1 of 278,981
Stage 10
Stage 1 · New Product Request
Stage 20
Stage 2 · Product delivery preparation
Stage 30
Stage 3 · Product Shipping / Scheduling
Stage 40
Stage 4 · Product Delivery Commenced / Concluded
Stage 50
Stage 5 · Post-Delivery Billing Phase
Patient photo
Bugs Bunnys
5/27/2024 16271 9/28/2025
Cerebral Palsy · PrimaryStroke · Secondary
Mailing address

Personal contacts — phone

Primary
M
B
B

Personal contacts — email

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2 sections need attention: Patient Portal and Intake form are incomplete for this record.

Created on 9/28/2025 · 10:30 AM Created by Philip

Stage status

9
Open
0
On hold
1
Closed

Patient status

0
Open
9
On hold
1
Closed

Billing status

5
Open
4
On hold
1
Closed
Request list
Request link list
Create copy of request
Req #UniqDateTypeDescriptionStagePay conditions Stage statusPatient statusBilling status
2776105/13/2026 Evaluationtest for lmn Stage 2 · Pre-EvaluationInsurance Pre-pay Open On hold Open
276395/9/2026 Product DeliveryLMN Test Stage 2 · ProductInsurance No-Prior Open On hold Open
257273/28/2026 EvaluationWT eval Stage 1 · New EvalSelf-Pay Away Open On hold Open
249963/14/2026 Repair RequestRepair Request Stage 1 · RepairSelf-Pay Away Open On hold On hold
248053/10/2026 Repair Request— —— Open On hold On hold
245543/2/2026 Repair Request— —MI Auto Insurance Open On hold On hold
239052/7/2026 Evaluation— —Self-Pay Away Open On hold On hold
238942/7/2026 Product DeliveryRabbit Brace Stage 2 · ProductSelf-Pay Away Open On hold Open
236521/31/2026 EvaluationLeft Bunny Ear Brace Stage 2 · Pre-EvaluationSelf-Pay Away Open On hold Open
276285/9/2026 EvaluationTest for intake form Stage 2 · Pre-EvaluationInsurance PA Closed Closed Closed
2 alternate addresses on file
Address
Shipping?
Billing?
Brian Steinberg Clinic Office
Comprehensive Prosthetics & Orthotics — St. John Office
St. John, IN 46373
bsteinberg@cpousa.com
Brian Steinberg Clinic Office
Comprehensive Prosthetics & Orthotics — St. John Office
St. John, IN 46373
bsteinberg@cpousa.com
Add a blank address
1

Contact 1

Guardian
Phone numbers
Email addresses
2

Contact 2

Not set
Phone numbers
Email addresses
Medical notes
Appointment schedule
Complete
Send fax
Complete
Send fax
Evaluation commenced
Complete
Send fax
Complete
Send fax
Complete
Send fax

Website note

· captured from web form View
The world is round. Will this save test asdflkasdf;lasdlfkaslkdflkasf Philip Muccio, CPO Neuro-prosthetist Customer Service/Tech Support Prosthetist-Orthotist President / Founder AxioBionics® 6111 Jackson Rd., Suite 200 Ann Arbor, MI 48103 Phone: 734-327-AXIO (2946) Fax: 734-800-3203 www.axiobionics.com philipmuccio@axiobionics.com Life-changing Medical InnovationsThe information contained in this electronic mail message and any attachments is intended only for the use of the individual or entity to whom it is addressed and may contain legally privileged, confidential information or work product. If the reader of this message is not the intended recipient, you are hereby notified that any use, dissemination, distribution, or forwarding of this email message is strictly prohibited. If you have received this message in error, please notify us at info@axiobionics.com immediately and delete the original message from your system. Thank you! HIPAA Compliance Notice: This electronic message and any attachments may contain health related information that is protected by federal and state laws and may be protected health information under HIPAA privacy law provisions. Dissemination or disposal of protected health information may be done only in compliance with HIPAA and other applicable law. This is a HIPAA-compliant email service offered by Axiobionics. test

Website note

· captured from web form View
test 2 dslfkasdlfkasd;lkflksda;fklsd;fklasdf;kl Most of the time it doesn't save the data. a.sdf.asmdf.,asdf.,msa.,dfm.,asmdf.,asd.f/asdf The US constitution.
CodeDescriptionInternal descriptionRelevantPrimarySecondary
M62.838 Other muscle spasm Traumatic Brain Injury Spasms Yes
M62.81 Muscle weakness (generalized) disuse muscle atrophy Yes
C4A.12 Merkel cell carcinoma of left eyelid, including canthus — No
5/13/2026
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Letter of medical necessity

Date LMN signed

Prescription

Revised Rx
Date Rx signed
5/9/2026
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Letter of medical necessity

Date LMN signed

Prescription

Revised Rx
Date Rx signed
5/9/2026
1
2
3
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1
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4

Letter of medical necessity

Date LMN signed

Prescription

Revised Rx
Date Rx signed
2/7/2026
1
2
3
4
1
2
3
4

Letter of medical necessity

Date LMN signed

Prescription

Revised Rx
Date Rx signed
2/7/2026
1
2
3
4
1
2
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4

Letter of medical necessity

Date LMN signed

Prescription

Revised Rx
Date Rx signed
Progress dashboard

Bugs Bunny

Created on May 31, 2026
Date of birth
05-27-2024
Diagnoses
Test, Spinal Cord Injury, Stroke, Multiple Sclerosis (MS), Traumatic Brain Injury, Brachial Plexus Injury, Hemispherectomy, Foot Drop, ALS (Lou Gehrig's Disease), Muscular Dystrophy, Cerebral Palsy
Date of injury
—
S

Baseline Summary

Compare intake baseline scores to the latest progress logging.

NeckRest pain
Baseline
2/10
▲ 400% increase
Latest
10/10
D

Diagnosis & Onset

Primary diagnosis
Test
Date of onset
—
C

Active Conditions Checklist

Diagnoses and conditions active for the patient at baseline.

Chronic PainActive condition
Spinal Cord InjuryActive condition
StrokeActive condition
Multiple Sclerosis (MS)Active condition
Traumatic Brain InjuryActive condition
Brachial Plexus InjuryActive condition
HemispherectomyActive condition
Foot DropActive condition
ALS (Lou Gehrig's Disease)Active condition
Muscular DystrophyActive condition
Cerebral PalsyActive condition
L

Baseline Detailed Logs

Per-region intake measurements and clinician notes recorded at baseline.

Tripleflex & Walkaide
Arms
Torso
Legs
Torso-Female
Abd/Scap Female
Torso-Male
Abd/Scap Male
Hands
Feet
Tracking
Trending

Request

Side

Arms

Print only this page
Patient visits & measurement sets
Measurement worksheet
Swelling assessment

Circumference tracking

Baseline is the first visit. Each later visit shows the change in circumference and the cross-sectional area versus baseline. Increases are shown in green, decreases in red.

Area  A = C² / 4π
Patient Portal access Invite the patient to activate their secure portal account.
Sent · 5/9/2026
Status: Invitation sent — awaiting patient activation. Invitations are emailed to the patient's primary address (philipmuccio@me.com).

Invitation send log

3 sends
DateTimeChannelSent toStatusSent by
5/9/20262:14 PM Email philipmuccio@me.comDeliveredPhilip Muccio
4/22/20269:03 AM Email philipmuccio@me.comOpenedFront desk
3/14/202611:48 AM Email philipmuccio@me.comSentFront desk
Patient intake form Send the intake form to the patient and track each response from the web form.

Patient intake data from web form

5 sends
SentReceivedEmailStatusIntake form
Apr 21, 2026Apr 21, 2026 philipmuccio@axiobionics.com Received No file attached
Mar 3, 2026— philipmuccio@axiobionics.com Awaiting —
Mar 1, 2026Mar 1, 2026 suresh.maas10@gmail.com Received
Feb 21, 2026— suresh.maas10@gmail.com Awaiting —
Feb 19, 2026— suresh.maas10@gmail.com Awaiting —
Diabetes
Heart Disease
High Blood Pressure
Kidney Disease
Liver Disease
COPD / Emphysema
Arthritis
Parkinson's Disease
Mental Health Condition
Cancer
In remission?
Seizure Disorder
On medication?
Under control?
Metal Implants in the Body
Cochlear Implant
Deep Brain Stimulation
Pregnancy
Polio
Varicose Veins
Blood Clots
Brain Impairments
Allergies to Adhesives
Other Medical Condition
Cardiac Demand Pacemaker

Describe all conditions checked YES, and any others not listed:

Treatments you have tried

Check each treatment the patient has tried, then rate how well it worked and any side effects.

Other treatments tried

Add any other treatment not listed above — as many as needed.

Primary insurance info

NPI 1528381258 Tax ID 27-0517839

Coverage / authorization type

select all that apply

Plan details

Insurance card

Upload frontJPG or PNG
Upload backJPG or PNG

Insurer phone numbers

Insurer email

Billing address

Secondary insurance info

NPI — Tax ID —

Coverage / authorization type

select all that apply

Plan details

Insurance card

Upload frontJPG or PNG
Upload backJPG or PNG

Insurer phone numbers

Insurer email

Billing address

Accident info

Device interest

Wearable Therapy
TripleFlex
WalkAide / FES
Orthotics
Summary
Invoices list

Insurance details

Insurance type & identifiers

Policy holder information

Copy patient data

Auto / Worker's Comp information

Enter Claim # — no need for Insurance ID #.

Patient condition related to
Is there another health benefit plan?*
Total items: 10
Active products
Inactive products
Pending products
Repair log

Office Notes

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Description filter clear
DateCategoryVisit typeDescriptionInsuranceCreated byActions
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DateTypePurposeInsuranceInvoice #ByActions

Patient shipping address

DirectionItem / descriptionCarrierTracking #Date shippedDate receivedRequest #Invoice #Actions

Supplies shipped

Date shipped Supply description Request # Invoice # Invoice cost Paid amount Date paid Shipper Date received Actions
Legacy supply notes (archived, read-only)
These older free-text notes are preserved from the previous system. New supplies are recorded as dated rows in the log above.

Case study & marketing release

Each row records a patient's consent for AxioBionics to use their case, images, or story in marketing and promotion. The signed agreement is stored as a PDF with the patient's signature and date signed.

Date signed Signed by Relationship Usage scope granted Status Signed agreement Obtained by Actions

Patients

IDNamePrimary DxPhoneLocationStatus

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Contacts

CompanyNameTypePhoneLocation

Invoices

Invoice #PatientDescriptionDOSTotal AmountPayments ReceivedStage

Payments

Deposit DateAmountQB Invoice IDsComments

Product Catalog

Cat #DescriptionCategoryCostInsurance PriceStatus