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Your Inquiry Details
Date Received: 10-13-2010 From: Bed Match/Admit Notification Form
Inquiry #: 10132010-5660687-010000 Subject: REFERRAL
Member Name: SUSAN ASLAN
Inquiry Message:

HARTFORD HOSPITAL - 10132010 - 12:49:08 ET-------------------------
Member Name: SUSAN ASLAN
Provider ID: 123456
Bed Match/Admit Notification Form

CUSTOMER SERVICE - 10132010 - 00:00:00 ET-------------------------
Member Name: SUSAN ASLAN
Provider ID: 123456
Bed Match/Admit Notification Form
Referral #: 01-101310-2-36-1


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