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

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

ct.gov
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9701533 SUPP BLUE CROSS ALLOWANCE 0 0 5170 9701566 SUPP TRICARE ALLOWANCE 0 0 5210 9701590 SUPP COMMERCIAL ALLOWANCE 0 0 5210 9701780 RAC MEDICARE RECY ALLOWANCE 0 0 5090 9701798 FIRST COAST MCR PART B ALLOW 0 0 5090 9701806 H/L MEDICARE TIMELY FILING 0 0 5090 9701814 H/L MEDICARE REGISTRATION ERROR 0 0 5090 9701822 H/L MEDICARE OTHER 0 0 5090 9701830 H/L MEDICARE NON CREDENTIAL 0 0 5090 9701848 H/L MEDICARE CLINICAL ERROR 0 0 5090 9701855 H/L MEDICARE NO AUTH ON FILE 0 0 5090 9701863 H/L MEDICARE MEDICAL NECESSITY 0 0 5090 9701871 H/L MEDICARE DAYS DENIED 0 0 5090 9701889 H/L MEDICARE AUTH/SVC MISMATCH 0 0 5090 9701897 H/L MEDICARE NON COVERED SERVICE 0 0 5090 9701905 H/L MEDICARE ADMINISTRATION 0 0 5090 9701913 H/L MEDICARE PATIENT/MEMBER 0 0 5090 9701921 H/L MEDICARE RAC MED NEC 0 0 2387 9701939 H/L MEDICARE RAC DRG CHANGE 0 0 2387 9701947 H/L MCR 1 DAY STAY PRE PAY DENIAL 0 0 5090 9701954 H/L MCR 1 DAY STAY POST PAY DENIAL 0 0 5090 9701962 H/L MCR PRO FEE MEDICAL NECESSITY 0 0 5090 9701970 H/L MCR PRO FEE TIMELY FILING 0 0 5090 9701988 H/L MCR PRO FEE NO AUTH 0 0 5090 9701996 H/L MCR PRO FEE CREDENTIAL ISSUE 0 0 5090 9702002 MEDICAID ALLOWANCE 0 0 5130 9702044 PSYCH BEHAVORAL HLTH ALLOWANCE 0 0 5130 9702085 STATE AGENCIES ALLOWANCE 0 0 5130 9702093 LMHA ALLOWANCE 0 0 5130 9702101 HEALTHNET MCD MCO ALLOWANCE 0 0 5130 9702119 BLUE CARE FAMILY PLAN ALLOWANCE 0 0 5130 9702127 COMM HLTH NETWORK MCD ALLOWANCE 0 0 5130 9702135 PREFERRED ONE/FIRST CHOICE ALLOW 0 0 5130 9702143 AETNA BETTER HLTH ALLOWANCE 0 0 5130 9702150 AMERICHOICE UNHLTHCARE ALLOWANCE 0 0 5130 9702200 OUT OF STATE MEDICAID ALLOWANCE 0 0 5130 9702218 RHODE ISLAND MEDICAID ALLOWANCE 0 0 5210 9702234 COVENTRY HEALTH ALLOWANCE 0 0 5210 9702259 MASS MEDICAID ALLOWANCE 0 0 5130 9702267 NEW YORK MEDICAID ALLOWANCE 0 0 5130 9702283 FIRST HEALTH ALLOWANCE 0 0 5210 9702309 CHARTER OAK COMM HLTH ALLOWANCE 0 0 5210 9702317 CHARTER OAK AMERICHOICE ALLOWANCE 0 0 5210 9702325 CHARTER OAK AETNA BETTER HLTH ALLOW 0 0 5210 9702457 MEDIBLUE ALLOWANCE 0 0 5210 9702507 TCORS AUTO ALLOWANCE 0 0 5210 9702614 SAFETY NET FOUNDATION ALLOWANCE 0 0 5210

9702796 MIC MEDICAID INTGRTY ALLOWANCE 0 0 5130 9702804 H/L MEDICAID TIMELY FILING 0 0 5130 9702812 H/L MEDICAID REGISTRATION ERROR 0 0 5130 9702820 H/L MEDICAID OTHER 0 0 5130 9702838 H/L MEDICAID NON CREDENTIAL 0 0 5130 9702846 H/L MEDICAID CLINICAL ERROR 0 0 5130 9702853 H/L MEDICAID NO AUTH ON FILE 0 0 5130 9702861 H/L MEDICAID MEDICAL NECESSITY 0 0 5130 9702879 H/L MEDICAID DAYS DENIED 0 0 5130 9702887 H/L MEDICAID AUTH/SVC MISMATCH 0 0 5130 9702895 H/L MEDICAID NON COVERED SERVICE 0 0 5130 9702903 H/L MEDICAID ADMINSTRATION 0 0 5130 9702911 H/L MEDICAID PATIENT/MEMBER 0 0 5130 9702929 H/L MIC MEDICAID INTEGRITY 0 0 5130 9702978 MAINE MEDICAID ALLOWANCE 0 0 5210 9703000 BLUE CROSS ANTHEM ALLOWANCE 0 0 5170 9703018 BLUE CROSS/BLUE CROSS ALLOWANCE 0 0 5170 9703026 ALLOWANCE PROF FEE BLUE CROSS 0 0 5170 9703109 PSYCH BC ANTHEM BEHAV HLTH ALLOW 0 0 5170 9703117 PSYCH BC MAGELLAN ALLOWANCE 0 0 5170 9703125 PSYCH BC UNITED BEHAV HLTH ALLOW 0 0 5170 9703133 PSYCH BC VALUE BEHAV ALLOWANCE 0 0 5170 9703141 PSYCH BC VALUE OPTIONS ALLOWANCE 0 0 5170 9703166 PSYCH BC MGD HLTH NETWORK ALLOWANCE 0 0 5170 9703505 TCORS WC ALLOWANCE 0 0 5210 9703802 H/L BLUE CROSS TIMELY FILING 0 0 5170 9703810 H/L BLUE CROSS REGISTRATION ERROR 0 0 5170 9703828 H/L BLUE CROSS OTHER 0 0 5170 9703836 H/L BLUE CROSS NON CREDENTIAL 0 0 5170 9703844 H/L BLUE CROSS CLINICAL ERROR 0 0 5170 9703851 H/L BLUE CROSS NO AUTH ON FILE 0 0 5170 9703869 H/L BLUE CROSS MEDICAL NECESSITY 0 0 5170 9703877 H/L BLUE CROSS DAYS DENIED 0 0 5170 9703885 H/L BLUE CROSS AUTH/SVC MISMATCH 0 0 5170 9703893 H/L BLUE CROSS NON COVERED SVC 0 0 5170 9703901 H/L BLUE CROSS ADMINISTRATION 0 0 5170 9703919 H/L BLUE CROSS PATIENT/MEMBER 0 0 5170 9703935 H/L BC PRO FEE TIMELY FILING 0 0 5170 9703943 H/L BC PRO FEE NO AUTH 0 0 5170 9703950 H/L BC PRO FEE CREDENTIAL ISSUE 0 0 5170 9703968 H/L BC PRO FEE OTHER 0 0 5170 9704008 PSYCH CIGNA BEHAV HLTH ALLOW 0 0 5210 9704016 AIM CIGNA ALLOWANCE 0 0 5210 9704024 AMALGAMATED LIFE ALLOW 0 0 5210 9704032 CIGNA ALLOWANCE 0 0 5210 9704040 CIGNA/CIGNA ALLOWANCE 0 0 5210 9704057 CONN GENERAL ALLOWANCE 0 0 5210

9702796 MIC MEDICAID INTGRTY ALLOWANCE 0 0 5130<br />

9702804 H/L MEDICAID TIMELY FILING 0 0 5130<br />

9702812 H/L MEDICAID REGISTRATION ERROR 0 0 5130<br />

9702820 H/L MEDICAID OTHER 0 0 5130<br />

9702838 H/L MEDICAID NON CREDENTIAL 0 0 5130<br />

9702846 H/L MEDICAID CLINICAL ERROR 0 0 5130<br />

9702853 H/L MEDICAID NO AUTH ON FILE 0 0 5130<br />

9702861 H/L MEDICAID MEDICAL NECESSITY 0 0 5130<br />

9702879 H/L MEDICAID DAYS DENIED 0 0 5130<br />

9702887 H/L MEDICAID AUTH/SVC MISMATCH 0 0 5130<br />

9702895 H/L MEDICAID NON COVERED SERVICE 0 0 5130<br />

9702903 H/L MEDICAID ADMINSTRATION 0 0 5130<br />

9702911 H/L MEDICAID PATIENT/MEMBER 0 0 5130<br />

9702929 H/L MIC MEDICAID INTEGRITY 0 0 5130<br />

9702978 MAINE MEDICAID ALLOWANCE 0 0 5210<br />

9703000 BLUE CROSS ANTHEM ALLOWANCE 0 0 5170<br />

9703018 BLUE CROSS/BLUE CROSS ALLOWANCE 0 0 5170<br />

9703026 ALLOWANCE PROF FEE BLUE CROSS 0 0 5170<br />

9703109 PSYCH BC ANTHEM BEHAV HLTH ALLOW 0 0 5170<br />

9703117 PSYCH BC MAGELLAN ALLOWANCE 0 0 5170<br />

9703125 PSYCH BC UNITED BEHAV HLTH ALLOW 0 0 5170<br />

9703133 PSYCH BC VALUE BEHAV ALLOWANCE 0 0 5170<br />

9703141 PSYCH BC VALUE OPTIONS ALLOWANCE 0 0 5170<br />

9703166 PSYCH BC MGD HLTH NETWORK ALLOWANCE 0 0 5170<br />

9703505 TCORS WC ALLOWANCE 0 0 5210<br />

9703802 H/L BLUE CROSS TIMELY FILING 0 0 5170<br />

9703810 H/L BLUE CROSS REGISTRATION ERROR 0 0 5170<br />

9703828 H/L BLUE CROSS OTHER 0 0 5170<br />

9703836 H/L BLUE CROSS NON CREDENTIAL 0 0 5170<br />

9703844 H/L BLUE CROSS CLINICAL ERROR 0 0 5170<br />

9703851 H/L BLUE CROSS NO AUTH ON FILE 0 0 5170<br />

9703869 H/L BLUE CROSS MEDICAL NECESSITY 0 0 5170<br />

9703877 H/L BLUE CROSS DAYS DENIED 0 0 5170<br />

9703885 H/L BLUE CROSS AUTH/SVC MISMATCH 0 0 5170<br />

9703893 H/L BLUE CROSS NON COVERED SVC 0 0 5170<br />

9703901 H/L BLUE CROSS ADMINISTRATION 0 0 5170<br />

9703919 H/L BLUE CROSS PATIENT/MEMBER 0 0 5170<br />

9703935 H/L BC PRO FEE TIMELY FILING 0 0 5170<br />

9703943 H/L BC PRO FEE NO AUTH 0 0 5170<br />

9703950 H/L BC PRO FEE CREDENTIAL ISSUE 0 0 5170<br />

9703968 H/L BC PRO FEE OTHER 0 0 5170<br />

9704008 PSYCH CIGNA BEHAV HLTH ALLOW 0 0 5210<br />

9704016 AIM CIGNA ALLOWANCE 0 0 5210<br />

9704024 AMALGAMATED LIFE ALLOW 0 0 5210<br />

9704032 CIGNA ALLOWANCE 0 0 5210<br />

9704040 CIGNA/CIGNA ALLOWANCE 0 0 5210<br />

9704057 CONN GENERAL ALLOWANCE 0 0 5210

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