Occupational therapy clinic
Ironbridge Fields Occupational Therapy · Occupational therapy clinic · Bellingham, WA
Quinn Chatterjee is the clinic manager at Ironbridge Fields Occupational Therapy, and moves every new patient from the first call through insurance, paperwork and the evaluation, keeping the diagnosis, phone and member ID shut away from the assistant.
Use this templateIntake board
IntakesCalla Rydell
Ignatius Okwuosa
Wilhelmina Haverbrook
Tobiah Tennyson-Cole
Marisela Delacroix-Ade
Cormac Pettigrew
Anneke Lindqvist-Amoah
Desmond Fairbairn
Philomena Szymanski-Orr
Lorcan Vandermolen
Sunniva Aldridge-Nair
Evander Kowalczuk-Reid
Odessa Montgomery-Eze
Rhys Brightwater-Lu
Katarzyna Wojciechowska-Paz
Ambrose Castellano-Boyd
Thessaly Whitlock-Adebayo
Barnaby Osterhaus
Imogen Marchetti-Nkosi
Leopold Ravenscroft
Yolanda Ndiaye-Fenwick
Augustin Blomquist
Persephone Trevanion-Shah
Emrys Dellacroce
Delphine Pemberton-Ito
Joaquin Valderrama-Klein
Maribeth Underhill-Mensah
Ferdinand Rostropovich
Tables
Intakes
30 sample rows · 20 columnsEveryone who has called, been referred or walked in, from first contact to a booked evaluation and the first visit.
| Patient | Intake number | Reason for therapy | Came to us through | Referred by | Where they are | Date of birth |
|---|---|---|---|---|---|---|
| Tobiah Tennyson-Cole | IFO-26-104 | Marrow Creek Cannery | Apr 7, 1991 | |||
| Calla Rydell | IFO-26-101 | Dr. Lysander Okonjo-Bright, hand surgery | Jan 1, 1960 | |||
| Ignatius Okwuosa | IFO-26-102 | Harbor View Pediatrics | Jun 12, 2019 | |||
| Wilhelmina Haverbrook | IFO-26-103 | Lakeway Neurology Associates | Nov 23, 1958 | |||
| Marisela Delacroix-Ade | IFO-26-105 | Skagit Hollow Elementary School | Sep 18, 2014 | |||
| Cormac Pettigrew | IFO-26-106 | — | Feb 2, 1995 | |||
| Anneke Lindqvist-Amoah | IFO-26-107 | Harbor View Pediatrics | Jul 13, 2019 | |||
| Philomena Szymanski-Orr | IFO-26-109 | Pellam Bridge Warehousing | May 8, 1980 | |||
| Desmond Fairbairn | IFO-26-108 | Lakeway Neurology Associates | Dec 24, 1948 | |||
| Lorcan Vandermolen | IFO-26-110 | Fennimore Family Medicine | Oct 19, 1941 | |||
| Sunniva Aldridge-Nair | IFO-26-111 | Dr. Lysander Okonjo-Bright, hand surgery | Mar 3, 1994 | |||
| Rhys Brightwater-Lu | IFO-26-114 | Tidewater Case Management | Jun 9, 1992 |
Payers
6 sample rows · 7 columnsThe insurers and funds patients bring, with the copay and the authorization each one needs.
| Payer | Plan type | Copay per visit | Needs prior authorization | Visits covered a year | Patients |
|---|---|---|---|---|---|
| Evergreen Medicare Advantage | $20 | No | 36 | Wilhelmina Haverbrook, Desmond Fairbairn, Lorcan Vandermolen, Odessa Montgomery-Eze, Barnaby Osterhaus, Augustin Blomquist, Delphine Pemberton-Ito | |
| Northfork Mutual PPO | $30 | Yes | 40 | Calla Rydell, Cormac Pettigrew, Evander Kowalczuk-Reid, Ambrose Castellano-Boyd, Nerys Ouellette-Sharma, Yolanda Ndiaye-Fenwick, Joaquin Valderrama-Klein | |
| Railbridge Workers' Compensation Fund | $0 | Yes | 24 | Tobiah Tennyson-Cole, Philomena Szymanski-Orr, Rhys Brightwater-Lu, Imogen Marchetti-Nkosi, Emrys Dellacroce, Ferdinand Rostropovich | |
| Self-pay | $95 | No | 0 | Katarzyna Wojciechowska-Paz, Leopold Ravenscroft | |
| Summit Pacific HMO | $25 | Yes | 30 | Ignatius Okwuosa, Sunniva Aldridge-Nair, Thessaly Whitlock-Adebayo, Caspian Hargreave, Persephone Trevanion-Shah | |
| Tri-County Medicaid Managed Care | $0 | Yes | 24 | Marisela Delacroix-Ade, Anneke Lindqvist-Amoah, Maribeth Underhill-Mensah |
Referrers
8 sample rows · 5 columnsThe doctors' offices, schools and employers who send patients our way.
| Referrer | Kind | Office phone | Referrals sent |
|---|---|---|---|
| Dr. Lysander Okonjo-Bright, hand surgery | (360) 555-01140 | Calla Rydell, Sunniva Aldridge-Nair, Ambrose Castellano-Boyd, Yolanda Ndiaye-Fenwick | |
| Fennimore Family Medicine | (360) 555-01141 | Lorcan Vandermolen, Delphine Pemberton-Ito | |
| Harbor View Pediatrics | (360) 555-01147 | Ignatius Okwuosa, Anneke Lindqvist-Amoah, Thessaly Whitlock-Adebayo, Persephone Trevanion-Shah, Maribeth Underhill-Mensah | |
| Lakeway Neurology Associates | (360) 555-01142 | Wilhelmina Haverbrook, Desmond Fairbairn, Odessa Montgomery-Eze, Barnaby Osterhaus, Augustin Blomquist | |
| Marrow Creek Cannery | (360) 555-01144 | Tobiah Tennyson-Cole, Imogen Marchetti-Nkosi | |
| Pellam Bridge Warehousing | (360) 555-01145 | Philomena Szymanski-Orr, Emrys Dellacroce | |
| Skagit Hollow Elementary School | (360) 555-01143 | Marisela Delacroix-Ade, Evander Kowalczuk-Reid, Caspian Hargreave | |
| Tidewater Case Management | (360) 555-01146 | Rhys Brightwater-Lu, Ferdinand Rostropovich |
Also included
- Waiting on an insurance check
- New patientTells the intake coordinator the moment a new patient arrives so someone calls back that day.
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