Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | SERVICES-BENEFITS MANAGEMENT |
| PAYEE | COMPUSYS/ERISA GROUP INC. |
| PAYMENT REQUEST | Select a payment request. |
Payment Requests | Select from Below
| PAYMENT REQUEST | DESCRIPTION | CHECK DATE | CHECK STATUS  Checks cleared as of 01/31/2015 have been reflected as paid on the reports |
AMOUNT |
|---|---|---|---|---|
| PRM 5800 23091835324 | Health/Hospitalization (Including Dental and Vision) | 09/19/2023 | Outstanding | $44,967.48 |
| PRM 5800 23081731880 | Health/Hospitalization (Including Dental and Vision) | 08/21/2023 | Paid | $45,032.56 |
| PRM 5800 23071928669 | Health/Hospitalization (Including Dental and Vision) | 07/20/2023 | Paid | $45,177.88 |
| PRM 5800 23071328070 | Health/Hospitalization (Including Dental and Vision) | 07/17/2023 | Paid | $45,204.52 |
| PRM 5800 23051822528 | Health/Hospitalization (Including Dental and Vision) | 05/22/2023 | Paid | $45,312.20 |
| PRM 5800 23041919554 | Health/Hospitalization (Including Dental and Vision) | 04/20/2023 | Paid | $43,849.16 |
| PRM 5800 23032216674 | Health/Hospitalization (Including Dental and Vision) | 03/23/2023 | Paid | $44,516.40 |
| PRM 5800 23021613190 | Health/Hospitalization (Including Dental and Vision) | 02/21/2023 | Paid | $43,998.08 |
| PRM 5800 23012010552 | Health/Hospitalization (Including Dental and Vision) | 01/23/2023 | Paid | $52,494.84 |
| PRM 5800 22121607656 | Health/Hospitalization (Including Dental and Vision) | 12/20/2022 | Paid | $44,018.88 |
| PRM 5800 22111604723 | Health/Hospitalization (Including Dental and Vision) | 11/17/2022 | Paid | $44,327.92 |
| PRM 5800 22101902356 | Health/Hospitalization (Including Dental and Vision) | 10/20/2022 | Paid | $42,726.24 |
| PRM 5800 22091932128 | Health/Hospitalization (Including Dental and Vision) | 09/20/2022 | Paid | $43,222.52 |
| PRM 5800 22081628991 | Health/Hospitalization (Including Dental and Vision) | 08/18/2022 | Paid | $42,877.40 |
| PRM 5800 22071826313 | Health/Hospitalization (Including Dental and Vision) | 07/21/2022 | Paid | $43,566.40 |
| PRM 5800 22062324049 | Health/Hospitalization (Including Dental and Vision) | 06/24/2022 | Paid | $43,825.76 |
| PRM 5800 22052021168 | Health/Hospitalization (Including Dental and Vision) | 05/23/2022 | Paid | $44,258.52 |
| PRM 5800 22041918422 | Health/Hospitalization (Including Dental and Vision) | 04/21/2022 | Paid | $43,121.84 |
| PRM 5800 22031815547 | Health/Hospitalization (Including Dental and Vision) | 03/21/2022 | Paid | $42,211.76 |
| PRM 5800 22021812799 | Health/Hospitalization (Including Dental and Vision) | 02/22/2022 | Paid | $42,626.08 |
| PRM 5800 22012010107 | Health/Hospitalization (Including Dental and Vision) | 01/21/2022 | Paid | $42,493.32 |
| PRM 5800 21121607336 | Health/Hospitalization (Including Dental and Vision) | 12/20/2021 | Paid | $42,170.40 |
| PRM 5800 21111604389 | Health/Hospitalization (Including Dental and Vision) | 11/18/2021 | Paid | $42,558.72 |
| PRM 5800 21101801599 | Health/Hospitalization (Including Dental and Vision) | 10/19/2021 | Paid | $42,163.20 |
| PRM 5800 21091732455 | Health/Hospitalization (Including Dental and Vision) | 09/20/2021 | Paid | $42,499.52 |
| PRM 5800 21082329916 | Health/Hospitalization (Including Dental and Vision) | 08/26/2021 | Paid | $43,200.16 |
| PRM 5800 21072026632 | Health/Hospitalization (Including Dental and Vision) | 07/22/2021 | Paid | $43,291.80 |
| PRM 5800 21062223728 | Health/Hospitalization (Including Dental and Vision) | 06/24/2021 | Paid | $42,916.64 |
| PRM 5800 21051920801 | Health/Hospitalization (Including Dental and Vision) | 05/24/2021 | Paid | $42,355.60 |
| PRM 5800 21042017810 | Health/Hospitalization (Including Dental and Vision) | 04/22/2021 | Paid | $41,609.92 |
| PRM 5800 21031814820 | Health/Hospitalization (Including Dental and Vision) | 03/22/2021 | Paid | $41,343.24 |
| PRM 5800 21022312319 | Health/Hospitalization (Including Dental and Vision) | 02/24/2021 | Paid | $41,992.32 |
| PRM 5800 21012910706 | Health/Hospitalization (Including Dental and Vision) | 02/02/2021 | Paid | $40,947.04 |
| PRM 5800 20122307488 | Health/Hospitalization (Including Dental and Vision) | 12/28/2020 | Paid | $51,334.16 |
| PRM 5800 20122107252 | Health/Hospitalization (Including Dental and Vision) | 12/22/2020 | Paid | $37,044.30 |
| PRM 5800 20111704229 | Health/Hospitalization (Including Dental and Vision) | 11/19/2020 | Paid | $37,069.95 |
| PRM 5800 20111804323 | Health/Hospitalization (Including Dental and Vision) | 11/19/2020 | Paid | $40,850.44 |
| PRM 5800 20101601603 | Health/Hospitalization (Including Dental and Vision) | 10/19/2020 | Paid | $41,046.52 |
| PRM 5800 20101601604 | Health/Hospitalization (Including Dental and Vision) | 10/19/2020 | Paid | $37,012.95 |
| PRM 5800 20091533916 | Health/Hospitalization (Including Dental and Vision) | 09/17/2020 | Paid | $37,012.95 |
| PRM 5800 20091533917 | Health/Hospitalization (Including Dental and Vision) | 09/17/2020 | Paid | $41,056.16 |
| PRM 5800 20081931579 | Health/Hospitalization (Including Dental and Vision) | 08/24/2020 | Paid | $41,001.52 |
| PRM 5800 20082031653 | Health/Hospitalization (Including Dental and Vision) | 08/24/2020 | Paid | $37,206.75 |
| PRM 5800 20071728153 | Health/Hospitalization (Including Dental and Vision) | 07/20/2020 | Paid | $40,876.52 |
| PRM 5800 20071728154 | Health/Hospitalization (Including Dental and Vision) | 07/20/2020 | Paid | $30,030.41 |
| PRM 5800 20061625505 | Health/Hospitalization (Including Dental and Vision) | 06/18/2020 | Paid | $37,329.30 |
| PRM 5800 20061625506 | Health/Hospitalization (Including Dental and Vision) | 06/18/2020 | Paid | $41,204.88 |
| PRM 5800 20060324497 | Health/Hospitalization (Including Dental and Vision) | 06/04/2020 | Paid | $37,380.60 |
| PRM 5800 20052824018 | Health/Hospitalization (Including Dental and Vision) | 06/01/2020 | Paid | $37,349.25 |
| PRM 5800 20052623766 | Health/Hospitalization (Including Dental and Vision) | 05/28/2020 | Paid | $41,859.88 |
| PRM 5800 20052723881 | Health/Hospitalization (Including Dental and Vision) | 05/28/2020 | Paid | $41,118.24 |
| PRM 5800 20031817179 | Health/Hospitalization (Including Dental and Vision) | 03/19/2020 | Paid | $40,028.96 |
| PRM 5800 20031717086 | Health/Hospitalization (Including Dental and Vision) | 03/18/2020 | Paid | $291.49 |
| PRM 5800 20031717088 | Health/Hospitalization (Including Dental and Vision) | 03/18/2020 | Paid | $44,670.94 |
| PRM 5800 20021914158 | Health/Hospitalization (Including Dental and Vision) | 02/21/2020 | Paid | $45,432.13 |
| PRM 5800 20021914159 | Health/Hospitalization (Including Dental and Vision) | 02/21/2020 | Paid | $40,242.32 |
| PRM 5800 20011610297 | Health/Hospitalization (Including Dental and Vision) | 01/21/2020 | Paid | $85,948.18 |
| PRM 5800 19123008162 | Health/Hospitalization (Including Dental and Vision) | 12/31/2019 | Paid | $94,906.74 |
| PRM 5800 19112005198 | Health/Hospitalization (Including Dental and Vision) | 11/21/2019 | Paid | $95,418.99 |
| PRM 5800 19102202225 | Health/Hospitalization (Including Dental and Vision) | 10/23/2019 | Paid | $94,114.19 |
| PRM 5800 19091632874 | Health/Hospitalization (Including Dental and Vision) | 09/18/2019 | Paid | $94,467.95 |
| PRM 5800 19081930208 | Health/Hospitalization (Including Dental and Vision) | 08/20/2019 | Paid | $95,085.27 |
| PRM 5800 19072427528 | Health/Hospitalization (Including Dental and Vision) | 07/25/2019 | Paid | $94,313.29 |
| PRM 5800 19061924356 | Health/Hospitalization (Including Dental and Vision) | 06/20/2019 | Paid | $94,021.87 |
| PRM 5800 19052221773 | Health/Hospitalization (Including Dental and Vision) | 05/24/2019 | Paid | $94,554.63 |
| PRM 5800 19041918461 | Health/Hospitalization (Including Dental and Vision) | 04/22/2019 | Paid | $93,651.69 |
| PRM 5800 19031814996 | Health/Hospitalization (Including Dental and Vision) | 03/19/2019 | Paid | $93,470.87 |
| PRM 5800 19022112644 | Health/Hospitalization (Including Dental and Vision) | 02/22/2019 | Paid | $93,626.87 |
| PRM 5800 19013009849 | Health/Hospitalization (Including Dental and Vision) | 01/31/2019 | Paid | $92,833.43 |
| PRM 5800 18123107493 | Health/Hospitalization (Including Dental and Vision) | 01/02/2019 | Paid | $92,971.13 |
| PRM 5800 18112004602 | Health/Hospitalization (Including Dental and Vision) | 11/21/2018 | Paid | $94,446.99 |
| PRM 5800 18101902210 | Health/Hospitalization (Including Dental and Vision) | 10/22/2018 | Paid | $93,196.84 |
| PRM 5800 18092131913 | Health/Hospitalization (Including Dental and Vision) | 09/24/2018 | Paid | $92,696.48 |
| PRM 5800 18082429169 | Health/Hospitalization (Including Dental and Vision) | 08/27/2018 | Paid | $93,147.58 |
| PRM 5800 18072426460 | Health/Hospitalization (Including Dental and Vision) | 07/25/2018 | Paid | $92,983.52 |
| PRM 5800 18062223770 | Health/Hospitalization (Including Dental and Vision) | 06/25/2018 | Paid | $92,508.50 |
| PRM 5800 18052120877 | Health/Hospitalization (Including Dental and Vision) | 05/22/2018 | Paid | $92,472.65 |
| PRM 5800 18042018287 | Health/Hospitalization (Including Dental and Vision) | 04/23/2018 | Paid | $92,986.19 |
| PRM 5800 18032115546 | Health/Hospitalization (Including Dental and Vision) | 03/22/2018 | Paid | $93,057.58 |
| PRM 5800 18022212873 | Health/Hospitalization (Including Dental and Vision) | 02/23/2018 | Paid | $92,312.75 |
| PRM 5800 18012610443 | Health/Hospitalization (Including Dental and Vision) | 01/29/2018 | Paid | $92,219.84 |
| PRM 5800 17122707796 | Health/Hospitalization (Including Dental and Vision) | 12/28/2017 | Paid | $91,940.10 |
| PRM 5800 17112805131 | Health/Hospitalization (Including Dental and Vision) | 11/29/2017 | Paid | $90,970.24 |
| PRM 5800 17101902137 | Health/Hospitalization (Including Dental and Vision) | 10/20/2017 | Paid | $90,908.73 |
| PRM 5800 17092134328 | Health/Hospitalization (Including Dental and Vision) | 09/22/2017 | Paid | $91,056.99 |
| PRM 5800 17082331473 | Health/Hospitalization (Including Dental and Vision) | 08/24/2017 | Paid | $91,029.67 |
| PRM 5800 17072528486 | Health/Hospitalization (Including Dental and Vision) | 07/26/2017 | Paid | $92,119.00 |
| PRM 5800 17062125512 | Health/Hospitalization (Including Dental and Vision) | 06/22/2017 | Paid | $91,007.81 |
| PRM 5800 17052322825 | Health/Hospitalization (Including Dental and Vision) | 05/24/2017 | Paid | $90,059.40 |
| PRM 5800 17042019857 | Health/Hospitalization (Including Dental and Vision) | 04/21/2017 | Paid | $90,643.96 |
| PRM 5800 17032016615 | Health/Hospitalization (Including Dental and Vision) | 03/21/2017 | Paid | $90,010.80 |
| PRM 5800 17021713650 | Health/Hospitalization (Including Dental and Vision) | 02/21/2017 | Paid | $86,456.78 |
| PRM 5800 17011710203 | Health/Hospitalization (Including Dental and Vision) | 01/18/2017 | Paid | $90,539.09 |
| PRM 5800 16121707381 | Health/Hospitalization (Including Dental and Vision) | 12/19/2016 | Paid | $89,537.12 |
| PRM 5800 16111804762 | Health/Hospitalization (Including Dental and Vision) | 11/21/2016 | Paid | $89,735.12 |
| PRM 5800 16101801468 | Health/Hospitalization (Including Dental and Vision) | 10/19/2016 | Paid | $88,754.85 |
| PRM 5800 16091637849 | Health/Hospitalization (Including Dental and Vision) | 09/19/2016 | Paid | $89,178.67 |
| PRM 5800 16082234740 | Health/Hospitalization (Including Dental and Vision) | 08/23/2016 | Paid | $89,373.36 |
| PRM 5800 16071931312 | Health/Hospitalization (Including Dental and Vision) | 07/20/2016 | Paid | $88,522.80 |
| PRM 5800 16062128065 | Health/Hospitalization (Including Dental and Vision) | 06/22/2016 | Paid | $88,578.57 |
| PRM 5800 16051624755 | Health/Hospitalization (Including Dental and Vision) | 05/17/2016 | Paid | $88,733.17 |
| PRM 5800 16041821914 | Health/Hospitalization (Including Dental and Vision) | 04/19/2016 | Paid | $88,090.89 |
| PRM 5800 16031718609 | Health/Hospitalization (Including Dental and Vision) | 03/18/2016 | Paid | $87,860.38 |
| PRM 5800 16022515648 | Health/Hospitalization (Including Dental and Vision) | 02/26/2016 | Paid | $88,112.81 |
| PRM 5800 16011911652 | Health/Hospitalization (Including Dental and Vision) | 01/20/2016 | Paid | $87,272.07 |
| PRM 5800 15122108577 | Health/Hospitalization (Including Dental and Vision) | 12/22/2015 | Paid | $85,045.45 |
| PRM 5800 15112305457 | Health/Hospitalization (Including Dental and Vision) | 11/24/2015 | Paid | $85,075.86 |
| PRM 5800 15102803282 | Health/Hospitalization (Including Dental and Vision) | 10/29/2015 | Paid | $85,126.27 |
| PRM 5800 15091638809 | Health/Hospitalization (Including Dental and Vision) | 09/17/2015 | Paid | $85,892.28 |
| PRM 5800 15081835351 | Health/Hospitalization (Including Dental and Vision) | 08/19/2015 | Paid | $85,675.44 |
| PRM 5800 15071731742 | Health/Hospitalization (Including Dental and Vision) | 07/20/2015 | Paid | $85,338.98 |
| PRM 5800 15062428975 | Health/Hospitalization (Including Dental and Vision) | 06/25/2015 | Paid | $86,677.08 |
| PRM 5800 15051524993 | Health/Hospitalization (Including Dental and Vision) | 05/18/2015 | Paid | $86,779.21 |
| PRM 5800 15042021832 | Health/Hospitalization (Including Dental and Vision) | 04/21/2015 | Paid | $86,713.46 |
| PRM 5800 15032018272 | Health/Hospitalization (Including Dental and Vision) | 03/23/2015 | Paid | $86,315.57 |
| PRM 5800 15022415331 | Health/Hospitalization (Including Dental and Vision) | 02/25/2015 | Paid | $84,431.96 |
| PRM 5800 15012111590 | Health/Hospitalization (Including Dental and Vision) | 01/22/2015 | Paid | $85,594.24 |
| PRM 5800 14122308706 | Health/Hospitalization (Including Dental and Vision) | 12/26/2014 | Paid | $85,528.27 |
| PRM 5800 14111905522 | Health/Hospitalization (Including Dental and Vision) | 11/20/2014 | Paid | $86,366.45 |
| PRM 5800 14102102628 | Health/Hospitalization (Including Dental and Vision) | 10/22/2014 | Paid | $86,358.07 |
| PRM 5800 14091937374 | Health/Hospitalization (Including Dental and Vision) | 09/22/2014 | Paid | $86,389.58 |
| PRM 5800 14082034074 | Health/Hospitalization (Including Dental and Vision) | 08/21/2014 | Paid | $85,733.10 |
| PRM 5800 14071629889 | Health/Hospitalization (Including Dental and Vision) | 07/17/2014 | Paid | $85,758.57 |
| PRM 5800 14062026974 | Health/Hospitalization (Including Dental and Vision) | 06/23/2014 | Paid | $86,905.83 |
| PRM 5800 14052023768 | Health/Hospitalization (Including Dental and Vision) | 05/21/2014 | Paid | $84,650.25 |
| PRM 5800 14041820499 | Health/Hospitalization (Including Dental and Vision) | 04/21/2014 | Paid | $83,784.87 |
| PRM 5800 14032417460 | Health/Hospitalization (Including Dental and Vision) | 03/25/2014 | Paid | $83,879.26 |
| PRM 5800 14022414435 | Health/Hospitalization (Including Dental and Vision) | 02/25/2014 | Paid | $83,634.74 |
| PRM 5800 14012911976 | Health/Hospitalization (Including Dental and Vision) | 01/30/2014 | Paid | $82,057.78 |
| PRM 5800 13121708176 | Health/Hospitalization (Including Dental and Vision) | 12/18/2013 | Paid | $81,651.33 |
| PRM 5800 13111905613 | Health/Hospitalization (Including Dental and Vision) | 11/20/2013 | Paid | $82,736.13 |
| PRM 5800 13102102160 | Health/Hospitalization (Including Dental and Vision) | 10/22/2013 | Paid | $82,061.04 |
| PRM 5800 13092436159 | Health/Hospitalization (Including Dental and Vision) | 09/25/2013 | Paid | $82,202.58 |
| PRM 5800 13082733323 | Health/Hospitalization (Including Dental and Vision) | 08/28/2013 | Paid | $82,018.06 |
| PRM 5800 13071829024 | Health/Hospitalization (Including Dental and Vision) | 07/19/2013 | Paid | $81,614.02 |
| PRM 5800 13061926207 | Health/Hospitalization (Including Dental and Vision) | 06/20/2013 | Paid | $81,736.18 |
| PRM 5800 13051422755 | Health/Hospitalization (Including Dental and Vision) | 05/15/2013 | Paid | $81,851.51 |
| PRM 5800 13042220397 | Health/Hospitalization (Including Dental and Vision) | 04/23/2013 | Paid | $81,061.66 |
| PRM 5800 13031316801 | Health/Hospitalization (Including Dental and Vision) | 03/14/2013 | Paid | $81,102.56 |
| PRM 5800 13021514182 | Health/Hospitalization (Including Dental and Vision) | 02/19/2013 | Paid | $81,745.84 |
| PRM 5800 13011611006 | Health/Hospitalization (Including Dental and Vision) | 01/17/2013 | Paid | $80,379.08 |
| PRM 5800 12121707889 | Health/Hospitalization (Including Dental and Vision) | 12/18/2012 | Paid | $81,311.25 |
| PRM 5800 12112605688 | Health/Hospitalization (Including Dental and Vision) | 11/27/2012 | Paid | $100,375.93 |
| PRM 5800 12101802195 | Health/Hospitalization (Including Dental and Vision) | 10/19/2012 | Paid | $80,843.59 |
| PRM 5800 12091333872 | Health/Hospitalization (Including Dental and Vision) | 09/14/2012 | Paid | $81,073.32 |
| PRM 5800 12081530622 | Health/Hospitalization (Including Dental and Vision) | 08/16/2012 | Paid | $80,073.28 |
| PRM 5800 12071727696 | Health/Hospitalization (Including Dental and Vision) | 07/18/2012 | Paid | $79,949.02 |
| PRM 5800 12061524510 | Health/Hospitalization (Including Dental and Vision) | 06/18/2012 | Paid | $80,548.74 |
| PRM 5800 12051521500 | Health/Hospitalization (Including Dental and Vision) | 05/16/2012 | Paid | $81,105.13 |
| PRM 5800 12041718697 | Health/Hospitalization (Including Dental and Vision) | 04/18/2012 | Paid | $79,835.35 |
| PRM 5800 12031515671 | Health/Hospitalization (Including Dental and Vision) | 03/16/2012 | Paid | $80,587.31 |
| PRM 5800 12021712805 | Health/Hospitalization (Including Dental and Vision) | 02/21/2012 | Paid | $80,166.10 |
| PRM 5800 12011709852 | Health/Hospitalization (Including Dental and Vision) | 01/18/2012 | Paid | $80,004.89 |
| PRM 5800 11121607349 | Health/Hospitalization (Including Dental and Vision) | 12/19/2011 | Paid | $77,992.20 |
| PRM 5800 11111704891 | Health/Hospitalization (Including Dental and Vision) | 11/18/2011 | Paid | $77,815.83 |
| PRM 5800 11101901928 | Health/Hospitalization (Including Dental and Vision) | 10/20/2011 | Paid | $78,047.93 |
| PRM 5800 11091934718 | Health/Hospitalization (Including Dental and Vision) | 09/20/2011 | Paid | $78,553.19 |
| PRM 5800 11081731690 | Health/Hospitalization (Including Dental and Vision) | 08/18/2011 | Paid | $77,477.46 |
| PRM 5800 11072028749 | Health/Hospitalization (Including Dental and Vision) | 07/21/2011 | Paid | $77,832.79 |
| PRM 5800 11061725924 | Health/Hospitalization (Including Dental and Vision) | 06/20/2011 | Paid | $77,568.50 |
| PRM 5800 11051722952 | Health/Hospitalization (Including Dental and Vision) | 05/18/2011 | Paid | $77,796.42 |
| PRM 5800 11042620811 | Health/Hospitalization (Including Dental and Vision) | 04/27/2011 | Paid | $79,108.41 |
| PRM 5800 11031616765 | Health/Hospitalization (Including Dental and Vision) | 03/17/2011 | Paid | $77,449.69 |
| PRM 5800 11030215185 | Health/Hospitalization (Including Dental and Vision) | 03/03/2011 | Paid | $77,515.73 |
| PRM 5800 11012812231 | Health/Hospitalization (Including Dental and Vision) | 01/31/2011 | Paid | $77,328.04 |
| PRM 5800 11012812232 | Health/Hospitalization (Including Dental and Vision) | 01/31/2011 | Paid | $3,681.00 |
| PRM 5800 10122908816 | Health/Hospitalization (Including Dental and Vision) | 12/30/2010 | Paid | $77,399.81 |
| PRM 5800 10111705342 | Health/Hospitalization (Including Dental and Vision) | 11/18/2010 | Paid | $76,447.99 |
| PRM 5800 10102603043 | Health/Hospitalization (Including Dental and Vision) | 10/27/2010 | Paid | $78,190.58 |
| PRM 5800 10092438501 | Health/Hospitalization (Including Dental and Visua | 09/27/2010 | Paid | $77,314.02 |
| PRM 5800 10082034502 | Health/Hospitalization (Including Dental and Visua | 08/23/2010 | Paid | $77,957.08 |
| PRM 5800 10072030998 | Health/Hospitalization (Including Dental and Visua | 07/21/2010 | Paid | $76,940.18 |
| PRM 5800 10061627288 | Health/Hospitalization (Including Dental and Visua | 06/17/2010 | Paid | $77,753.55 |
| PRM 5800 10052224693 | Health/Hospitalization (Including Dental and Visua | 05/24/2010 | Paid | $76,882.03 |
| PRM 5800 10042321920 | Health/Hospitalization (Including Dental and Visua | 04/26/2010 | Paid | $76,783.33 |
| PRM 5800 10031818327 | Health/Hospitalization (Including Dental and Visua | 03/19/2010 | Paid | $77,352.39 |
| PRM 5800 10022315068 | Health/Hospitalization (Including Dental and Visua | 02/24/2010 | Paid | $76,974.37 |
| PRM 5800 10012111519 | Health/Hospitalization (Including Dental and Visua | 01/22/2010 | Paid | $75,845.11 |
| PRM 5800 09121608051 | Health/Hospitalization (Including Dental and Visua | 12/17/2009 | Paid | $74,186.35 |
| PRM 5800 09111305055 | Health/Hospitalization (Including Dental and Visua | 11/16/2009 | Paid | $74,595.61 |
| PRM 5800 09101401614 | Health/Hospitalization (Including Dental and Visua | 10/15/2009 | Paid | $75,482.03 |
| PRM 5800 09091643896 | Health/Hospitalization (Including Dental and Visua | 09/17/2009 | Paid | $73,917.55 |
| PRM 5800 09082041004 | Health/Hospitalization (Including Dental and Visua | 08/21/2009 | Paid | $74,714.00 |
| PRM 5800 09071636646 | Health/Hospitalization (Including Dental and Visua | 07/17/2009 | Paid | $74,760.65 |
| PRM 5800 09061533094 | Health/Hospitalization (Including Dental and Visua | 06/16/2009 | Paid | $75,407.95 |
| PRM 5800 09051129096 | Health/Hospitalization (Including Dental and Visua | 05/12/2009 | Paid | $77,720.23 |
| PRM 5800 09042226910 | Health/Hospitalization (Including Dental and Visua | 04/23/2009 | Paid | $76,632.15 |
| PRM 5800 09033123656 | Health/Hospitalization (Including Dental and Visua | 04/01/2009 | Paid | $76,648.32 |
| PRM 5800 09021918549 | Health/Hospitalization (Including Dental and Visua | 02/20/2009 | Paid | $76,874.38 |
| PRM 5800 09012715293 | Health/Hospitalization (Including Dental and Visua | 01/28/2009 | Paid | $74,985.97 |
| PRM 5800 08121510589 | Health/Hospitalization (Including Dental and Visua | 12/16/2008 | Paid | $74,738.39 |
| PRM 5800 08112007218 | Health/Hospitalization (Including Dental and Visua | 11/21/2008 | Paid | $75,314.47 |
| PRM 5800 08102303502 | Health/Hospitalization (Including Dental and Visua | 10/24/2008 | Paid | $74,934.19 |