Service Date |
Service |
Patient |
MRN |
Company |
Location |
Cost Center |
Payor |
Form Type |
Provider |
|
---|---|---|---|---|---|---|---|---|---|---|
14/02/2017 | Group Therapy - Rehabilitation | Carl, Jason | 007867 | Centre for Mental Health & Dependency | Myakka Main Centre | Residential | Aetna | CMS 1500 | Stephen Conversion, Cregar | |
22/12/2016 | Family Counselling - Family | Bob Smith | 003245 | Centre for Mental Health & Dependency | Myakka Main Centre | Residential | United Health Care | CMS 1500 | Annette Dejesus | |
23/12/2016 | Intake Assessment | Mark, Grand | 001243 | Centre for Mental Health & Dependency | Arcadia Community Center | Mental Health | Cigna | CMS 1500 | Julie Conversion, Laughlin | |
24/12/2016 | Individual Therapy | James Miller | 002543 | Centre for Mental Health & Dependency | 122 State Street Home | Dependency | Master Commercial | CMS 1500 | Tara Drysdale | |
14/02/2017 | Group Therapy - Rehabilitation | Carl, Jason | 007867 | Centre for Mental Health & Dependency | Myakka Main Centre | Residential | Aetna | 837 P | Stephen Conversion, Cregar |