EP
Emily Parker
MRN: 123456
56 years old
Last contact: 2 days ago
Active
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Insurance Details
- Provider
- Aetna
- Policy Number
- 1231231
- Coverage Status
- Active
- Pre-authorization
- Approved for 20 sessions
Medical Information
- Primary Diagnosis
- Anorexia Nervosa (F50.0)
- Secondary Diagnosis
- Generalized Anxiety Disorder (F41.1)
- Medications
- Sertraline 50mg daily
- Allergies
- None reported
Billing Summary
Total Billed
$2,400
Insurance Paid
$1,920
Patient Balance
$480