALE J|||||06075|AMSBERRY, JILL||357|||Single|English|105||||Epic|O|80201|150512453|00762536||Marta|A|Fernandez||187 PAR DR SW||MELROSE|MN|56352-1511|19741223|F|20230201|20230201|3|1|30|383|1|Commercial|100844|MR-HEALTH PARTNERS||J84.9||||95731|KIM, HYUN JOO|401096|SAUK PULMONARY REHAB|||95731|KIM, HYUN JOO|50539|BREVER, LIBBY MARIE||-155|||Single|English|103||
alicia_pana2000@yahoo.com||320-282-0055Epic|O|25101|150512467|00566879||Rebecca|M|Hiltner||17636 LAKEWOOD RD||EDEN VALLEY|MN|55329-1400|19790504|F|20221226|||||252|10|Blue Shield|400003|BCBS||K80.20||||||28956|POMPLUN, KRISTIN M|||||28956|POMPLUN, KRISTIN M||252|||Married|English|105|304|
rhiltner@evw.k12.mn.us||320-420-0364
