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EOB
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Denial Management
AR Management
James Peterson
Administrator
21
SERVICE PLAN ID
0097987987
APPOINTMENT ID
0076783
PATIENT NAME
Carl, Jason
MRN
007867
Service Plan status
Individual/Family
Payor Code
00834245-SWE007886768
Payor Name
Aetna
Eligibility Check
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Service Item
Group Therapy - Rehabilitation
Duration in Minutes
30
Visits
1
Total Units
3
Delivery Method
Face-2 face
Recipient Code
Cons, Coll, Waiv Pro
Place of Service
Bursing Home
Address
678 Tallassee,FL
Axis
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Axis
Description
Primary / Secondary
Axis I
Anxiety
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Primary
Secondary
Diagnosis
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Type
Code
Description
Delete
ICD-9
311
Mild Depression (Disorder)
Procedures
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Code
Description
Units
Charges
Amount
Delete
90820
Psychotheraphy 30 Minutes
$125.00
$375.00
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