PURCHASE ORDER
CATEGORY | CONTRACTUALS |
---|---|
EXPENSE CATEGORY | STOP LOSS FEE-HEALTH INSURA |
PAYEE | UNITED HEALTHCARE INSURANCE COMPANY |
PAYMENT REQUEST | PRM 5800 12112705871 |
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 12111903550 | n/a | Health/Hospitalization (Including Dental and Vision) | 111 | 11/28/2012 | Paid | $25,387.70 |
DO 5800 12111903550 | n/a | Health/Hospitalization (Including Dental and Vision) | 113 | 11/28/2012 | Paid | $5,974.93 |
DO 5800 12111903550 | n/a | Health/Hospitalization (Including Dental and Vision) | 112 | 11/28/2012 | Paid | $4,839.77 |