Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | AMIL PREMIUMS |
| PAYEE | BLUE CROSS BLUE SHIELD OF TEXAS |
| 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 09033123658 | Health/Hospitalization (Including Dental and Visua | 04/01/2009 | Paid | $2,284.69 |
| PRM 5800 08123111902 | Health/Hospitalization (Including Dental and Visua | 01/02/2009 | Paid | $1,164,588.35 |
| PRM 5800 08123011656 | Health/Hospitalization (Including Dental and Visua | 12/31/2008 | Paid | $2,405,828.19 |
| PRM 5800 08120409049 | Health/Hospitalization (Including Dental and Visua | 12/05/2008 | Paid | $2,400,247.28 |
| PRM 5800 08120208615 | Health/Hospitalization (Including Dental and Visua | 12/03/2008 | Paid | $1,174,054.05 |
| PRM 5800 08103104616 | Health/Hospitalization (Including Dental and Visua | 11/03/2008 | Paid | $1,170,213.33 |
| PRM 5800 08102904330 | Health/Hospitalization (Including Dental and Visua | 10/30/2008 | Paid | $2,412,203.96 |
| PRM 5800 08100200322 | Health/Hospitalization (Including Dental and Visua | 10/03/2008 | Paid | $2,413,314.11 |