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

14.01.2014 Views

MISC MEDICARE MCO 0 PMT 0 NATIONAL HLTH-NASE 0 PYMT 0 WELLCARE PMT 0 0 SSMF PAYMENT 0 0 SSMF PAYMENT 0 0 SSMF PAYMENT 0 0 SSMF PAYMENT 0 0 SSMF PAYMENT 0 0 SSMF PAYMENT 0 0 SSMF PAYMENT 0 0 US HEALTHCARE ALLOW 0 0 US HEALTHCARE ALLOW 0 0 US HEALTHCARE ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AARP ALLOW 0 0 AETNA ALLOWANCE 0 0 AETNA ALLOWANCE 0 0 AETNA ALLOWANCE 0 0 WORKERS-DKH COMP 0 PMT 0 WORKERS-DKH COMP 0 PMT 0 WORKERS-DKH COMP 0 PMT 0 WORKERS-DKH COMP 0 PMT 0 WORKERS-DKH COMP 0 PMT 0 CHAMPUS/TRICARE ALLOW 0 0 CHAMPUS/TRICARE ALLOW 0 0 CHAMPUS/TRICARE ALLOW 0 0 CHAMPUS/TRICARE ALLOW 0 0 CHAMPUS/TRICARE ALLOW 0 0 CHAMPUS/TRICARE ALLOW 0 0 CHAMPUS/TRICARE ALLOW 0 0 CHAMPVA PYMT 0 0 CHAMPVA PYMT 0 0 CHAMPVA PYMT 0 0 CHAMPVA PYMT 0 0 EBPA/CBA ALLOWANCE 0 0 EBPA/CBA ALLOWANCE 0 0 EBPA/CBA ALLOWANCE 0 0 EBPA/CBA ALLOWANCE 0 0 EBPA/CBA ALLOWANCE 0 0

EBPA/CBA ALLOWANCE 0 0 EBPA/CBA ALLOWANCE 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 EMPLOYEE HLTH DKH 0PYMT 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 EBPA/CBA ALLOWANCE 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 UNITED HLTCARE ALLOW 0 0 H/L COMM PATIENT ACCTNG 0 0 H/L COMM PATIENT ACCTNG 0 0 H/L COMM PATIENT ACCTNG 0 0 H/L COMM PATIENT ACCTNG 0 0 H/L COMM PATIENT ACCTNG 0 0 H/L COMM PATIENT ACCTNG 0 0 H/L COMM ADMINISTRATION 0 0 H/L COMM PATIENT/MEMBER 0 0 H/L COMMERCIAL ONCOLOGY 0 0 PYMT PROF FEE COMMERCIAL 0 0 H/L COMMERCIAL ONCOLOGY 0 0 DIHYDROTESTOSTERONE 0 0 RIVAROXABAN 10 MG 0 TAB 0 VANCOMYCIN 250MG/5ML 0 ORAL0 NUTRIT SERV-PUBLICATIONS 0 0 OP TX FX HAND W/INT. 0 FIX 0 CLS TX FX DIS RADIAL 0W/MN 0 CLS TX FX DSTL RAD W/MAN 0 0 CRUTCHES 0 0 M & S SUPPLIES-ACU0 0 ACL BREAK-AWAY PIN* 0 0 ACL HI-STRENGTH PIN* 0 0 BIOCORKSCREW FT 5.5MM 0 0 ART BIOCORK W/NDL 06.5 0 ART OATS 05MM 0 0 ART OATS 06MM 0 0

EBPA/CBA ALLOWANCE 0 0<br />

EBPA/CBA ALLOWANCE 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

EMPLOYEE HLTH DKH 0PYMT<br />

0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

EBPA/CBA ALLOWANCE 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

UNITED HLTCARE ALLOW 0 0<br />

H/L COMM PATIENT AC<strong>CT</strong>NG 0 0<br />

H/L COMM PATIENT AC<strong>CT</strong>NG 0 0<br />

H/L COMM PATIENT AC<strong>CT</strong>NG 0 0<br />

H/L COMM PATIENT AC<strong>CT</strong>NG 0 0<br />

H/L COMM PATIENT AC<strong>CT</strong>NG 0 0<br />

H/L COMM PATIENT AC<strong>CT</strong>NG 0 0<br />

H/L COMM ADMINISTRATION 0 0<br />

H/L COMM PATIENT/MEMBER 0 0<br />

H/L COMMERCIAL ONCOLOGY 0 0<br />

PYMT PROF FEE COMMERCIAL 0 0<br />

H/L COMMERCIAL ONCOLOGY 0 0<br />

DIHYDROTESTOSTERONE 0 0<br />

RIVAROXABAN 10 MG 0 TAB 0<br />

VANCOMYCIN 250MG/5ML 0 ORAL0<br />

NUTRIT SERV-PUBLICATIONS 0 0<br />

OP TX FX HAND W/INT. 0 FIX 0<br />

CLS TX FX DIS RADIAL 0W/MN<br />

0<br />

CLS TX FX DSTL RAD W/MAN 0 0<br />

CRUTCHES 0 0<br />

M & S SUPPLIES-ACU0 0<br />

ACL BREAK-AWAY PIN* 0 0<br />

ACL HI-STRENGTH PIN* 0 0<br />

BIOCORKSCREW FT 5.5MM 0 0<br />

ART BIOCORK W/NDL 06.5<br />

0<br />

ART OATS 05MM 0 0<br />

ART OATS 06MM 0 0

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