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Extension ID:
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10060_10
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Date Submitted:
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10/23/2018
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Current EP Expiration Date:
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11/03/2018
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Extension Length:
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90 DAYS
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Extension Expiration Date:
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02/03/19
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Estimated Amount:
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12,000
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Change in Circumstances:
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NO CHANGE IN PATIENT'S CIRCUMSTANCES. THIS PATIENT HAS
RENAL FAILURE FROM CHRONIC KIDNEY DISEASE.
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Justification for Extension:
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THIS PATIENT CONTINUES TO HAVE END STAGE RENAL FAILURE AND IS
IN NEED OF DIALYSIS.
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Result, if not Approved:
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WITHOUT ONGOING RENAL DIALYSIS, THIS PATIENT WILL BECOME SEPTIC AND EVENTUALLY DIE.
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Approval Status:
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Approved
10/26/2018
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Comments:
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