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PAYMENT REQUEST
CATEGORY CONTRACTUALS
EXPENSE CATEGORY AMIL PREMIUMS
PAYEE UNITED HEALTHCARE INSURANCE COMPANY
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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 09092344736 Health/Hospitalization (Including Dental and Visua 09/24/2009 Paid $34,168.59
PRM 5800 09092344741 Health/Hospitalization (Including Dental and Visua 09/24/2009 Paid $16,198.56
PRM 5800 09092344742 Health/Hospitalization (Including Dental and Visua 09/24/2009 Paid $82,631.94
PRM 5800 09092344743 Health/Hospitalization (Including Dental and Visua 09/24/2009 Paid $6,698.16
PRM 5800 09082141173 Health/Hospitalization (Including Dental and Visua 08/24/2009 Paid $34,220.01
PRM 5800 09082041007 Health/Hospitalization (Including Dental and Visua 08/21/2009 Paid $6,708.24
PRM 5800 09081340144 Health/Hospitalization (Including Dental and Visua 08/14/2009 Paid $16,163.28
PRM 5800 09081340145 Health/Hospitalization (Including Dental and Visua 08/14/2009 Paid $82,451.97
PRM 5800 09072437694 Health/Hospitalization (Including Dental and Visua 07/27/2009 Paid $6,708.24
PRM 5800 09072437695 Health/Hospitalization (Including Dental and Visua 07/27/2009 Paid $34,220.01
PRM 5800 09071536405 Health/Hospitalization (Including Dental and Visua 07/16/2009 Paid $16,274.16
PRM 5800 09071536407 Health/Hospitalization (Including Dental and Visua 07/16/2009 Paid $83,017.59
PRM 5800 09062434274 Health/Hospitalization (Including Dental and Visua 06/25/2009 Paid $6,703.20
PRM 5800 09062434277 Health/Hospitalization (Including Dental and Visua 06/25/2009 Paid $34,194.30
PRM 5800 09061733371 Health/Hospitalization (Including Dental and Visua 06/18/2009 Paid $83,403.24
PRM 5800 09061733372 Health/Hospitalization (Including Dental and Visua 06/18/2009 Paid $16,349.76
PRM 5800 09052630754 Health/Hospitalization (Including Dental and Visua 05/27/2009 Paid $6,688.08
PRM 5800 09052630755 Health/Hospitalization (Including Dental and Visua 05/27/2009 Paid $34,117.17
PRM 5800 09052230492 Health/Hospitalization (Including Dental and Visua 05/26/2009 Paid $16,364.88
PRM 5800 09052230493 Health/Hospitalization (Including Dental and Visua 05/26/2009 Paid $83,480.37
PRM 5800 09042226913 Health/Hospitalization (Including Dental and Visua 04/23/2009 Paid $6,657.84
PRM 5800 09042226914 Health/Hospitalization (Including Dental and Visua 04/23/2009 Paid $33,962.91
PRM 5800 09042026512 Health/Hospitalization (Including Dental and Visua 04/21/2009 Paid $16,430.40
PRM 5800 09042026515 Health/Hospitalization (Including Dental and Visua 04/21/2009 Paid $83,814.60
PRM 5800 09032522893 Health/Hospitalization (Including Dental and Visua 03/26/2009 Paid $83,634.63
PRM 5800 09032522897 Health/Hospitalization (Including Dental and Visua 03/26/2009 Paid $16,395.12
PRM 5800 09032522898 Health/Hospitalization (Including Dental and Visua 03/26/2009 Paid $6,657.84
PRM 5800 09022619444 Health/Hospitalization (Including Dental and Visua 02/27/2009 Paid $16,768.08
PRM 5800 09022619445 Health/Hospitalization (Including Dental and Visua 02/27/2009 Paid $85,537.17
PRM 5800 09022619448 Health/Hospitalization (Including Dental and Visua 02/27/2009 Paid $33,911.49
PRM 5800 09022619449 Health/Hospitalization (Including Dental and Visua 02/27/2009 Paid $6,647.76
PRM 5800 09012815586 Health/Hospitalization (Including Dental and Visua 01/29/2009 Paid $23,441.04