Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | SERVICES-MEDICAL/SURGICAL |
| PAYEE | CONCENTRA MEDICAL CENTERS |
| 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 1100 09072737868 | Medical Services (Non-Physician) | 07/28/2009 | Paid | $43.00 |
| PRM 1100 09070835534 | Medical Services (Non-Physician) | 07/09/2009 | Paid | $13.50 |
| PRM 1500 09062934664 | VACCINES | 06/30/2009 | Paid | $240.00 |
| PRM 1100 09061232874 | Medical Services (Non-Physician) | 06/15/2009 | Paid | $230.00 |
| PRM 1500 09060932477 | VACCINES | 06/10/2009 | Paid | $1,539.50 |
| PRM 1100 09060331710 | Medical Services (Non-Physician) | 06/04/2009 | Paid | $354.00 |
| PRM 1500 09042927690 | VACCINES | 04/30/2009 | Paid | $120.00 |
| PRM 1100 09042727312 | Medical Services (Non-Physician) | 04/28/2009 | Paid | $169.50 |
| PRM 1500 09040324343 | VACCINES | 04/06/2009 | Paid | $60.00 |
| PRM 1100 09040224045 | Medical Services (Non-Physician) | 04/03/2009 | Paid | $339.00 |
| PRM 1100 09032623084 | Medical Services (Non-Physician) | 03/27/2009 | Paid | $339.00 |
| PRM 1100 09031721938 | Medical Services (Non-Physician) | 03/18/2009 | Paid | $354.00 |
| PRM 1100 09030420096 | Medical Services (Non-Physician) | 03/05/2009 | Paid | $1,121.50 |
| PRM 1500 09022018737 | VACCINES | 02/23/2009 | Paid | $426.50 |
| PRM 1100 09021818320 | Medical Services (Non-Physician) | 02/19/2009 | Paid | $113.00 |
| PRM 1100 09010812847 | Medical Services (Non-Physician) | 01/09/2009 | Paid | $13.50 |
| PRM 1500 08122911446 | VACCINES | 12/30/2008 | Paid | $307.00 |
| PRM 1500 08121710894 | VACCINES | 12/18/2008 | Paid | $60.00 |
| PRM 1100 08121510535 | Medical Services (Non-Physician) | 12/16/2008 | Paid | $13.50 |
| PRM 1100 08120308811 | Medical Services (Non-Physician) | 12/04/2008 | Paid | $226.00 |
| PRM 1500 08120108399 | VACCINES | 12/02/2008 | Paid | $813.50 |
| PRM 1100 08111306008 | Medical Services (Non-Physician) | 11/14/2008 | Paid | $668.50 |
| PRM 1500 08102904254 | VACCINES | 10/30/2008 | Paid | $632.00 |
| PRM 1100 08102303401 | Medical Services (Non-Physician) | 10/24/2008 | Paid | $307.00 |
| PRM 1100 08100600669 | Medical Services (Non-Physician) | 10/07/2008 | Paid | $27.00 |
| PRM 1500 08100600698 | VACCINES | 10/07/2008 | Paid | $3,114.00 |