Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | SERVICES-MEDICAL/SURGICAL |
| PAYEE | CHILDREN'S EVALUATION & |
| 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 9500 09021318069 | Medical Services (Non-Physician) | 02/17/2009 | Paid | $637.50 |
| PRM 9500 09020316461 | Medical Services (Non-Physician) | 02/04/2009 | Paid | $462.50 |
| PRM 9500 08120509441 | Medical Services (Non-Physician) | 12/08/2008 | Paid | $1,425.00 |
| PRM 9500 08120108556 | Medical Services (Non-Physician) | 12/02/2008 | Paid | $1,300.00 |