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Data Drill Down for All Months & All Years

PAYMENT REQUEST
CATEGORY CONTRACTUALS
EXPENSE CATEGORY SERVICES-MEDICAL/SURGICAL
DEPARTMENT AUSTIN CODE
FUND CODE COMPLIANCE
PROGRAM CASE INVESTIGATION
ACTIVITY CASE INVESTIGATION
PAYEE CAPITAL AREA OCCUPATIONAL MEDICINE
PAYMENT REQUEST Select a payment request.
Payment Requests | Select from Below
PAYMENT REQUEST DESCRIPTION CHECK DATE CHECK STATUS  AMOUNT
PRM 1500 13092736602 Medical Services (Non-Physician) 09/30/2013 Paid $112.00
PRM 1500 13082933592 Medical Services (Non-Physician) 08/30/2013 Paid $157.00
PRM 1500 13081932454 Medical Services (Non-Physician) 08/20/2013 Paid $784.00
PRM 1500 13080831795 Medical Services (Non-Physician) 08/09/2013 Paid $1,344.00
PRM 1500 13052823929 Medical Services (Non-Physician) 05/29/2013 Paid $784.00