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Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | MEDICAL CLAIMS |
| PAYEE | MORENO, ANNETTE |
| 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 |
|---|---|---|---|---|
| GAX 5800 09102301890 | 10/27/2009 | Paid | $30.00 |