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

SUPP TRICARE PAYMENT -91 -91
SUPP UNITED AMERICAN -1 PYMT-1
SUPP UNITED HEALTHCR -31 PYMT-31
SUPP UNITED TEACHERS -3 PYMT -3
SUPP USAA LIFE PAYMENT -3 -3
SUPP MAILHANDLERS -6PYMT
-6
SUPP WAUSAU PAYMENT 0 0
SUPP CIGNA PAYMENT -43 -43
SUPP MERITAIN PMT0 0
SUPP OTH/ST MEDICAID -1 PMT -1
SUPP COMMRCL NOT -72LIST PYM-72
PART B REBILL PYMT 2 2
RAC MEDICARE RECY 0PMT
0
FIRST COAST MCR-B -369 PMT -369
MEDICAID PAYMENT -249 -249
MEDICAID HUSKY -1408 A PAYMENT -1408
STATE MLIA PAYMENT -528 -528
MEDICAID HUSKY B -26 PAYMENT -26
PSYCH BEHAV HLTH PAYMENT 0 0
MEDICAID FAMILY PLAN 1 PAY 1
STATE AGENCIES PMT. -5 -5
LMHA PAYMENT 0 0
HEALTHNET MCD PMT0 0
BC FAMILY PLAN MCD 0 PMT 0
COMM HLTH NTWK MCD 0 PMT 0
PR ONE/FIRST CHC MCD 0 PMT 0
AETNA BETTER HLTH 0PMT
0
AMERICHOICE UNHLTHC 0 PMT 0
UNITED HEALTH OF NE -1 PYMT -1
NEIGHBORHOOD RI PAYMENT 1 1
OUT OF ST MEDICAID -1PMT
-1
BMC PAYMENT -1 -1
FALLON MASSHEALTH -1 PAYMENT-1
NEIGHBOR MASSHEALTH -1 PYMT-1
NETWORK MASSHEALTH 0 PMT 0
MASS MEDICAID PMT -24 -24
NEW YORK MEDICAID 0PMT
0
MAINE MEDICAID PAYMENT -1 -1
RI MEDICAID PAYMENT -1 -1
CHARTER OAK CHN PAYMENT 0 0
CH OAK AMERICHOICE 0 PMT 0
CH OAK AETNA B/HLTH 0 PMT 0
CHARTER OAK HUSKY -24PAYMENT
-24
MIC MEDICAID INTGRTY 0 PMT 0
BLUE CROSS ANTHEM -1835PMT
-1835
BLUE CROSS/BC PAYMENT -14 -14
BLUE CROSS OF MA -252 PAYMENT-252