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

H/L SAGA ADMINISTRATION 0 0
H/L SAGA PATIENT/MEMEBER 0 0
H/L MCR AUTO REVIEW 0 DENY 0
H/L MCR CERT AUDIT 0DENIAL
0
SNF CONTR COMM -130 ALLOW -130
OCC HEALTH ALLOWANCE 0 0
BCCG ALLOWANCE-14 -14
DEARY MAMMO FUND -48 ALLOW-48
HOMECARE PT ALLOWANCE -1 -1
HOMECARE NON DKH 0 ALLOW 0
HOSPICE ALLOWANCE -4 -4
HOSPICE NON DKH ALLOW 0 0
MISC SCHOOL BEHAVE 0 HLTH 0
PSYCH BEACON HLTH -1ALLOW
-1
CONNECTICARE ALLOW -298 -298
FALLON COMM HLTH -15ALLOW
-15
HARVARD PILGRIM -52 ALLOW -52
PSYCH MHN-FOXWOODS -8 ALLOW-8
NASE ALLOWANCE 0 0
TUFTS HEALTH PLAN -17ALLOW
-17
WELLCARE ALLOWANCE 0 0
COMMERCIAL INS ALLOW -31 -31
COMM / COMM ALLOW 0 0
AUTO INSURANCE ALLOW -9 -9
ALLSTATE AUTO INS ALLOW 0 0
LIABILITY OTHER ALLOW 0 0
RURAL CARRIERS BENE -5 ALLOW -5
SSMG ALLOWANCE 0 0
WORKERS COMP ALLOW -102 -102
WORKERS COMP DKH -3ALLOW
-3
PRIME HEALTH ALLOW0 0
TRICARE ALLOWANCE -155 -155
CHAMPVA ALLOW -4 -4
EBPA ALLOWANCE 0 0
EMPLOYEE HEALTH -21 DKH ALLOW-21
MERITAIN HEALTH ALLOW 0 0
DKH CIGNA ALLOWANCE -502 -502
GEHA ALLOWANCE -1 -1
DKH ORTHONET ALLOW 0 0
DKH AIM ALLOW 0 0
PIP DKH CIGNA BEHAV 0 ALLOW 0
MEGA LIFE (STUDENT) -10 ALLOW-10
MEGA LIFE & HEALTH 0ALLOW
0
MOHEGAN TRIBAL ALLOW -7 -7
HARVARD PILGRIM -24 ACCESS AL-24
SRC AETNA COMPANY -1 ALLOW -1
TIME INSURANCE ALLOW 0 0