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# | Location | File | Last Modified |
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1 | CPEE_v1_Build_7.zip\CPEE_v1_Build_7\Build 7 - Sprint 15\CPE001-112 - PL Zip in the PPS payment methodology for ASC Hospital Based Facility | Unit Test CPE001-112 - 2.docx | Tue Apr 24 15:18:40 2018 UTC |
2 | CPEE_v1_Build_7.zip\CPEE_v1_Build_7\Build 7 - Sprint 15\CPE001-112 - PL Zip in the PPS payment methodology for ASC Hospital Based Facility | Unit Test CPE001-112 - 2.docx | Tue Apr 24 17:55:54 2018 UTC |
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1 | DUZ: 83038 8 Health A dministrat ion Center Page: 1 | |
2 | Date: MAR 23, 2018 Post-Pro cessing Cl aim Report | |
3 | Time: 918 | |
4 | ||
5 | PDI: 201807591 000060- BATCH: Cl aim #: RLT 8250 | |
6 | EIN: 010211534 - -A1 S tatus: Pay ment Req. | |
7 | Program: CHAMPVA | |
8 | Vendor: MERCY HOS P Type: Out patient | |
9 | Pay Prov?: Yes Ser/Admis Date: MAR 1,2018 | |
10 | Sponsor: LEBLANC,R ICHARD P Comp. Date: | |
11 | Bene: LEBLANC,C ATHERINE J POS: AMB ULATORY SU R | |
12 | Bene Sex: F Bene DOB: 09/11/57 P L ZIP: 441 26 | |
13 | ||
14 | Press <RET URN> to co ntinue, <^ > to exit. | |
15 | ||
16 | DX's/Px's/ NDC's P/L Unt/Qty Total Chg TotalAA Mcai d O HI #1 PD OHI #1 P R Deduc t Pa yments AI Reas | |
17 | AlwUnt Chg/Unt AA/Unt A ddl OHI OHI PR B al Cst S hare | |
18 | ---------- --------- ------- ---------- - ------- ---- ---- ------- - ---------- -------- --- ----- ------ -- --------- -- ---- | |
19 | H26.9 1 AC | |
20 | ||
21 | H52.209 1 AC | |
22 | ||
23 | 66172-RT 1 12,000.0 0 83 4.00 2,000.00 10,000 .00 0.00 834.00 AC | |
24 | 1 12,000.0 0 83 4.00 0.00 | |
25 | ||
26 | X3000 1 400.0 0 40 0.00 100.00 300 .00 0.00 300.00 AC | |
27 | 1 400.0 0 40 0.00 0.00 | |
28 | ||
29 | X3000 1 350.0 0 35 0.00 100.00 250 .00 0.00 250.00 AC | |
30 | 1 350.0 0 35 0.00 0.00 | |
31 | ||
32 | X3000 1 300.0 0 30 0.00 100.00 200 .00 0.00 200.00 AC | |
33 | 1 300.0 0 30 0.00 0.00 | |
34 | ||
35 | J2250 1 50.0 0 5 0.00 10.00 40 .00 0.00 40.00 AC | |
36 | 1 50.0 0 5 0.00 0.00 | |
37 | ||
38 | J2405 1 40.0 0 4 0.00 10.00 30 .00 0.00 30.00 AC | |
39 | 1 40.0 0 4 0.00 0.00 | |
40 | ||
41 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- ----- | |
42 | Totals: 13,140.0 0 1,97 4.00 2,320.00 10,820 .00 0.00 1,654.00 | |
43 | 0.00 | |
44 | ||
45 | Press <RET URN> to Co ntinue, <^ > to exit. | |
46 | ||
47 | Tot al Charges Billed: 13,14 0.00 CITI Maximum Re imbursemen t Rate: N/ A | |
48 | Calculated Allowable Amount: 1,97 4.00 MEDICAID Amount: N/ A | |
49 | A mount Appl ied to Ded uctible: 0.00 Am ount Paid by TPL: N/ A | |
50 | Cos t Share Cr edited to Cat Cap: 0.00 Amoun t Reversed from Dedu ctible: N/ A | |
51 | Amount Paid by O ther Insur ance(s): 2,32 0.00 Am ount Rever sed from C at Cap: N/ A | |
52 | Pa tient Resp onsibility Amount: 10,82 0.00 Amount Red uced from Previous P ayment: N/ A | |
53 | Amount Pa id by Bene ficiary to Vendor: 0.00 L ast PDI Pa yment Diff erence: 0.0 0 | |
54 | Total Amount to be PAID o n claim: 1,65 4.00 Total Paym ent for Cu rrent PDI# 201807591 000060: +1,654.0 0 | |
55 | Amou nt PAID to Vendor: 1,65 4.00 | |
56 | Amount PA ID to Bene ficiary: 0.00 | |
57 | ||
58 | Press <RET URN> to Co ntinue, <^ > to exit. | |
59 | ||
60 | ||
61 | CHAM PVA Benefi ciary Dedu ctible 201 8: 0.00 | |
62 | CHAMPVA F amily Dedu ctible 201 8: 0.00 | |
63 | CHAMP VA Family Catastroph ic Cap 201 8: 0.00 | |
64 | ||
65 | Press <RET URN> to Co ntinue, <^ > to exit. | |
66 | ||
67 | ||
68 | ||
69 | Actions fo r Claim: | |
70 | ||
71 | 1) SNA CAPPS (Pen ding Batch Process) 2) Clai mCheck (Co mplete) | |
72 | ||
73 | ||
74 | Claim Reas ons: 319 - CFR 17.272(B)( 3) REQUIRE S PROVIDER TO ACCEPT CHAMPVA A LLOWABLE A S FULL PAY MENT. | |
75 | 322 - COST SHARE FOR CLAIM MAY NOT ALWAY S BE PATIE NT LIABILI TY; OHI / CAT CAP MA Y IMPACT. | |
76 | 356 - REMI NDER - MAI L CLAIMS T O: CHAMPVA , PO Box 4 69064, DEN VER, CO 80 246-9064 | |
77 | 371 - WHEN RESUBMITT ING CLAIMS YOU MUST ATTACH THE CHAMPVA E OB FOR PRO PER PROCES SING. | |
78 | ||
79 | Select OPT ION NAME: AMB SUR G MENU AMB Surg Menu | |
80 | ||
81 | <DEV> A PG ASC Pa yment Grou p | |
82 | <DEV> A PR ASC Pa yment Rate s | |
83 | <DEV> A ZC AMB ZI P Codes | |
84 | ||
85 | You have P ENDING ALE RTS | |
86 | Enter "VA to jump t o VIEW ALE RTS option | |
87 | ||
88 | Select AMB Surg Menu <TEST ACC OUNT> Opti on: APG A SC Payment Group | |
89 | ||
90 | Select CHA MPVA ASC P AYMENT GRO UPS CPT-4 CODE: 6617 2 | |
91 | ||
92 | DEVICE: SSH VIRTUA L TERMINAL Right Margin: 80 // | |
93 | CHAMPVA AS C PAYMENT GROUPS Lis t MAR 23, 2018@07:1 7 PAGE 1 | |
94 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
95 | ||
96 | CPT-4 CODE : 66172 | |
97 | BEGIN EFFE CTIVE DATE : NOV 01, 1994 PAYMENT GR OUP: 6 | |
98 | DUZ: THO MPSON,DORT HEA P DATE CHANG ED: NOV 16 , 2017 | |
99 | ||
100 | Select CHA MPVA ASC P AYMENT GRO UPS CPT-4 CODE: | |
101 | ||
102 | <DEV> A PG ASC Pa yment Grou p | |
103 | <DEV> A PR ASC Pa yment Rate s | |
104 | <DEV> A ZC AMB ZI P Codes | |
105 | ||
106 | You have P ENDING ALE RTS | |
107 | Enter "VA to jump t o VIEW ALE RTS option | |
108 | ||
109 | Select AMB Surg Menu <TEST ACC OUNT> Opti on: AZC A MB ZIP Cod es | |
110 | ||
111 | Select CHA MPVA AMB Z IP CODES: 44126 | |
112 | ||
113 | DEVICE: SSH VIRTUA L TERMINAL Right Margin: 80 // | |
114 | CHAMPVA AM B ZIP CODE S List MAR 23, 2018@07:1 7 PAGE 1 | |
115 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
116 | ||
117 | ZIP CODE: 44126 STATE POST AL ABBREV: OH | |
118 | DATE: NOV 01, 1994 MSA CODE: 1680 | |
119 | ||
120 | Select CHA MPVA AMB Z IP CODES: | |
121 | ||
122 | <DEV> A PG ASC Pa yment Grou p | |
123 | <DEV> A PR ASC Pa yment Rate s | |
124 | <DEV> A ZC AMB ZI P Codes | |
125 | ||
126 | You have P ENDING ALE RTS | |
127 | Enter "VA to jump t o VIEW ALE RTS option | |
128 | ||
129 | Select AMB Surg Menu <TEST ACC OUNT> Opti on: APR A SC Payment Rates | |
130 | ||
131 | Select CHA MPVA ASC P AYMENT RAT ES MSA COD E: 1680 | |
132 | ||
133 | DEVICE: ;; 999 SSH V IRTUAL TER MINAL R ight Margi n: 80// | |
134 | CHAMPVA AS C PAYMENT RATES List MAR 23, 2018@07:1 8 PAGE 1 | |
135 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
136 | ||
137 | MSA CODE: 1680 | |
138 | BEGIN EFFE CTIVE DATE : NOV 01, 1994 | |
139 | DOLLAR RAT E FOR GROU P: 0274 | |
140 | DOLLAR RAT E FOR GROU P: 0311 | |
141 | DOLLAR RAT E FOR GROU P: 0423 | |
142 | DOLLAR RAT E FOR GROU P: 0526 | |
143 | DOLLAR RAT E FOR GROU P: 0652 | |
144 | DOLLAR RAT E FOR GROU P: 0745 | |
145 | DOLLAR RAT E FOR GROU P: 0850 | |
146 | DOLLAR RAT E FOR GROU P: 0954 | |
147 | DOLLAR RAT E FOR GROU P: 1239 | |
148 | DOLLAR RAT E FOR GROU P: 1413 | |
149 | BEGIN EFFE CTIVE DATE : NOV 01, 1995 | |
150 | DOLLAR RAT E FOR GROU P: 0283 | |
151 | DOLLAR RAT E FOR GROU P: 0321 | |
152 | DOLLAR RAT E FOR GROU P: 0437 | |
153 | DOLLAR RAT E FOR GROU P: 0543 | |
154 | DOLLAR RAT E FOR GROU P: 0673 | |
155 | DOLLAR RAT E FOR GROU P: 0770 | |
156 | DOLLAR RAT E FOR GROU P: 0877 | |
157 | DOLLAR RAT E FOR GROU P: 0985 | |
158 | DOLLAR RAT E FOR GROU P: 1280 | |
159 | DOLLAR RAT E FOR GROU P: 1460 | |
160 | BEGIN EFFE CTIVE DATE : NOV 01, 1996 | |
161 | DOLLAR RAT E FOR GROU P: 0291 | |
162 | DOLLAR RAT E FOR GROU P: 0331 | |
163 | DOLLAR RAT E FOR GROU P: 0449 | |
164 | DOLLAR RAT E FOR GROU P: 0558 | |
165 | DOLLAR RAT E FOR GROU P: 0692 | |
166 | DOLLAR RAT E FOR GROU P: 0791 | |
167 | DOLLAR RAT E FOR GROU P: 0901 | |
168 | DOLLAR RAT E FOR GROU P: 1013 | |
169 | DOLLAR RAT E FOR GROU P: 1315 | |
170 | DOLLAR RAT E FOR GROU P: 1500 | |
171 | BEGIN EFFE CTIVE DATE : NOV 01, 1997 | |
172 | DOLLAR RAT E FOR GROU P: 0292 | |
173 | DOLLAR RAT E FOR GROU P: 0332 | |
174 | DOLLAR RAT E FOR GROU P: 0451 | |
175 | DOLLAR RAT E FOR GROU P: 0559 | |
176 | DOLLAR RAT E FOR GROU P: 0694 | |
177 | DOLLAR RAT E FOR GROU P: 0794 | |
178 | DOLLAR RAT E FOR GROU P: 0904 | |
179 | DOLLAR RAT E FOR GROU P: 1016 | |
180 | DOLLAR RAT E FOR GROU P: 1319 | |
181 | DOLLAR RAT E FOR GROU P: 1505 | |
182 | BEGIN EFFE CTIVE DATE : NOV 01, 1998 | |
183 | DOLLAR RAT E FOR GROU P: 0293 | |
184 | DOLLAR RAT E FOR GROU P: 0333 | |
185 | DOLLAR RAT E FOR GROU P: 0453 | |
186 | DOLLAR RAT E FOR GROU P: 0561 | |
187 | DOLLAR RAT E FOR GROU P: 0697 | |
188 | DOLLAR RAT E FOR GROU P: 0796 | |
189 | DOLLAR RAT E FOR GROU P: 0907 | |
190 | DOLLAR RAT E FOR GROU P: 1020 | |
191 | DOLLAR RAT E FOR GROU P: 1324 | |
192 | DOLLAR RAT E FOR GROU P: 1510 | |
193 | DOLLAR RAT E FOR GROU P: 2335 | |
194 | BEGIN EFFE CTIVE DATE : NOV 01, 1999 | |
195 | DOLLAR RAT E FOR GROU P: 0293 | |
196 | DOLLAR RAT E FOR GROU P: 0333 | |
197 | DOLLAR RAT E FOR GROU P: 0453 | |
198 | DOLLAR RAT E FOR GROU P: 0562 | |
199 | DOLLAR RAT E FOR GROU P: 0697 | |
200 | DOLLAR RAT E FOR GROU P: 0796 | |
201 | DOLLAR RAT E FOR GROU P: 0907 | |
202 | DOLLAR RAT E FOR GROU P: 1020 | |
203 | DOLLAR RAT E FOR GROU P: 1325 | |
204 | DOLLAR RAT E FOR GROU P: 1511 | |
205 | DOLLAR RAT E FOR GROU P: 2335 | |
206 | BEGIN EFFE CTIVE DATE : NOV 01, 2000 | |
207 | DOLLAR RAT E FOR GROU P: 0295 | |
208 | DOLLAR RAT E FOR GROU P: 0335 | |
209 | DOLLAR RAT E FOR GROU P: 0457 | |
210 | DOLLAR RAT E FOR GROU P: 0566 | |
211 | DOLLAR RAT E FOR GROU P: 0702 | |
212 | DOLLAR RAT E FOR GROU P: 0802 | |
213 | DOLLAR RAT E FOR GROU P: 0913 | |
214 | DOLLAR RAT E FOR GROU P: 1026 | |
215 | DOLLAR RAT E FOR GROU P: 1333 | |
216 | DOLLAR RAT E FOR GROU P: 1520 | |
217 | DOLLAR RAT E FOR GROU P: 2567 | |
218 | BEGIN EFFE CTIVE DATE : NOV 01, 2001 | |
219 | DOLLAR RAT E FOR GROU P: 0296 | |
220 | DOLLAR RAT E FOR GROU P: 0337 | |
221 | DOLLAR RAT E FOR GROU P: 0458 | |
222 | DOLLAR RAT E FOR GROU P: 0568 | |
223 | DOLLAR RAT E FOR GROU P: 0705 | |
224 | DOLLAR RAT E FOR GROU P: 0805 | |
225 | DOLLAR RAT E FOR GROU P: 0917 | |
226 | DOLLAR RAT E FOR GROU P: 1030 | |
227 | DOLLAR RAT E FOR GROU P: 1338 | |
228 | DOLLAR RAT E FOR GROU P: 1527 | |
229 | DOLLAR RAT E FOR GROU P: 2677 | |
230 | BEGIN EFFE CTIVE DATE : NOV 01, 2002 | |
231 | DOLLAR RAT E FOR GROU P: 0307 | |
232 | DOLLAR RAT E FOR GROU P: 0349 | |
233 | DOLLAR RAT E FOR GROU P: 0476 | |
234 | DOLLAR RAT E FOR GROU P: 0589 | |
235 | DOLLAR RAT E FOR GROU P: 0732 | |
236 | DOLLAR RAT E FOR GROU P: 0835 | |
237 | DOLLAR RAT E FOR GROU P: 0951 | |
238 | DOLLAR RAT E FOR GROU P: 1070 | |
239 | DOLLAR RAT E FOR GROU P: 1389 | |
240 | DOLLAR RAT E FOR GROU P: 1585 | |
241 | DOLLAR RAT E FOR GROU P: 2618 | |
242 | BEGIN EFFE CTIVE DATE : NOV 01, 2003 | |
243 | DOLLAR RAT E FOR GROU P: 0197 | |
244 | DOLLAR RAT E FOR GROU P: 0344 | |
245 | DOLLAR RAT E FOR GROU P: 0472 | |
246 | DOLLAR RAT E FOR GROU P: 0520 | |
247 | DOLLAR RAT E FOR GROU P: 0649 | |
248 | DOLLAR RAT E FOR GROU P: 0776 | |
249 | DOLLAR RAT E FOR GROU P: 0858 | |
250 | DOLLAR RAT E FOR GROU P: 0977 | |
251 | DOLLAR RAT E FOR GROU P: 1161 | |
252 | DOLLAR RAT E FOR GROU P: 1473 | |
253 | DOLLAR RAT E FOR GROU P: 2889 | |
254 | BEGIN EFFE CTIVE DATE : APR 01, 2004 | |
255 | DOLLAR RAT E FOR GROU P: 0193 | |
256 | DOLLAR RAT E FOR GROU P: 0337 | |
257 | DOLLAR RAT E FOR GROU P: 0463 | |
258 | DOLLAR RAT E FOR GROU P: 0510 | |
259 | DOLLAR RAT E FOR GROU P: 0636 | |
260 | DOLLAR RAT E FOR GROU P: 0761 | |
261 | DOLLAR RAT E FOR GROU P: 0841 | |
262 | DOLLAR RAT E FOR GROU P: 0958 | |
263 | DOLLAR RAT E FOR GROU P: 1138 | |
264 | DOLLAR RAT E FOR GROU P: 1444 | |
265 | DOLLAR RAT E FOR GROU P: 2889 | |
266 | BEGIN EFFE CTIVE DATE : NOV 01, 2005 | |
267 | DOLLAR RAT E FOR GROU P: 0193 | |
268 | DOLLAR RAT E FOR GROU P: 0337 | |
269 | DOLLAR RAT E FOR GROU P: 0463 | |
270 | DOLLAR RAT E FOR GROU P: 0510 | |
271 | DOLLAR RAT E FOR GROU P: 0636 | |
272 | DOLLAR RAT E FOR GROU P: 0761 | |
273 | DOLLAR RAT E FOR GROU P: 0841 | |
274 | DOLLAR RAT E FOR GROU P: 0958 | |
275 | DOLLAR RAT E FOR GROU P: 1138 | |
276 | DOLLAR RAT E FOR GROU P: 1444 | |
277 | DOLLAR RAT E FOR GROU P: 3151 | |
278 | BEGIN EFFE CTIVE DATE : NOV 01, 2006 | |
279 | DOLLAR RAT E FOR GROU P: 0193 | |
280 | DOLLAR RAT E FOR GROU P: 0337 | |
281 | DOLLAR RAT E FOR GROU P: 0463 | |
282 | DOLLAR RAT E FOR GROU P: 0510 | |
283 | DOLLAR RAT E FOR GROU P: 0636 | |
284 | DOLLAR RAT E FOR GROU P: 0761 | |
285 | DOLLAR RAT E FOR GROU P: 0841 | |
286 | DOLLAR RAT E FOR GROU P: 0958 | |
287 | DOLLAR RAT E FOR GROU P: 1138 | |
288 | DOLLAR RAT E FOR GROU P: 1444 | |
289 | DOLLAR RAT E FOR GROU P: 3214 | |
290 | BEGIN EFFE CTIVE DATE : NOV 01, 2007 | |
291 | DOLLAR RAT E FOR GROU P: 0193 | |
292 | DOLLAR RAT E FOR GROU P: 0337 | |
293 | DOLLAR RAT E FOR GROU P: 0463 | |
294 | DOLLAR RAT E FOR GROU P: 0510 | |
295 | DOLLAR RAT E FOR GROU P: 0636 | |
296 | DOLLAR RAT E FOR GROU P: 0761 | |
297 | DOLLAR RAT E FOR GROU P: 0841 | |
298 | DOLLAR RAT E FOR GROU P: 0958 | |
299 | DOLLAR RAT E FOR GROU P: 1138 | |
300 | DOLLAR RAT E FOR GROU P: 1444 | |
301 | DOLLAR RAT E FOR GROU P: 3270 | |
302 | BEGIN EFFE CTIVE DATE : NOV 01, 2008 | |
303 | DOLLAR RAT E FOR GROU P: 0193 | |
304 | DOLLAR RAT E FOR GROU P: 0337 | |
305 | DOLLAR RAT E FOR GROU P: 0463 | |
306 | DOLLAR RAT E FOR GROU P: 0510 | |
307 | DOLLAR RAT E FOR GROU P: 0636 | |
308 | DOLLAR RAT E FOR GROU P: 0761 | |
309 | DOLLAR RAT E FOR GROU P: 0841 | |
310 | DOLLAR RAT E FOR GROU P: 0958 | |
311 | DOLLAR RAT E FOR GROU P: 1138 | |
312 | DOLLAR RAT E FOR GROU P: 1444 | |
313 | DOLLAR RAT E FOR GROU P: 5747 | |
314 | BEGIN EFFE CTIVE DATE : NOV 01, 2009 | |
315 | DOLLAR RAT E FOR GROU P: 0194 | |
316 | DOLLAR RAT E FOR GROU P: 0339 | |
317 | DOLLAR RAT E FOR GROU P: 0466 | |
318 | DOLLAR RAT E FOR GROU P: 0513 | |
319 | DOLLAR RAT E FOR GROU P: 0640 | |
320 | DOLLAR RAT E FOR GROU P: 0766 | |
321 | DOLLAR RAT E FOR GROU P: 0846 | |
322 | DOLLAR RAT E FOR GROU P: 0964 | |
323 | DOLLAR RAT E FOR GROU P: 1145 | |
324 | DOLLAR RAT E FOR GROU P: 1453 | |
325 | DOLLAR RAT E FOR GROU P: 5921 | |
326 | BEGIN EFFE CTIVE DATE : NOV 01, 2010 TERMINATIO N DATE: OC T 31, 2011 | |
327 | DUZ: ZZR OBERTSON,A LFONSO D LAST DATE CHANGED: S EP 27, 201 1 | |
328 | DOLLAR RAT E FOR GROU P: 0194 | |
329 | DOLLAR RAT E FOR GROU P: 0339 | |
330 | DOLLAR RAT E FOR GROU P: 0466 | |
331 | DOLLAR RAT E FOR GROU P: 0513 | |
332 | DOLLAR RAT E FOR GROU P: 0640 | |
333 | DOLLAR RAT E FOR GROU P: 0766 | |
334 | DOLLAR RAT E FOR GROU P: 0846 | |
335 | DOLLAR RAT E FOR GROU P: 0964 | |
336 | DOLLAR RAT E FOR GROU P: 1145 | |
337 | DOLLAR RAT E FOR GROU P: 1453 | |
338 | DOLLAR RAT E FOR GROU P: 5921 | |
339 | BEGIN EFFE CTIVE DATE : NOV 01, 2011 TERMINATIO N DATE: OC T 31, 2012 | |
340 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 26, 201 1 | |
341 | DOLLAR RAT E FOR GROU P: 0196 | |
342 | DOLLAR RAT E FOR GROU P: 0342 | |
343 | DOLLAR RAT E FOR GROU P: 0470 | |
344 | DOLLAR RAT E FOR GROU P: 0518 | |
345 | DOLLAR RAT E FOR GROU P: 0646 | |
346 | DOLLAR RAT E FOR GROU P: 0773 | |
347 | DOLLAR RAT E FOR GROU P: 0854 | |
348 | DOLLAR RAT E FOR GROU P: 0973 | |
349 | DOLLAR RAT E FOR GROU P: 1155 | |
350 | DOLLAR RAT E FOR GROU P: 1466 | |
351 | DOLLAR RAT E FOR GROU P: 6579 | |
352 | BEGIN EFFE CTIVE DATE : NOV 01, 2012 TERMINATIO N DATE: OC T 31, 2013 | |
353 | DUZ: WON G,DUANE R LAST DATE CHANGED: O CT 19, 201 2 | |
354 | DOLLAR RAT E FOR GROU P: 0199 | |
355 | DOLLAR RAT E FOR GROU P: 0347 | |
356 | DOLLAR RAT E FOR GROU P: 0476 | |
357 | DOLLAR RAT E FOR GROU P: 0525 | |
358 | DOLLAR RAT E FOR GROU P: 0654 | |
359 | DOLLAR RAT E FOR GROU P: 0783 | |
360 | DOLLAR RAT E FOR GROU P: 0865 | |
361 | DOLLAR RAT E FOR GROU P: 0986 | |
362 | DOLLAR RAT E FOR GROU P: 1170 | |
363 | DOLLAR RAT E FOR GROU P: 1486 | |
364 | DOLLAR RAT E FOR GROU P: 5788 | |
365 | BEGIN EFFE CTIVE DATE : NOV 01, 2013 TERMINATIO N DATE: OC T 31, 2014 | |
366 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: D EC 24, 201 3 | |
367 | DOLLAR RAT E FOR GROU P: 00201 | |
368 | DOLLAR RAT E FOR GROU P: 00350 | |
369 | DOLLAR RAT E FOR GROU P: 00480 | |
370 | DOLLAR RAT E FOR GROU P: 00530 | |
371 | DOLLAR RAT E FOR GROU P: 00660 | |
372 | DOLLAR RAT E FOR GROU P: 00790 | |
373 | DOLLAR RAT E FOR GROU P: 00873 | |
374 | DOLLAR RAT E FOR GROU P: 00995 | |
375 | DOLLAR RAT E FOR GROU P: 01180 | |
376 | DOLLAR RAT E FOR GROU P: 01500 | |
377 | DOLLAR RAT E FOR GROU P: 07216 | |
378 | BEGIN EFFE CTIVE DATE : NOV 01, 2014 TERMINATIO N DATE: OC T 31, 2015 | |
379 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 27, 201 4 | |
380 | DOLLAR RAT E FOR GROU P: 00203 | |
381 | DOLLAR RAT E FOR GROU P: 00354 | |
382 | DOLLAR RAT E FOR GROU P: 00486 | |
383 | DOLLAR RAT E FOR GROU P: 00536 | |
384 | DOLLAR RAT E FOR GROU P: 00668 | |
385 | DOLLAR RAT E FOR GROU P: 00800 | |
386 | DOLLAR RAT E FOR GROU P: 00884 | |
387 | DOLLAR RAT E FOR GROU P: 01006 | |
388 | DOLLAR RAT E FOR GROU P: 01194 | |
389 | DOLLAR RAT E FOR GROU P: 01518 | |
390 | DOLLAR RAT E FOR GROU P: 06607 | |
391 | BEGIN EFFE CTIVE DATE : NOV 01, 2015 TERMINATIO N DATE: OC T 31, 2016 | |
392 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 27, 201 5 | |
393 | DOLLAR RAT E FOR GROU P: 00205 | |
394 | DOLLAR RAT E FOR GROU P: 00358 | |
395 | DOLLAR RAT E FOR GROU P: 00492 | |
396 | DOLLAR RAT E FOR GROU P: 00543 | |
397 | DOLLAR RAT E FOR GROU P: 00676 | |
398 | DOLLAR RAT E FOR GROU P: 00810 | |
399 | DOLLAR RAT E FOR GROU P: 00895 | |
400 | DOLLAR RAT E FOR GROU P: 01018 | |
401 | DOLLAR RAT E FOR GROU P: 01208 | |
402 | DOLLAR RAT E FOR GROU P: 01535 | |
403 | DOLLAR RAT E FOR GROU P: 07405 | |
404 | BEGIN EFFE CTIVE DATE : NOV 01, 2016 TERMINATIO N DATE: OC T 31, 2017 | |
405 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 31, 201 6 | |
406 | DOLLAR RAT E FOR GROU P: 00207 | |
407 | DOLLAR RAT E FOR GROU P: 00362 | |
408 | DOLLAR RAT E FOR GROU P: 00498 | |
409 | DOLLAR RAT E FOR GROU P: 00549 | |
410 | DOLLAR RAT E FOR GROU P: 00684 | |
411 | DOLLAR RAT E FOR GROU P: 00819 | |
412 | DOLLAR RAT E FOR GROU P: 00905 | |
413 | DOLLAR RAT E FOR GROU P: 01030 | |
414 | DOLLAR RAT E FOR GROU P: 01222 | |
415 | DOLLAR RAT E FOR GROU P: 01552 | |
416 | DOLLAR RAT E FOR GROU P: 09889 | |
417 | BEGIN EFFE CTIVE DATE : NOV 01, 2017 TERMINATIO N DATE: OC T 31, 2018 | |
418 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 23, 201 7 | |
419 | DOLLAR RAT E FOR GROU P: 000211 | |
420 | DOLLAR RAT E FOR GROU P: 000369 | |
421 | DOLLAR RAT E FOR GROU P: 000508 | |
422 | DOLLAR RAT E FOR GROU P: 000561 | |
423 | DOLLAR RAT E FOR GROU P: 000697 | |
424 | DOLLAR RAT E FOR GROU P: 000834 | |
425 | DOLLAR RAT E FOR GROU P: 000923 | |
426 | DOLLAR RAT E FOR GROU P: 001050 | |
427 | DOLLAR RAT E FOR GROU P: 001246 | |
428 | DOLLAR RAT E FOR GROU P: 001584 | |
429 | DOLLAR RAT E FOR GROU P: 007118 | |
430 | DOLLAR RAT E FOR GROU P: 000621 | |
431 | DOLLAR RAT E FOR GROU P: 001055 | |
432 | DOLLAR RAT E FOR GROU P: 001369 | |
433 | DOLLAR RAT E FOR GROU P: 001737 | |
434 | DOLLAR RAT E FOR GROU P: 001759 | |
435 | DOLLAR RAT E FOR GROU P: 001768 | |
436 | DOLLAR RAT E FOR GROU P: 001824 | |
437 | DOLLAR RAT E FOR GROU P: 002112 | |
438 | DOLLAR RAT E FOR GROU P: 002085 | |
439 | DOLLAR RAT E FOR GROU P: 002711 | |
440 | DOLLAR RAT E FOR GROU P: 003329 | |
441 | DOLLAR RAT E FOR GROU P: 005055 | |
442 | DOLLAR RAT E FOR GROU P: 000484 | |
443 | DOLLAR RAT E FOR GROU P: 000704 | |
444 | DOLLAR RAT E FOR GROU P: 001180 | |
445 | DOLLAR RAT E FOR GROU P: 001295 | |
446 | DOLLAR RAT E FOR GROU P: 000989 | |
447 | DOLLAR RAT E FOR GROU P: 001336 | |
448 | DOLLAR RAT E FOR GROU P: 001612 | |
449 | DOLLAR RAT E FOR GROU P: 002064 | |
450 | DOLLAR RAT E FOR GROU P: 001708 | |
451 | DOLLAR RAT E FOR GROU P: 002711 | |
452 | DOLLAR RAT E FOR GROU P: 002567 | |
453 | DOLLAR RAT E FOR GROU P: 001929 | |
454 | DOLLAR RAT E FOR GROU P: 002007 | |
455 | DOLLAR RAT E FOR GROU P: 002173 | |
456 | DOLLAR RAT E FOR GROU P: 003070 | |
457 | DOLLAR RAT E FOR GROU P: 003128 | |
458 | DOLLAR RAT E FOR GROU P: 003308 | |
459 | DOLLAR RAT E FOR GROU P: 004063 | |
460 | ||
461 | ||
462 | Select CHA MPVA ASC P AYMENT RAT ES MSA COD E: | |
463 | ||
464 | Select AMB Surg Menu <TEST ACC OUNT> Opti on: AZC A MB ZIP Cod es | |
465 | ||
466 | Select CHA MPVA AMB Z IP CODES: 45271 | |
467 | ||
468 | DEVICE: SSH VIRTUA L TERMINAL Right Margin: 80 // | |
469 | CHAMPVA AM B ZIP CODE S List MAR 23, 2018@07:4 3 PAGE 1 | |
470 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
471 | ||
472 | ZIP CODE: 45271 STATE POST AL ABBREV: OH | |
473 | DATE: NOV 01, 1994 MSA CODE: 1640 | |
474 | ||
475 | Select CHA MPVA AMB Z IP CODES: | |
476 | ||
477 | <DEV> A PG ASC Pa yment Grou p | |
478 | <DEV> A PR ASC Pa yment Rate s | |
479 | <DEV> A ZC AMB ZI P Codes | |
480 | ||
481 | You have P ENDING ALE RTS | |
482 | Enter "VA to jump t o VIEW ALE RTS option | |
483 | ||
484 | Select AMB Surg Menu <TEST ACC OUNT> Opti on: APR A SC Payment Rates | |
485 | ||
486 | Select CHA MPVA ASC P AYMENT RAT ES MSA COD E: 1640 | |
487 | ||
488 | DEVICE: ;; 999 SSH V IRTUAL TER MINAL R ight Margi n: 80// | |
489 | CHAMPVA AS C PAYMENT RATES List MAR 23, 2018@07:4 3 PAGE 1 | |
490 | ---------- ---------- ---------- ---------- ---------- ---------- ---------- ---------- | |
491 | ||
492 | MSA CODE: 1640 | |
493 | BEGIN EFFE CTIVE DATE : NOV 01, 1994 | |
494 | DOLLAR RAT E FOR GROU P: 0272 | |
495 | DOLLAR RAT E FOR GROU P: 0308 | |
496 | DOLLAR RAT E FOR GROU P: 0419 | |
497 | DOLLAR RAT E FOR GROU P: 0521 | |
498 | DOLLAR RAT E FOR GROU P: 0646 | |
499 | DOLLAR RAT E FOR GROU P: 0738 | |
500 | DOLLAR RAT E FOR GROU P: 0842 | |
501 | DOLLAR RAT E FOR GROU P: 0945 | |
502 | DOLLAR RAT E FOR GROU P: 1228 | |
503 | DOLLAR RAT E FOR GROU P: 1400 | |
504 | BEGIN EFFE CTIVE DATE : NOV 01, 1995 | |
505 | DOLLAR RAT E FOR GROU P: 0279 | |
506 | DOLLAR RAT E FOR GROU P: 0317 | |
507 | DOLLAR RAT E FOR GROU P: 0431 | |
508 | DOLLAR RAT E FOR GROU P: 0535 | |
509 | DOLLAR RAT E FOR GROU P: 0663 | |
510 | DOLLAR RAT E FOR GROU P: 0758 | |
511 | DOLLAR RAT E FOR GROU P: 0864 | |
512 | DOLLAR RAT E FOR GROU P: 0971 | |
513 | DOLLAR RAT E FOR GROU P: 1261 | |
514 | DOLLAR RAT E FOR GROU P: 1439 | |
515 | BEGIN EFFE CTIVE DATE : NOV 01, 1996 | |
516 | DOLLAR RAT E FOR GROU P: 0288 | |
517 | DOLLAR RAT E FOR GROU P: 0327 | |
518 | DOLLAR RAT E FOR GROU P: 0444 | |
519 | DOLLAR RAT E FOR GROU P: 0552 | |
520 | DOLLAR RAT E FOR GROU P: 0685 | |
521 | DOLLAR RAT E FOR GROU P: 0782 | |
522 | DOLLAR RAT E FOR GROU P: 0892 | |
523 | DOLLAR RAT E FOR GROU P: 1002 | |
524 | DOLLAR RAT E FOR GROU P: 1300 | |
525 | DOLLAR RAT E FOR GROU P: 1484 | |
526 | BEGIN EFFE CTIVE DATE : NOV 01, 1997 | |
527 | DOLLAR RAT E FOR GROU P: 0289 | |
528 | DOLLAR RAT E FOR GROU P: 0328 | |
529 | DOLLAR RAT E FOR GROU P: 0447 | |
530 | DOLLAR RAT E FOR GROU P: 0554 | |
531 | DOLLAR RAT E FOR GROU P: 0687 | |
532 | DOLLAR RAT E FOR GROU P: 0786 | |
533 | DOLLAR RAT E FOR GROU P: 0895 | |
534 | DOLLAR RAT E FOR GROU P: 1006 | |
535 | DOLLAR RAT E FOR GROU P: 1306 | |
536 | DOLLAR RAT E FOR GROU P: 1490 | |
537 | BEGIN EFFE CTIVE DATE : NOV 01, 1998 | |
538 | DOLLAR RAT E FOR GROU P: 0290 | |
539 | DOLLAR RAT E FOR GROU P: 0330 | |
540 | DOLLAR RAT E FOR GROU P: 0448 | |
541 | DOLLAR RAT E FOR GROU P: 0556 | |
542 | DOLLAR RAT E FOR GROU P: 0690 | |
543 | DOLLAR RAT E FOR GROU P: 0788 | |
544 | DOLLAR RAT E FOR GROU P: 0898 | |
545 | DOLLAR RAT E FOR GROU P: 1009 | |
546 | DOLLAR RAT E FOR GROU P: 1310 | |
547 | DOLLAR RAT E FOR GROU P: 1495 | |
548 | DOLLAR RAT E FOR GROU P: 2292 | |
549 | BEGIN EFFE CTIVE DATE : NOV 01, 1999 | |
550 | DOLLAR RAT E FOR GROU P: 0290 | |
551 | DOLLAR RAT E FOR GROU P: 0330 | |
552 | DOLLAR RAT E FOR GROU P: 0449 | |
553 | DOLLAR RAT E FOR GROU P: 0557 | |
554 | DOLLAR RAT E FOR GROU P: 0691 | |
555 | DOLLAR RAT E FOR GROU P: 0789 | |
556 | DOLLAR RAT E FOR GROU P: 0899 | |
557 | DOLLAR RAT E FOR GROU P: 1011 | |
558 | DOLLAR RAT E FOR GROU P: 1313 | |
559 | DOLLAR RAT E FOR GROU P: 1497 | |
560 | DOLLAR RAT E FOR GROU P: 2292 | |
561 | BEGIN EFFE CTIVE DATE : NOV 01, 2000 | |
562 | DOLLAR RAT E FOR GROU P: 0293 | |
563 | DOLLAR RAT E FOR GROU P: 0333 | |
564 | DOLLAR RAT E FOR GROU P: 0454 | |
565 | DOLLAR RAT E FOR GROU P: 0562 | |
566 | DOLLAR RAT E FOR GROU P: 0698 | |
567 | DOLLAR RAT E FOR GROU P: 0797 | |
568 | DOLLAR RAT E FOR GROU P: 0907 | |
569 | DOLLAR RAT E FOR GROU P: 1020 | |
570 | DOLLAR RAT E FOR GROU P: 1325 | |
571 | DOLLAR RAT E FOR GROU P: 1511 | |
572 | DOLLAR RAT E FOR GROU P: 2534 | |
573 | BEGIN EFFE CTIVE DATE : NOV 01, 2001 | |
574 | DOLLAR RAT E FOR GROU P: 0297 | |
575 | DOLLAR RAT E FOR GROU P: 0337 | |
576 | DOLLAR RAT E FOR GROU P: 0459 | |
577 | DOLLAR RAT E FOR GROU P: 0568 | |
578 | DOLLAR RAT E FOR GROU P: 0705 | |
579 | DOLLAR RAT E FOR GROU P: 0805 | |
580 | DOLLAR RAT E FOR GROU P: 0917 | |
581 | DOLLAR RAT E FOR GROU P: 1031 | |
582 | DOLLAR RAT E FOR GROU P: 1339 | |
583 | DOLLAR RAT E FOR GROU P: 1528 | |
584 | DOLLAR RAT E FOR GROU P: 2681 | |
585 | BEGIN EFFE CTIVE DATE : NOV 01, 2002 | |
586 | DOLLAR RAT E FOR GROU P: 0304 | |
587 | DOLLAR RAT E FOR GROU P: 0346 | |
588 | DOLLAR RAT E FOR GROU P: 0471 | |
589 | DOLLAR RAT E FOR GROU P: 0583 | |
590 | DOLLAR RAT E FOR GROU P: 0724 | |
591 | DOLLAR RAT E FOR GROU P: 0827 | |
592 | DOLLAR RAT E FOR GROU P: 0942 | |
593 | DOLLAR RAT E FOR GROU P: 1059 | |
594 | DOLLAR RAT E FOR GROU P: 1375 | |
595 | DOLLAR RAT E FOR GROU P: 1569 | |
596 | DOLLAR RAT E FOR GROU P: 2565 | |
597 | BEGIN EFFE CTIVE DATE : NOV 01, 2003 | |
598 | DOLLAR RAT E FOR GROU P: 0195 | |
599 | DOLLAR RAT E FOR GROU P: 0341 | |
600 | DOLLAR RAT E FOR GROU P: 0467 | |
601 | DOLLAR RAT E FOR GROU P: 0515 | |
602 | DOLLAR RAT E FOR GROU P: 0643 | |
603 | DOLLAR RAT E FOR GROU P: 0769 | |
604 | DOLLAR RAT E FOR GROU P: 0850 | |
605 | DOLLAR RAT E FOR GROU P: 0968 | |
606 | DOLLAR RAT E FOR GROU P: 1150 | |
607 | DOLLAR RAT E FOR GROU P: 1460 | |
608 | DOLLAR RAT E FOR GROU P: 2835 | |
609 | BEGIN EFFE CTIVE DATE : APR 01, 2004 | |
610 | DOLLAR RAT E FOR GROU P: 0191 | |
611 | DOLLAR RAT E FOR GROU P: 0334 | |
612 | DOLLAR RAT E FOR GROU P: 0459 | |
613 | DOLLAR RAT E FOR GROU P: 0506 | |
614 | DOLLAR RAT E FOR GROU P: 0630 | |
615 | DOLLAR RAT E FOR GROU P: 0754 | |
616 | DOLLAR RAT E FOR GROU P: 0834 | |
617 | DOLLAR RAT E FOR GROU P: 0949 | |
618 | DOLLAR RAT E FOR GROU P: 1128 | |
619 | DOLLAR RAT E FOR GROU P: 1431 | |
620 | DOLLAR RAT E FOR GROU P: 2835 | |
621 | BEGIN EFFE CTIVE DATE : NOV 01, 2005 | |
622 | DOLLAR RAT E FOR GROU P: 0191 | |
623 | DOLLAR RAT E FOR GROU P: 0334 | |
624 | DOLLAR RAT E FOR GROU P: 0459 | |
625 | DOLLAR RAT E FOR GROU P: 0506 | |
626 | DOLLAR RAT E FOR GROU P: 0630 | |
627 | DOLLAR RAT E FOR GROU P: 0754 | |
628 | DOLLAR RAT E FOR GROU P: 0834 | |
629 | DOLLAR RAT E FOR GROU P: 0949 | |
630 | DOLLAR RAT E FOR GROU P: 1128 | |
631 | DOLLAR RAT E FOR GROU P: 1431 | |
632 | DOLLAR RAT E FOR GROU P: 3093 | |
633 | BEGIN EFFE CTIVE DATE : NOV 01, 2006 | |
634 | DOLLAR RAT E FOR GROU P: 0191 | |
635 | DOLLAR RAT E FOR GROU P: 0334 | |
636 | DOLLAR RAT E FOR GROU P: 0459 | |
637 | DOLLAR RAT E FOR GROU P: 0506 | |
638 | DOLLAR RAT E FOR GROU P: 0630 | |
639 | DOLLAR RAT E FOR GROU P: 0754 | |
640 | DOLLAR RAT E FOR GROU P: 0834 | |
641 | DOLLAR RAT E FOR GROU P: 0949 | |
642 | DOLLAR RAT E FOR GROU P: 1128 | |
643 | DOLLAR RAT E FOR GROU P: 1431 | |
644 | DOLLAR RAT E FOR GROU P: 3154 | |
645 | BEGIN EFFE CTIVE DATE : NOV 01, 2007 | |
646 | DOLLAR RAT E FOR GROU P: 0191 | |
647 | DOLLAR RAT E FOR GROU P: 0334 | |
648 | DOLLAR RAT E FOR GROU P: 0459 | |
649 | DOLLAR RAT E FOR GROU P: 0506 | |
650 | DOLLAR RAT E FOR GROU P: 0630 | |
651 | DOLLAR RAT E FOR GROU P: 0754 | |
652 | DOLLAR RAT E FOR GROU P: 0834 | |
653 | DOLLAR RAT E FOR GROU P: 0949 | |
654 | DOLLAR RAT E FOR GROU P: 1128 | |
655 | DOLLAR RAT E FOR GROU P: 1431 | |
656 | DOLLAR RAT E FOR GROU P: 3210 | |
657 | BEGIN EFFE CTIVE DATE : NOV 01, 2008 | |
658 | DOLLAR RAT E FOR GROU P: 0191 | |
659 | DOLLAR RAT E FOR GROU P: 0334 | |
660 | DOLLAR RAT E FOR GROU P: 0459 | |
661 | DOLLAR RAT E FOR GROU P: 0506 | |
662 | DOLLAR RAT E FOR GROU P: 0630 | |
663 | DOLLAR RAT E FOR GROU P: 0754 | |
664 | DOLLAR RAT E FOR GROU P: 0834 | |
665 | DOLLAR RAT E FOR GROU P: 0949 | |
666 | DOLLAR RAT E FOR GROU P: 1128 | |
667 | DOLLAR RAT E FOR GROU P: 1431 | |
668 | DOLLAR RAT E FOR GROU P: 5641 | |
669 | BEGIN EFFE CTIVE DATE : NOV 01, 2009 | |
670 | DOLLAR RAT E FOR GROU P: 0192 | |
671 | DOLLAR RAT E FOR GROU P: 0336 | |
672 | DOLLAR RAT E FOR GROU P: 0461 | |
673 | DOLLAR RAT E FOR GROU P: 0509 | |
674 | DOLLAR RAT E FOR GROU P: 0634 | |
675 | DOLLAR RAT E FOR GROU P: 0759 | |
676 | DOLLAR RAT E FOR GROU P: 0839 | |
677 | DOLLAR RAT E FOR GROU P: 0955 | |
678 | DOLLAR RAT E FOR GROU P: 1135 | |
679 | DOLLAR RAT E FOR GROU P: 1440 | |
680 | DOLLAR RAT E FOR GROU P: 5813 | |
681 | BEGIN EFFE CTIVE DATE : NOV 01, 2010 TERMINATIO N DATE: OC T 31, 2011 | |
682 | DUZ: ZZR OBERTSON,A LFONSO D LAST DATE CHANGED: S EP 27, 201 1 | |
683 | DOLLAR RAT E FOR GROU P: 0192 | |
684 | DOLLAR RAT E FOR GROU P: 0336 | |
685 | DOLLAR RAT E FOR GROU P: 0461 | |
686 | DOLLAR RAT E FOR GROU P: 0509 | |
687 | DOLLAR RAT E FOR GROU P: 0634 | |
688 | DOLLAR RAT E FOR GROU P: 0759 | |
689 | DOLLAR RAT E FOR GROU P: 0839 | |
690 | DOLLAR RAT E FOR GROU P: 0955 | |
691 | DOLLAR RAT E FOR GROU P: 1135 | |
692 | DOLLAR RAT E FOR GROU P: 1440 | |
693 | DOLLAR RAT E FOR GROU P: 5813 | |
694 | BEGIN EFFE CTIVE DATE : NOV 01, 2011 TERMINATIO N DATE: OC T 31, 2012 | |
695 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 26, 201 1 | |
696 | DOLLAR RAT E FOR GROU P: 0194 | |
697 | DOLLAR RAT E FOR GROU P: 0339 | |
698 | DOLLAR RAT E FOR GROU P: 0465 | |
699 | DOLLAR RAT E FOR GROU P: 0513 | |
700 | DOLLAR RAT E FOR GROU P: 0640 | |
701 | DOLLAR RAT E FOR GROU P: 0766 | |
702 | DOLLAR RAT E FOR GROU P: 0847 | |
703 | DOLLAR RAT E FOR GROU P: 0964 | |
704 | DOLLAR RAT E FOR GROU P: 1144 | |
705 | DOLLAR RAT E FOR GROU P: 1453 | |
706 | DOLLAR RAT E FOR GROU P: 6459 | |
707 | BEGIN EFFE CTIVE DATE : NOV 01, 2012 TERMINATIO N DATE: OC T 31, 2013 | |
708 | DUZ: WON G,DUANE R LAST DATE CHANGED: O CT 19, 201 2 | |
709 | DOLLAR RAT E FOR GROU P: 0197 | |
710 | DOLLAR RAT E FOR GROU P: 0344 | |
711 | DOLLAR RAT E FOR GROU P: 0471 | |
712 | DOLLAR RAT E FOR GROU P: 0520 | |
713 | DOLLAR RAT E FOR GROU P: 0649 | |
714 | DOLLAR RAT E FOR GROU P: 0776 | |
715 | DOLLAR RAT E FOR GROU P: 0857 | |
716 | DOLLAR RAT E FOR GROU P: 0977 | |
717 | DOLLAR RAT E FOR GROU P: 1159 | |
718 | DOLLAR RAT E FOR GROU P: 1473 | |
719 | DOLLAR RAT E FOR GROU P: 5683 | |
720 | BEGIN EFFE CTIVE DATE : NOV 01, 2013 TERMINATIO N DATE: OC T 31, 2014 | |
721 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: D EC 24, 201 3 | |
722 | DOLLAR RAT E FOR GROU P: 00199 | |
723 | DOLLAR RAT E FOR GROU P: 00347 | |
724 | DOLLAR RAT E FOR GROU P: 00476 | |
725 | DOLLAR RAT E FOR GROU P: 00525 | |
726 | DOLLAR RAT E FOR GROU P: 00654 | |
727 | DOLLAR RAT E FOR GROU P: 00783 | |
728 | DOLLAR RAT E FOR GROU P: 00865 | |
729 | DOLLAR RAT E FOR GROU P: 00986 | |
730 | DOLLAR RAT E FOR GROU P: 01170 | |
731 | DOLLAR RAT E FOR GROU P: 01486 | |
732 | DOLLAR RAT E FOR GROU P: 07083 | |
733 | BEGIN EFFE CTIVE DATE : NOV 01, 2014 TERMINATIO N DATE: OC T 31, 2015 | |
734 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 27, 201 4 | |
735 | DOLLAR RAT E FOR GROU P: 00201 | |
736 | DOLLAR RAT E FOR GROU P: 00351 | |
737 | DOLLAR RAT E FOR GROU P: 00482 | |
738 | DOLLAR RAT E FOR GROU P: 00531 | |
739 | DOLLAR RAT E FOR GROU P: 00662 | |
740 | DOLLAR RAT E FOR GROU P: 00793 | |
741 | DOLLAR RAT E FOR GROU P: 00876 | |
742 | DOLLAR RAT E FOR GROU P: 00997 | |
743 | DOLLAR RAT E FOR GROU P: 01184 | |
744 | DOLLAR RAT E FOR GROU P: 01504 | |
745 | DOLLAR RAT E FOR GROU P: 06486 | |
746 | BEGIN EFFE CTIVE DATE : NOV 01, 2015 TERMINATIO N DATE: OC T 31, 2016 | |
747 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 27, 201 5 | |
748 | DOLLAR RAT E FOR GROU P: 00203 | |
749 | DOLLAR RAT E FOR GROU P: 00355 | |
750 | DOLLAR RAT E FOR GROU P: 00488 | |
751 | DOLLAR RAT E FOR GROU P: 00538 | |
752 | DOLLAR RAT E FOR GROU P: 00670 | |
753 | DOLLAR RAT E FOR GROU P: 00802 | |
754 | DOLLAR RAT E FOR GROU P: 00887 | |
755 | DOLLAR RAT E FOR GROU P: 01009 | |
756 | DOLLAR RAT E FOR GROU P: 01197 | |
757 | DOLLAR RAT E FOR GROU P: 01522 | |
758 | DOLLAR RAT E FOR GROU P: 07269 | |
759 | BEGIN EFFE CTIVE DATE : NOV 01, 2016 TERMINATIO N DATE: OC T 31, 2017 | |
760 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 31, 201 6 | |
761 | DOLLAR RAT E FOR GROU P: 00205 | |
762 | DOLLAR RAT E FOR GROU P: 00359 | |
763 | DOLLAR RAT E FOR GROU P: 00494 | |
764 | DOLLAR RAT E FOR GROU P: 00544 | |
765 | DOLLAR RAT E FOR GROU P: 00678 | |
766 | DOLLAR RAT E FOR GROU P: 00811 | |
767 | DOLLAR RAT E FOR GROU P: 00896 | |
768 | DOLLAR RAT E FOR GROU P: 01021 | |
769 | DOLLAR RAT E FOR GROU P: 01211 | |
770 | DOLLAR RAT E FOR GROU P: 01538 | |
771 | DOLLAR RAT E FOR GROU P: 09708 | |
772 | BEGIN EFFE CTIVE DATE : NOV 01, 2017 TERMINATIO N DATE: OC T 31, 2018 | |
773 | DUZ: THO MPSON,DORT HEA P LAST DATE CHANGED: O CT 23, 201 7 | |
774 | DOLLAR RAT E FOR GROU P: 000209 | |
775 | DOLLAR RAT E FOR GROU P: 000365 | |
776 | DOLLAR RAT E FOR GROU P: 000504 | |
777 | DOLLAR RAT E FOR GROU P: 000556 | |
778 | DOLLAR RAT E FOR GROU P: 000691 | |
779 | DOLLAR RAT E FOR GROU P: 000827 | |
780 | DOLLAR RAT E FOR GROU P: 000915 | |
781 | DOLLAR RAT E FOR GROU P: 001041 | |
782 | DOLLAR RAT E FOR GROU P: 001235 | |
783 | DOLLAR RAT E FOR GROU P: 001570 | |
784 | DOLLAR RAT E FOR GROU P: 006987 | |
785 | DOLLAR RAT E FOR GROU P: 000615 | |
786 | DOLLAR RAT E FOR GROU P: 001045 | |
787 | DOLLAR RAT E FOR GROU P: 001357 | |
788 | DOLLAR RAT E FOR GROU P: 001721 | |
789 | DOLLAR RAT E FOR GROU P: 001743 | |
790 | DOLLAR RAT E FOR GROU P: 001752 | |
791 | DOLLAR RAT E FOR GROU P: 001808 | |
792 | DOLLAR RAT E FOR GROU P: 002093 | |
793 | DOLLAR RAT E FOR GROU P: 002066 | |
794 | DOLLAR RAT E FOR GROU P: 002687 | |
795 | DOLLAR RAT E FOR GROU P: 003299 | |
796 | DOLLAR RAT E FOR GROU P: 005010 | |
797 | DOLLAR RAT E FOR GROU P: 000480 | |
798 | DOLLAR RAT E FOR GROU P: 000698 | |
799 | DOLLAR RAT E FOR GROU P: 001170 | |
800 | DOLLAR RAT E FOR GROU P: 001284 | |
801 | DOLLAR RAT E FOR GROU P: 000980 | |
802 | DOLLAR RAT E FOR GROU P: 001324 | |
803 | DOLLAR RAT E FOR GROU P: 001597 | |
804 | DOLLAR RAT E FOR GROU P: 002046 | |
805 | DOLLAR RAT E FOR GROU P: 001693 | |
806 | DOLLAR RAT E FOR GROU P: 002687 | |
807 | DOLLAR RAT E FOR GROU P: 002544 | |
808 | DOLLAR RAT E FOR GROU P: 001912 | |
809 | DOLLAR RAT E FOR GROU P: 001989 | |
810 | DOLLAR RAT E FOR GROU P: 002154 | |
811 | DOLLAR RAT E FOR GROU P: 003042 | |
812 | DOLLAR RAT E FOR GROU P: 003100 | |
813 | DOLLAR RAT E FOR GROU P: 003278 | |
814 | DOLLAR RAT E FOR GROU P: 004027 | |
815 | ||
816 | ||
817 | Select CHA MPVA ASC P AYMENT RAT ES MSA COD E: |
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