Image transcription text Claim Case Study 15.15

Image transcription text Claim Case Study 15.15 Patient: John O’Rourke Patient information, a diagnostic statement, and a procedural statement are provided; abstract the patient information and complete the claim. Copayment inform… Show more Image transcription text Claim Case Study 15.15 Patient: John O’Rourke Information About the Patient Name John O’Rourke Chart Number AA022 Sex M Birth Date 07/01/2002 Marital Status Single Address 3641 Mountain Ave. … Show more Image transcription text HEALTH INSURANCE CLAIM FORM CARRIER APPROVED BY NATIONAL UNIFORM CLAIM COMMITTEE (NUCCI 02/12 PICA 1. MEDICARE MEDICAID TRICARE CHAMPVA HEALTH PLAN OTHER 1a. IN… Show more SCIENCE HEALTH SCIENCE NURSING HIM 2223

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