for pain meds - documentation to obtain whirlpool spa from medicare via humana supplemental policy...

7/26/2019 For Pain Meds - Documentation to Obtain Whirlpool Spa from Medicare Via Humana Supplemental Policy June 20,

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Stan J. CaterboneADVANCED MEDIA GROUP

Freedom From Covert Harassment &

Srve!""an#e$%

Re!stered !n Penns'"van!a

1250 Fremont Street

Lancaster, PA 17603(((.am"oba"enteta!nmentro).#[email protected]

717-669-2163

!ne 21, 2016

Hmana Corres)onden#e O**!#eP.O. +o, -/0-

1e,!nton$ 23 04-56/0-

Re7 Pr#8ase and Insta""at!on *or 98!r")oo" +at8 :o A""ev!ate +a#; Pa!n

"ear #laims "e$artment,

%n A$ril 22, 2016 a n!rse arrive& at m' (ome )it( $(oto i&enti*ication *or m' t(ir& $art'+e&ical +atri (ealt( revie). (e n!rse became anno'e& an& starte& to (arass me. S(e e$t

tr'in/ to /et me to terminate t(e meetin/ )it(o!t contin!in/ t(e (ealt( revie), )(ic( &i& not&o. n o!r meetin/ &isc!sse& m' nee& *or )(irl$ool s$a treatments to (el$ alleviate m' bac

$ain. re$orte& to (er t(at once (a& an o!t&oor (ot t!b t(at )ore& miracles *or m' bac $ainan& recentl' contacte& t(e com$an' t(at sells an& installs t(e ste$-in )(irl$ool s$as. S(e

$romise& me t(at s(e )o!l& $ass t(is in*ormation alon/ to !mana an& t(e' )o!l& contact me.

A *e) )ees a/o calle& !mana an& t(e c!stomer service re$resentative &isclose& t(att(ere )as no recor& o* m' +e&ical +atri ealt( evie) in 'o!r recor&s. n a&&ition, calle& t(e

+e&icare (otline an& t(e' &isclose& t(at it is ver' liel' t(at 'o! )o!l& cover t(e $!rc(ase an&install o* a )(irl$ool s$a *or m' bat(room. nclose& is m' &oc!mentation *or 'o!r revie) an&

consi&erations *or m' claim. (ave incl!&e& me&ical re$orts, $rescri$tions o* $ain me&ications,an& $ro&!ct s$eci*ications. (e )(irl$ool s$a t(at selecte& is t(e onl' available s$a t(at )ill *it

in m' bat(room. +' (ome )as b!ilt in 1952 an& is a 1000 s4. *t. ro) (ome in Lancaster, Pa.

(e $!rc(ase $rice is 3,67.00. * nee& be, co!l& &o t(e install. Please contact me assoon as $ossible )it( 'o!r re$l'.

es$ect*!ll',

Stan J. Caterbone$ Pro Se 1!t!antADVANCED MEDIA GROUP

Freedom From Covert Harassment & Srve!""an#e$%

Re!stered !n Penns'"van!a

1250 Fremont Street

Lancaster, PA 17603))).am//lobalentetainment/ro!$.com

stancaterbone@/mail.com

717-669-2163
http://www.amgglobalentetainmentgroup.com/http://www.amgglobalentetainmentgroup.com/http://www.amgglobalentetainmentgroup.com/http://www.amgglobalentetainmentgroup.com/


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$2,967.00

2 BW Combination Bathtub | Watertech Whirlpools and Airbaths http://watertechtn.com/product/c6032-bw-combination

6/8/2016

Humana/Medicare Whirlpool Documentation Page 1 of 89 June 20, 2016


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$3,674.00 $4,213.00 $4,083.00


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$3,674.00

2 Elite Combination Bathtub | Watertech Whirlpools and Airbaths http://watertechtn.com/product/c6032-elite-combination

6/8/2016



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$5,055.00

$4,213.00 $4,413.00


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Medical File for Matrix Medical Page 65 of 106 Friday, April 22, 2016Medical File for Matrix Medical Appt. Page 65 of 106 Friday, April 22, 2016Medical File for Matrix Medical Nurse Page 64 of 142 Friday, April 22, 2016

Case 5:15-cv-03984-JCJ Document 47-1 Filed 05/01/16 Page 29 of 67



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Private Criminal Complaint re Pain Meds Page 17 of 49 Wednesday, January 27, 2016Humana/Medicare Whirlpool Documentation Page 23 of 89 June 20, 2016


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AOPC 411A-10 Page 1 of 2

COMMONWEALTH OF PENNSYLVANIA

COUNTY OF:

Magisterial District Number:

MDJ Name: Hon.

Address:

Telephone: ( )

Docket No.:

Date Filed:

OTN:

Notice: Under Pa.R.Crim.P. 506, your complaint may require approval by the attorney for the Commonwealth before it can beaccepted by the magisterial district court. If the attorney for the Commonwealth disapproves your complaint, you maypetition the court of common pleas for review of the decision of the attorney for the Commonwealth.

Fill in as much information as you have.

Defendants Race/Ethnicit

White BlackAsian Native AmericanHispanic Unknown

Defendants Sex

FemaleMale

Defendants D.O.B. Defendants SID (State Identification Number)

Defendants A.K.A. (also known as) Defendants Vehicle InformationPlate Number State Registration Sticker (MM/YY)

Defendants Drivers License NumberState

I,

(Name of Complainant-Please Print or Type)

do hereby state: (check appropriate box)

1. I accuse the above named defendant who lives at the address set forth above

I accuse the defendant whose name is unknown to me but who is described as

I accuse the defendant whose name and popular designation or nickname is unknown to me and whom I havetherefore designated as John Doe

with violating the penal laws of the Commonwealth of Pennsylvania at(Place-Political Subdivision)

in County on or about

Participants were: (if there were participants, place their names here, repeating the name of the above defendant)

PRIVATECRIMINAL COMPLAINT

COMMONWEALTH OF PENNSYLVANIA

VS.DEFENDANT:

NAME and ADDRESS

(Above to be completed by court personnel) (Fill in defendants name and address)

Private Criminal Complaint re Pain Meds Page 1 of 49 Wednesday, January 27, 2016

Southeast Medical Clinic at Brightside ChurchHershey AvenueLancaster, PA 17603

Patient First Urgent CareButler AvenueLancaster, PA 17601

Stanley J. Caterbone 1250 Fremont Street, Lancaster, PA 17603

x

Southeast Medical Clinic, Hershey Av

Lancaster, PA 17603 and Patient First Urgent Care on Butler Avenue, Lancaster, PA 17603

Lancaster County January 21, 2016

Dr. Theresa Jerrel of Patient First and Douglass Leahman, MD of Southeast Medical Clinic at

Brightside Church, Hersehy Avenue, Lancaster. Both did refuse to provide adequate medical c

and refuse to prescribe pain medications, the reason for the visits while also HARASSING ME!

Not Available Not Available

None Known

January 27, 2016 at 6:53am



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AOPC 411B-10 Page 2 of 2

Defendants Name:

Docket Number:

2. The acts committed by the accused were:(Set forth a summary of the facts sufficient to advise the defendant of the nature of the offense charged. A citation to the statute allegedly violated, without more,

is not sufficient. In a summary case, you must cite the specific section and subsection of the statute or ordinance allegedly violated. The age of the victim at the

time of the offense may be included, if known. In addition, social security numbers and financial information (e.g. PINS) should not be listed. If the identity

of an account number must be established, list only the last four digits. 204 Pa.Code 213.1 - 213.7.)

All of which were against the peace and dignity of the Commonwealth of Pennsylvania and contrary to the Act of

Assembly, or in violation of and(Section) (Subsection)

of the(PA Statute)

3. I ask that process be issued and that the defendant be required to answer the charges I have made.

4. I verify that the facts set forth in this complaint are true and correct to the best of my knowledge or information andbelief. This verification is made subject to the penalties of Section 4904 of the Crimes Code (18 Pa.C.S. 4904)

relating to unsworn falsification to authorities.

Office of the Attorney for the Commonwealth Approved Disapproved because:

(Name of Attorney for Commonwealth-Please Print or Type) (Signature of Attorney for Commonwealth) (Date)

AND NOW, on this date , I certify that the complaint has been properly completed and verified.

Signature of Complainant

(Magisterial District) (Issuing Authority)SEAL

PRIVATE

CRIMINAL COMPLAINT

Date

Private Criminal Complaint re Pain Meds Page 2 of 49 Wednesday, January 27, 2016

I have been seen by both Dr. Theresa Jerell and by Southeast Medical Clinic prior toJanuary 21, 2016 for the sole purpose of continuing my pain medications that werepreviously prescribed by Dr. Brian Sullivan of Abbeyville Family Clinic. Dr. Sullivanprescribed a regime of Naproxen and Hydrocodene, as evidenced on the Lancaster GeneralHospital Plastic Surgery Visit Summation of December 11, 2015. Both Dr. Jarell andDr. Leahman not only refused to provide pain prescriptions, but the also engaged ina whosale methodology of harassment akin to torture, given the severity of pain thatI am experiencing.

It is even more concerning that in the summer of 2015 I started this attempt at gaininpain medications to treat the severity of pain that I am experiencing. It is now,January27, 2016 and I am still trying to find a remedy to my pain. On a scale of One to Ten,asoften asked by the medical community, my pain is at least a ten. My pain gets so badthat at nights I cannot walk and must use a walker. On several tript to Harrisburg, tcontinue my efforts at getting Pennsylvania Legislative Support for my proposedAnti-Stalking and Harassment Legislation, I had to turn around and go home for notbeing able to walk.

The fact that Lancaster General Hospital is an ACTIVE DEFENDANT in an OPEN Case in botstate and federal courts, and considering thier NO TRESPASS NOTICE of 2010 that DENIESME ACCESS AND TREATMENT AT ANY LANCASTER GENERAL HOSPITAL AFFILIATED MEDICAL FACILITYDemonstrates that the only intention is to PROVIDE A MEANS OF DEALING WITH THEPAIN FROM TORTURE WITHOUT ADEQUATE MEDICAL CARE, WHICH CAN BE CONSTRUED AS ATTEMPTEDMURDER, at some level of the law.

to be completed at a later time

January 27, 2016 /S/ Stanley J. Caterbone



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PROTHONOTARY OF LANCASTER COUNTY

SolicProthonotary

George AlspKatherine Wood-Jacobs

STANLEY J CATERBONE

vs.

LANCASTER GENERAL HOSPITAL (et al.)

Case Number

CI-06-03349

PROTHONOTARY DOCKET ENTRIES

04/10/2006 COMPLAINT FILED BY STANLEY J. CATERBONE, PLAINTIFF, PRO SE

04/10/2006 CAPTION ENTRY IS: STANLEY J. CATERBONE (MA) VS LANCASTER GENERAL HOSPITAL, (M7)

ET AL

04/28/2006 AMENDED COMPLAINT FILED BY STANLEY J. CATERBONE, PRO SE. CERTIFICATE OF SERVICE

OF SAME.

04/28/2006 AMENDED CAPTION ENTRY IS: STANLEY J. CATERBONE VS DR. EMILY PRESSLEY, PSYCHIATRIC

DEPARTMENT AND LANCASTER GENERAL HOSPITAL.

05/16/2006 PRAECIPE-ENTER APPEARANCE ON BEHALF OF DEFENDANTS, DR. EMILY PRESSLEY AND

LANCASTER GENERAL HOSPITAL. FILED BY MEGAN R. FORD, ESQ. CERTIFICATE OF SERVICE

OF SAME.

01/12/2007 MOTION FOR CONTINUANCE FILED BY: STANLEY J. CATERBONE, PRO SE. CERTIFICATE OF

SERVICE OF THE SAME.

04/03/2007 JUDGMENT-NON PROS PRAECIPE FOR JUDGMENT OF NON PROS ENTERED AGAINST

PLAINTIFF PURSUANT TO PA.R.C.P. 1037(B), FILED BY STANLEY J. CATERBONE, PLAINTIFF.

04/12/2007 PRELIMINARY OBJECTIONS OF DEFENDANTS TO COMPLAINT PURSUANT TO RULE 1028 (A)(1)

AND RULE 1028(A)(4) OF THE PENNSYLVANIA RULES OF CIVIL PROCEDURE. FILED BY: MEGAN R.

FORD, ESQ. CERTIFICATE OF SERVICE OF THE SAME.

04/13/2007 PRELIMINARY OBJECTIONS OF DEFENDANTS TO AMENDED COMPLAINT PURSUANT TO RULE

1028(a)(1) AND RULE 1028(a)(4) OF THE PENNSYLVANIA RULES OF CIVIL PROCEDURE WITHCERTIFICATE OF SERVICE. FILED BY: MEGAN R. FORD, ESQ. (SENT TO BUSINESS JUDGE

MADENSPACHER APRIL 17, 2007)

04/16/2007 JUDGMENT-NON PROS PURSUANT TO PA.R.C.P. 1037(B) FILED BY STANLEY J. CATERBONE, PRO

SE.

04/18/2007 ORDER ISSUING RULE FILED. AND NOW, UPON CONSIDERATION OF THE ATTACHED

DEFENDANTS' PRELIMINARY OBJECTIONS TO AMENDED COMPLAINT PURSUANT TO RULE

1028(a)(4) OF THE PENNSYLVANIA RULES OF CIVIL PROCEDURE, IT IS THIS 18 DAY OF APRIL,

2007, HEREBY ORDERED THAT: 1. A RULE IS ISSUED UPON PLAINTIFF TO SHOW CAUSE WHY

DEFENDANTS NOT ENTITLED TO THE RELIEF REQUESTED PURSUANT TO THE PRELIMINARY

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