Data Drill Down for All Months & All Years

PAYMENT REQUEST
CATEGORY CONTRACTUALS
EXPENSE CATEGORY SERVICES-MEDICAL/SURGICAL
PAYEE BRAVE ALLIANCE MISSION
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 8700 19101601613 Hospital Services, Inpatient and Outpatient 10/18/2019 Paid $786.00
PRM 8700 19100200307 Hospital Services, Inpatient and Outpatient 10/04/2019 Paid $806.00
PRM 8700 19100200308 Hospital Services, Inpatient and Outpatient 10/04/2019 Paid $797.00
PRM 8700 19100200309 Hospital Services, Inpatient and Outpatient 10/04/2019 Paid $825.00
PRM 8700 19061223646 Hospital Services, Inpatient and Outpatient 06/13/2019 Paid $758.00
PRM 8700 19050219977 Hospital Services, Inpatient and Outpatient 05/03/2019 Paid $926.00