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

9940958 SEVEN CORNERS PAYMENT 0 0 1000
9940966 IMG PAYMENT 0 0 1000
9940974 GEHA PAYMENT 0 0 1000
9940982 MID WEST LIFE PYMT 0 0 1000
9941006 PSYCH BEACON HLTH STRATEGIES PMT 0 0 1000
9941014 CONNECTICARE PAYMENT 0 0 1000
9941022 FALLON COMM HLTH PAYMENT 0 0 1000
9941030 HARVARD PILGRIM PAYMENT 0 0 1000
9941048 PSYCH MHN (FOXWOODS) PAYMENT 0 0 1000
9941055 NASE PAYMENT 0 0 1000
9941063 TUFTS HEALTH PLAN PAYMENT 0 0 1000
9941071 WELLCARE PAYMENT 0 0 1000
9941089 COVENTRY HEALTH PAYMENT 0 0 1000
9941097 FIRST HEALTH PAYMENT 0 0 1000
9941105 HARVARD PILGRIM ACCESS AMERICA 0 0 1000
9941113 MAIN SENSE PAYMENT 0 0 1000
9941121 CHESTERFIELD RESOURCES PAYMENT 0 0 1000
9941139 EMPLOYEE BENEFIT CONCEPTS PAYMENT 0 0 1000
9941147 AFTRA PAYMENT 0 0 1000
9941170 COMMERCIAL INS/REGIST TO ENTER PMT 0 0 1000
9941188 COMMERCIAL/COMMERCIAL PAYMENT 0 0 1000
9941287 SSMF PAYMENT 0 0 1000
9942004 AUTO INSURANCE PAYMENT 0 0 1000
9942020 LIABILITY OTHER PAYMENT 0 0 1000
9942038 LIBERTY MUTUAL AUTO PAYMENT 0 0 1000
9942046 GEICO AUTO PAYMENT 0 0 1000
9942053 ALLSTATE AUTO INS PAYMENT 0 0 5210
9942509 TCORS AUTO PAYMENT 0 0 1000
9943028 WORKERS COMP PAYMENT 0 0 1000
9943036 WORKERS COMP DKH PAYMENT 0 0 1000
9943044 PRIME HEALTH PAYMENT 0 0 1000
9943051 WORKERS COMP OF RI 0 0 1000
9943069 ONE CALL MEDICAL PAYMENT 0 0 1000
9943077 BROADSPIRE SERVICES WC PYMT 0 0 1000
9943085 CHARTIS INSURANCE WC PAYMENT 0 0 1000
9943093 LIBERTY MUTUAL WC PAYMENT 0 0 1000
9943101 EMC INSURANCE WC PAYMENT 0 0 1000
9943119 ONE BEACON WC PAYMENT 0 0 1000
9943507 TCORS WC PAYMENT 0 0 1000
9944000 TRICARE PAYMENT 0 0 1000
9944018 CHAMPVA PAYMENT 0 0 1000
9944026 TRICARE SECONDARY PAYMENT 0 0 1000
9945015 EBPA PAYMENT 0 0 1000
9945023 DKH CIGNA PAYMENT 0 0 1000
9945031 MERITAIN HEALTH PAYMENT 0 0 1000
9945056 DKH ORTHONET PAYMENT 0 0 1000
9945064 DKH AIM PAYMENT 0 0 1000