chrg# cdsc cdept csrv cupr crev# 3095 med/surg, semi ... - CT.gov

9799917 TRANSFER FROM BAD DEBT TO A/R 0 0 9880
9799990 TRANSFER FROM A/R TO BAD DEBT 0 0 9880
9800012 SELF PAY B/D I/P ALLOWANCE 0 0 5050
9800020 SELF PAY B/D DISCOUNT 0 0 5050
9800400 B/D COMBINED ACCOUNT BALANCE 0 0 1215
9800806 B/D REFUND 0 0 1212
9800814 B/D VOIDED REFUND 0 0 1212
9801002 MEDICARE B/D O/P ALLOWANCE 0 0 5090
9801010 MEDICARE B/D I/P ALLOWANCE 0 0 5090
9801150 B/D PART B REBILL ALLOW 0 0 5090
9801507 SUPP STATE B/D O/P ALLOW 0 0 5130
9801515 SUPP STATE B/D I/P ALLOW 0 0 5130
9801531 SUPP BLUE CROSS B/D O/P ALLOW 0 0 5170
9801549 SUPP BLUE CROSS B/D I/P ALLOW 0 0 5170
9801564 SUPP TRICARE B/D O/P ALLOW 0 0 5210
9801572 SUPP TRICARE B/D I/P ALLOW 0 0 5210
9801598 SUPP COMMERCIAL B/D O/P ALLOW 0 0 5210
9801606 SUPP COMMERCIAL B/D I/P ALLOW 0 0 5210
9801770 RAC MEDICARE B/D I/P ALLOW 0 0 5090
9801788 RAC MEDICARE B/D O/P ALLOW 0 0 5090
9801804 H/L MEDICARE B/D O/P ALLOW 0 0 5090
9801812 H/L MEDICARE B/D I/P ALLOW 0 0 5090
9801903 H/L MCR RAC MED NEC BD OP 0 0 5210
9801911 H/L MCR RAC MED NEC BD IP 0 0 5210
9801929 H/L MCR RAC DRG BD OP 0 0 5210
9801937 H/L MCR RAC DRG BD IP 0 0 5210
9801952 H/L BD MCR AUTOMATED REVIEW DENIAL 0 0 5090
9801960 H/L BD MCR CERT AUDIT DENIAL 0 0 5090
9802000 MEDICAID B/D O/P ALLOW 0 0 5130
9802018 MEDICAID B/D I/P ALLOW 0 0 5130
9802109 MEDICAID MGD CARE B/D O/P ALLOW 0 0 5130
9802117 MEDICAID MGD CARE B/D I/P ALLOW 0 0 5130
9802786 MIC MEDICAID B/D I/P ALLOW 0 0 5130
9802794 MIC MEDICAID B/D O/P ALLOW 0 0 5130
9802802 H/L MEDICAID B/D O/P ALLOW 0 0 5130
9802810 H/L MEDICAID B/D I/P ALLOW 0 0 5130
9803008 BLUE CROSS B/D O/P ALLOW 0 0 5170
9803016 BLUE CROSS B/D I/P ALLOW 0 0 5170
9803800 H/L BLUE CROSS B/D O/P ALLOW 0 0 5170
9803818 H/L BLUE CROSS B/D I/P ALLOW 0 0 5170
9804006 COMMERCIAL B/D O/P ALLOWANCE 0 0 5210
9804014 COMMERCIAL B/D I/P ALLOWANCE 0 0 5210
9804808 H/L COMMERCIAL B/D O/P ALLOW 0 0 5210
9804816 H/L COMMERCIAL B/D I/P ALLOW 0 0 5210
9805003 SAGA B/D O/P ALLOWANCE 0 0 5250
9805011 SAGA B/D I/P ALLOWANCE 0 0 5250
9805805 H/L SAGA B/D O/P ALLOWANCE 0 0 5250