2010-06-07_(2).pdf - 19318.8K - BridgeportCT.gov

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c 1 I n 1 Customer Name Bridgeport City BOE Administrative Services Only Agreement CIGNA HEALTHCARE OF ARIZONA CIGNA MEDICAVGROUP CMG REPRESENTATIVE FEE SCHEDULE OF ROUTINELY PERFORME D MEDICAL SERVICES EFFECTIVE 06 01 2008 Applicable to all Open AccessPlus accounts L L t e l O Tfh st X Y1J a t 2 74 000 I Abdomen X Ray Kub 1 f Si m I iii 82565 gr illil I31224 1 2 4 2947 Glt rlIl L 7 95 8 4QZ j II1 ph b lill 1 I3J2 j 4 44L I1Lb aY 4 QL 445Q g A IrIl fI lll S J Q 4 J 84520 1 Urea Bull JQ J Q4 Nitr 2 JA y 7 99 Q LgI3g 1l4piffer lltiaJ l QL 87Q 1lr 1 llrill LgI lg21 llyg J 3 881 4 gy gP I1 J gy li4 T IAQ iCrO i Li a t 1 i I ij i i E 1 2 i 2 E jbn g2 I1it ioI J1liP I ati2 L fr 1 j H l bf 99231 1 t ql l lltH spitg re j f i Z 30 S 2939 L e IJg fI 1 S t 4Q Ye r m l i 34 12 I Q7 LJ OS 21 2010 31
Customer Name Bridgeport City BOE Administrative Services Only Agreement The Urgent Care case rate excluding radiology and laboratory services is 115 The CMG CareToday CMG low acuity clinics visit rate is 59 Lab tests performed at the CMG CareToday facilities are 10 per service A complete CMG CareToday fee schedule is available on request ASC Ambulatory surgical center group rates based on 2006 Medicare for fadIity component of outpatient surgery services Group 1 485 Group 2 650 Group 3 740 Group 4 900 Group 5 950 Group 6 1100 Group 7 1420 Group 8 1400 Group 9 1200 Unlisted 740 Cigna Medical Group pharmacy fee schedule Brand Name AWP 15 2 75 dispensing fee Generic IfMAC pricing is available then MAC 2 75 Ifno MAC price available then AWP 15 2 75 dispensing fee Plan charges are reduced by any applicable copayment coinsurance and or deductible for service Services not identified by CPT code or codes without established RVUs are billed at the 50th Percentile ofthe Arizona Regional Medicode Schedule Notes Incorrectly reflected as 798 42 rather than 807 18 in prior CMG Fee Schedule dated 3 12007 807 18 charge as of 3 12 07 As of 6 12008 charge reduced to 485 00 facility charge and 552 18 total charge Incorrectly reflected as 857 26 rather than 888 35 in prior CMG Fee Schedule dated 31 2007 888 35 charge as of 3 12007 As of 6 12008 charge remains 888 35 was effective was effective Incorrectly reflected as 2 50 rather than 2 75 in prior CMG Fee Schedule dated 3 12007 2 75 has been correct charge since inception ofOAP product OS 2120I 0 32
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AGENDA CITY COUNCIL MEETING MONDAY
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THE FOllOWING NAMED PERSONS HAVE RE
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And now they are planning on cuttin
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CITY COUNCIL MEETING Monday June 7
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102 09 Communication from Airport M
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73 09 Miscellaneous Matters Committ
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COUNCIL MEMBER BAKER MOVED TO WAIVE
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ADJOURNMENT COUNCIL MEMBER CURWEN M
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DRAFT CHARLES FEREIRA 235 CHURCH ST
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l AWARD BY STIPULATiON FOR FULL AND
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SEVENTEEN THOUSAND FIVE HUNDRED DOL
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IN VIEW OF THE FOREGOING We the und
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BILL FINCH Mayor CITY OF BRIDGEPORT
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B11L of 199r62 fO tl40 1994 02 1082
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1999 04226182 DAY DENEISE G 5 26 20
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2002 02 4924167 BANK LOCK SER vICE
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2003 02 6807922 SANTOS JEWELERS 4 2
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2004 02 6095256 SANTIAGO AUTO SALES
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2004 02 f572541 JAMES R 5AYBAltl AT
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2005 02 6097852 ESSENTIAL SERK JONE
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2005 02 7930901 TONYS TRANSPORTATIO
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2005 02 7949105 QUARLE5 VALERIA DB
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2006 02 6100179 LARRY SAMS SEAFOOD
Page 47 and 48: 2006 02 7931532 WOLF JED OB OUT OF
Page 49 and 50: 2006 02 7952815 JaHN J CAROLAN REAL
Page 51 and 52: 2006 03 7468611 LOPEZ CLARITA 5 26
Page 53 and 54: 2007 02 7932351 DOMACK RESTORATION
Page 55 and 56: 2007 02 8316828 NELSON ELECTRIC OB
Page 57 and 58: 2007 02 8711565 FISHERMAN BUYS HOUS
Page 59 and 60: 2008 02 0040579 BCA CONTRACT ASSEMB
Page 61 and 62: 2008 02 0042462 12 CONSl 1LTlNG OB
Page 63 and 64: 2008 02 0044109 RADIATOR EXPF ESS O
Page 65 and 66: II i CITY OF BRIDGEPORT OFFICE OF P
Page 67 and 68: l CITY OF BRIDGEPORT LABOR RELATION
Page 69 and 70: Table ofContents Schedule ofFinanci
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Page 79 and 80: Customer Name Bridgeport City BOE A
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Page 113 and 114: t I Customer Name Bridgeport City B
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Page 117 and 118: j I 1 CIGNA HealthCare Performance
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Page 145 and 146: i I 66 62 2616 13 86 283 BRID6EPORT
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ih CITY OF BRIDGEPORT S 59 TY MAIN
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CITY OF BRIDGEPORT SIKORSKY MEMORIA
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itp of TJiribgeport onnecticut rco
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