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EOB
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Denial Management
AR Management
James Peterson
Administrator
21
Patient
Carl, Jason
Date
14/02/2017
Time
09:30 AM
Division
MH (Mental Health)
Program
Crisis Community
Program Unit
ICARE Tarrant
Admission Reason
Select
Screening
Elig Determination
Assessment
ECI Follow Along
Competency/Sanity Ev
Waiting for Services
Forensic Services
Service Delivery
Crisis
Court Ordered
Service Plan
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Group Therapy - Rehabilitation
Individual Therapy - Rehabilitation
Family Counselling - Family
Psych Testing - Testing
Intake Assessment - Evaluation
Payor
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United Health Care
Aetna
Cigna
Master Commercial
Service Item
Duration in Minutes
Visits
Total Units
Delivery Method
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Face-2 face
Telephonic
Recipient Code
Select
Cons, Coll, Waiv Pro
Collateral Only
Staff Only
Cons, Fam, Waiver Pr
Cons, Fam, Collatera
Employer
Consumer, Family/LAR
Family/LAR, Collater
Waiver Provider Only
Cons, Waiver Prov
Cons, Prim Care Give
Cons and Oth Collat
LAR without Consumer
Fam, Waiver Pr, Coll
Place of Service
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Bursing Home
Nursing Home
Community MH centre
Myakka Office
Center
Residential Group Home
Address
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678 LindaAvenue,Tallassee,FL.
PO Box 90876,Tampa, FL
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