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
SEVEN CORNERS PAYMENT 0 0 IMG PAYMENT 0 0 GEHA PAYMENT -1 -1 MID WEST LIFE PYMT-2 -2 PSYCH BEACON HLTH -1PMT -1 CONNECTICARE PMT18 18 FALLON COMM HLTH -7PMNT -7 HARVARD PILGRIM -43 PMNT -43 PSYCH MHN-FOXWOODS -7 PMT -7 NASE PAYMENT 0 0 TUFTS HEALTH PLAN -9PMNT -9 WELLCARE PAYMENT0 0 COVENTRY HEALTH PAYMENT 2 2 FIRST HEALTH PAYMENT 0 0 HARVARD PILGRIM -24 ACCESS AM-24 MAIN SENSE PAYMENT 0 0 CHESTERFIELD RES PYMT -4 -4 EE BENEFIT CONCEPT -2PYMTS -2 AFTRA PAYMENT 0 0 COMMERCIAL INS PMNT -19 -19 COMMERCIAL/COMMERCIAL 0 PMT 0 SSMF PAYMENT 0 0 AUTO INSURANCE PMT -26 -26 LIABILITY OTHER PAYMENT -1 -1 LIBERTY MUTUAL AUTO 0 PYMT 0 GEICO AUTO PAYMENT -1 -1 ALLSTATE AUTO INS PYMT 0 0 TCORS AUTO PAYMENT 0 0 WORKERS COMP PAYMENT -109 -109 WORKERS COMP DKH -3PMT -3 PRIME HEALTH PAYMENT 0 0 WORKERS COMP OF RI 0 0 ONE CALL MEDICAL PAYMENT -6 -6 BROADSPIRE SVCS WC 0 PYMT 0 CHARTIS INS WC PYMT 0 0 LIBERTY MUTUAL WC 0PAYMENT 0 EMC INSURANCE WC 0PAYMENT 0 ONE BEACON WC PAYMENT 0 0 TCORS WC PAYMENT0 0 TRICARE PAYMENT-114 -114 CHAMPVA PAYMENT-4 -4 TRICARE SECONDARY -3PAYMENT-3 EBPA PAYMENT 0 0 DKH CIGNA PMT -504 -504 MERITAIN HEALTH PAYMENT 0 0 DKH ORTHONET PMT0 0 DKH AIM PMT 0 0
PSYCH DKH CIGNA BEH 0 PMT 0 PYMT PROF FEE COMMERCIAL -4 -4 SAGA PAYMENT 0 0 PSYCH ADVANCE BEHAV 0 PMT 0 HAVEN HEALTH PAYMENT 0 0 HOLY SPIRIT PAYMENT0 0 MATULAITIS PAYMENT 0 0 PIERCE MEMORIAL PAYMENT -6 -6 VILLA MARIA PAYMENT 0 0 VILLAGE MANOR PAYMENT 0 0 WESTVIEW PAYMENT0 0 SNF OTHER PAYMENT -1 -1 REGENCY HGTS SNF -26 PMT -26 BCCG PAYMENT TRANSFER -16 -16 DEARY MAMMO FUND -101 PYMT-101 SAFETY NET FOUND PYMT 0 0 HOMECARE PT PYMT 0TFR 0 HOMECARE NON DKH 0 PAYMENT0 HOSPICE PAYMENT TFR -4 -4 HOSPICE NON DKH PAYMENT 0 0 US BUTTON CORP PAYMENT 0 0 FRITO LAY PAYMENT0 0 US COSMETICS PAYMENT 0 0 C&M CORPORATION 0PYMT 0 FACTORY MUTUAL PAYMENT -1 -1 MPI LABEL SYSTEMS PYMT 0 0 UNITED SERVICES PAYMENT 0 0 ZZ NORAMPAC PAYMENT 0 0 ZZ NATL CHROM PAYMENT 0 0 ZZ INTL PAPER PAYMENT 0 0 ZZ QUIKRETE PAYMENT 0 0 ZZ UNTD NAT FOODS 0PYMT 0 ZZ BST PAYMENT 0 0 ZZ SEALAND ENVIRO 0PYMT 0 ZZ SELF EMPLOYED PAYMENT 0 0 ZZ BGR RADIATOR PAYMENT 0 0 ZZ CH NICKERSON PYMT 0 0 ZZ DELTA RUBBER PYMT 0 0 ZZ FLEET SAFETY SVCS 0 PYMT 0 ZZ LOOS CORPORATION 0 PYMT 0 ZZ MIDLAND SALES PAYMENT 0 0 ZZ MOOSUP FIRE DEPT 0 PYMT 0 ZZ NE PLASMA PAYMENT 0 0 ZZ PAQUETTE ELEC PAYMENT 0 0 ZZ WELLNESS 2000 PAYMENT 0 0 ZZ ENSIGN BICKFORD 0PYMT 0 ZZ HYDE SCHL BEHVR 0PYMT 0
- Page 632 and 633: PRAMIPEXOLE .25MG 0TAB 0 AMOXICILLI
- Page 634 and 635: ERTAPENEM 1GM ADDV 0 0 GLYCOPYRROLA
- Page 636 and 637: FOSPROPOFOL 1050MG/30ML 0 0 HAVRIX
- Page 638 and 639: BACITRACIN 50 MU INJ 4 VIAL 4 DRONE
- Page 640 and 641: ACETAMINOPH 100MG/ML 0 DROP0 REPAGL
- Page 642 and 643: FLUCONAZOLE 400 MG/200 0 ML 0 ZOSYN
- Page 644 and 645: SP-CANCEL VISIT DLS0 0 SP-ABSENT DL
- Page 646 and 647: CHCKOT ORTH PROS 0PER 15 0 WHEELCHA
- Page 648 and 649: OT AQUATIC REHAB/15 0 MIN 0 OT ORTH
- Page 650 and 651: HIP STRAP (PROC) PLF0 0 SENSORY INT
- Page 652 and 653: M V V 0 0 METHACHOLINE EVAL5 5 ARTE
- Page 654 and 655: SWALLOW D/C STATUS 1 1 SWALLOW D/C
- Page 656 and 657: VOICE CURRENT STATUS 0 0 VOICE CURR
- Page 658 and 659: CARRY CURRENT STATUS 2 2 CARRY CURR
- Page 660 and 661: CARRY D/C STATUS 0 0 SELF CARE CURR
- Page 662 and 663: SUPP BLUE CROSS -237 ALLOW -237 SUP
- Page 664 and 665: GOLDEN RULE ALLOW -38 -38 GREAT WES
- Page 666 and 667: H/L SAGA ADMINISTRATION 0 0 H/L SAG
- Page 668 and 669: TFR FROM B/D TO A/R3 3 TFR FROM A/R
- Page 670 and 671: PHYS PRAC ATHENA CASH 0 0 MEDICAL O
- Page 672 and 673: CAFETERIA SALES CAFE 0 0 CAFETERIA
- Page 674 and 675: LABORATORY - UTILITIES 0 0 CARDIA R
- Page 676 and 677: OPER OF PLANT-GAS0 0 NON MEDICAL SU
- Page 678 and 679: PERSONAL PYMT (P/R -37DED) -37 TCOR
- Page 680 and 681: BLUE CROSS OF RI PAYMENT -88 -88 OU
- Page 684 and 685: ZZ OHM UNSPECIFIED 0PYMT 0 ZZ STERL
- Page 686 and 687: SITE ASSESSMENT 0 0 SITE ASSESSMENT
- Page 688 and 689: TX COCCYGEAL FX 0 0 HIP DISLOCW/O A
- Page 690 and 691: CL INTE FACE7.6-12.50 0 LYR FACE 12
- Page 692 and 693: THORACENTESIS W/TUBE 0 0 TUBE THOR
- Page 694 and 695: POST-OP SHOE 0 0 T-LOOP ELECTRODE 0
- Page 696 and 697: SYN L PL DCP BR 07 H0 0 SYN L PL DC
- Page 698 and 699: FULVESTRANT 125 MG 0 SYRING 0 CYTAR
- Page 700 and 701: KENNEDY DISEASE DNA 0 0 APOLIPO.E G
- Page 702 and 703: MEN2/FMTC MUTATIONS 0 0 COMPLETE CM
- Page 704 and 705: PCR BY IMUGEN 0 0 A PHAGOCYTOPHILUM
- Page 706 and 707: PLANAR CARDIAC RE&EX 0 0 PLANAR CAR
- Page 708 and 709: PROCAINAMIDE SR 500 MG TA 0 TEGASER
- Page 710 and 711: DLSN MOIST HEAT/CRYO(PROC 0 0 FUNCT
- Page 712 and 713: PLFD WHFOADDSPREXT 0 L3835 0 PLFD W
- Page 714 and 715: VIDEO FLUORO EVAL I0 0 OT REEVAL CP
- Page 716 and 717: DLSN OT WHFOADMPFLXIL3860 0 0 DLSN
- Page 718 and 719: PRO FEE FAMILY THERAPY 0 0 PROF FEE
- Page 720 and 721: MISC MEDICARE MCO 0 PMT 0 NATIONAL
- Page 722 and 723: ART OATS 07MM 0 0 ART OATS 08MM 0 0
PSYCH DKH CIGNA BEH 0 PMT 0<br />
PYMT PROF FEE COMMERCIAL -4 -4<br />
SAGA PAYMENT 0 0<br />
PSYCH ADVANCE BEHAV 0 PMT 0<br />
HAVEN HEALTH PAYMENT 0 0<br />
HOLY SPIRIT PAYMENT0 0<br />
MATULAITIS PAYMENT 0 0<br />
PIERCE MEMORIAL PAYMENT -6 -6<br />
VILLA MARIA PAYMENT 0 0<br />
VILLAGE MANOR PAYMENT 0 0<br />
WESTVIEW PAYMENT0 0<br />
SNF OTHER PAYMENT -1 -1<br />
REGENCY HGTS SNF -26 PMT -26<br />
BCCG PAYMENT TRANSFER -16 -16<br />
DEARY MAMMO FUND -101 PYMT-101<br />
SAFETY NET FOUND PYMT 0 0<br />
HOMECARE PT PYMT 0TFR<br />
0<br />
HOMECARE NON DKH 0 PAYMENT0<br />
HOSPICE PAYMENT TFR -4 -4<br />
HOSPICE NON DKH PAYMENT 0 0<br />
US BUTTON CORP PAYMENT 0 0<br />
FRITO LAY PAYMENT0 0<br />
US COSMETICS PAYMENT 0 0<br />
C&M CORPORATION 0PYMT<br />
0<br />
FA<strong>CT</strong>ORY MUTUAL PAYMENT -1 -1<br />
MPI LABEL SYSTEMS PYMT 0 0<br />
UNITED SERVICES PAYMENT 0 0<br />
ZZ NORAMPAC PAYMENT 0 0<br />
ZZ NATL CHROM PAYMENT 0 0<br />
ZZ INTL PAPER PAYMENT 0 0<br />
ZZ QUIKRETE PAYMENT 0 0<br />
ZZ UNTD NAT FOODS 0PYMT<br />
0<br />
ZZ BST PAYMENT 0 0<br />
ZZ SEALAND ENVIRO 0PYMT<br />
0<br />
ZZ SELF EMPLOYED PAYMENT 0 0<br />
ZZ BGR RADIATOR PAYMENT 0 0<br />
ZZ CH NICKERSON PYMT 0 0<br />
ZZ DELTA RUBBER PYMT 0 0<br />
ZZ FLEET SAFETY SVCS 0 PYMT 0<br />
ZZ LOOS CORPORATION 0 PYMT 0<br />
ZZ MIDLAND SALES PAYMENT 0 0<br />
ZZ MOOSUP FIRE DEPT 0 PYMT 0<br />
ZZ NE PLASMA PAYMENT 0 0<br />
ZZ PAQUETTE ELEC PAYMENT 0 0<br />
ZZ WELLNESS 2000 PAYMENT 0 0<br />
ZZ ENSIGN BICKFORD 0PYMT<br />
0<br />
ZZ HYDE SCHL BEHVR 0PYMT<br />
0
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