PURCHASE ORDER
CATEGORY | CONTRACTUALS |
---|---|
EXPENSE CATEGORY | STOP LOSS FEE-HEALTH INSURA |
PAYEE | UNITED HEALTHCARE INSURANCE COMPANY |
PAYMENT REQUEST | PRM 5800 12101802192 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
---|---|---|---|---|---|---|
DO 5800 12101101049 | n/a | Health/Hospitalization (Including Dental and Vision) | 112 | 10/19/2012 | Paid | $4,870.45 |
DO 5800 12101101049 | n/a | Health/Hospitalization (Including Dental and Vision) | 111 | 10/19/2012 | Paid | $25,441.39 |
DO 5800 12101101049 | n/a | Health/Hospitalization (Including Dental and Vision) | 113 | 10/19/2012 | Paid | $5,921.24 |