*2026-04-13 Disclosure Claim Data Report

Claim Number:42647461 Worker Name:MARK HOLAND Date Created:13-4-2026 1:05 PM

View Stream Health Care : MARK HOLAND - 42647461

Name Actual Cost Progress Decision Delivery Start End
Consultant - Office Visits (Core $0 Accepted 2026/01/22 2026/03/19
specialties)

Consultation, Limited, Physical Medicine $0 Accepted 2026/01/22 2026/03/19
Critical Incident Response Counselling $0 Accepted 2026/01/22 2026/03/19
Expedited CT Scan $0 Accepted 2026/01/22 2026/03/19
Expedited MRI $0 Accepted 2026/01/22 2026/03/19
Expedited Ultrasound $0 Accepted 2026/01/22 2026/03/19
Initial Care Visits and Key Forms $235.59 Accepted 2026/01/22 2026/03/20
Initial Info Requested by WorkSafeBC $158.22 Accepted 2026/01/22 2026/03/20
Interpretation and Translation Services $0 Accepted 2026/01/22 2026/03/19
PT - Initial Assessment $0 Accepted 2026/01/22 2026/03/20
PT - Telephone Consultation with Physio $0 Accepted 2026/01/22 2026/03/19
Consultant

Retro-active - Admin Use only $0 Accepted 2026/01/22 2026/03/19
Sign Language Services $0 Accepted 2026/01/22 2026/03/19
Worker Travel - Air Fare/Admin $0 Accepted 2026/01/22 2026/03/20
WORKSAFEBC EXPED SURGERY $0 Accepted 2026/01/22 2026/03/20
PREMIUM NO CHG QUALIFIER

WORKSAFEBC-PT FUNCTIONAL $0 Accepted 2026/01/22 2026/03/19

ABILITIES REPORT

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