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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 |