| Document Date: 2013-06-26 15:36:44
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City SANTA MONICA / Tax / / Company INSURANCE INFORMATION Insurance Company / Neurography.com. / 5PM / The Neurography Institute / Mastercard / American Express / / Country United States / / Currency USD / / / Event Product Issues / / Facility COM PATIENT FINANCIAL RESPONSIBILITY The Neurography Institute / COM NOTICE OF OPT-OUT OF MEDICARE THE NEUROGRAPHY INSTITUTE / / / IndustryTerm bank cards / insurance claim submission / insurance plan / insurance / insurance benefits / beneficiary seeking services / facility services / health care services / supplemental insurance plans / insurance plans / insurance payment / insurance plan payment / insurance network / imaging / insurance providers / insurance card / insurance coverage / insurance submissions / drug infusion device / insurance billing / health insurance / services / post-processing / law enforcement / following medical services / medical services insurance authorization / supplemental insurance / possible insurance benefits / low paid insurance claim / insurance carrier / encryption technology / / MedicalCondition scar / Personal Injury / Injury / No Aneurysm / Worker Injury / pain / work-related injury / / MedicalTreatment body piercing / surgery / Cochlear implant / Pain Management / / NaturalFeature OCEAN PARK BLVD. / / Organization Internal Revenue Service / Neurography Institute / U.S. Securities and Exchange Commission / MEDICARE / Other / / / Position Attorney / custodian / Care Physician / physician / Referring Physician / Billing Specialist / Major / local insurance commissioner for proper payment and reimbursement review / Private / MRI technologist / / Product very strong magnetic field / / ProvinceOrState California / / Technology technology of MR Neurography / PDF / MRI / cellular telephone / using HIPPA-compliant encryption technology / /
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2716 OCEAN PARK BLVD., SUITE 3075, SANTA MONICA, CA[removed]PAIN-MRI[removed]NEUROGRAPHY.COM FAX[removed]