Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | STOP LOSS FEE-HEALTH INSURA |
| PAYEE | UNITED HEALTHCARE INSURANCE COMPANY |
| 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 15122108586 | Health/Hospitalization (Including Dental and Vision) | 12/22/2015 | Paid | $291,601.44 |
| PRM 5800 15112305460 | Health/Hospitalization (Including Dental and Vision) | 11/24/2015 | Paid | $290,997.60 |
| PRM 5800 15102102423 | Health/Hospitalization (Including Dental and Vision) | 10/22/2015 | Paid | $291,335.04 |
| PRM 5800 15091638808 | Health/Hospitalization (Including Dental and Vision) | 09/17/2015 | Paid | $291,867.84 |
| PRM 5800 15081935574 | Health/Hospitalization (Including Dental and Vision) | 08/20/2015 | Paid | $291,068.64 |
| PRM 5800 15071731747 | Health/Hospitalization (Including Dental and Vision) | 07/20/2015 | Paid | $290,731.20 |
| PRM 5800 15062228570 | Health/Hospitalization (Including Dental and Vision) | 06/23/2015 | Paid | $290,304.96 |
| PRM 5800 15051524991 | Health/Hospitalization (Including Dental and Vision) | 05/18/2015 | Paid | $290,038.56 |
| PRM 5800 15042021835 | Health/Hospitalization (Including Dental and Vision) | 04/21/2015 | Paid | $289,896.48 |
| PRM 5800 15032018275 | Health/Hospitalization (Including Dental and Vision) | 03/23/2015 | Paid | $288,795.36 |
| PRM 5800 15031016975 | Health/Hospitalization (Including Dental and Vision) | 03/11/2015 | Paid | $288,315.84 |
| PRM 5800 15031016976 | Health/Hospitalization (Including Dental and Vision) | 03/11/2015 | Paid | $288,742.08 |
| PRM 5800 14122608910 | Health/Hospitalization (Including Dental and Vision) | 12/29/2014 | Paid | $220,895.86 |
| PRM 5800 14111905523 | Health/Hospitalization (Including Dental and Vision) | 11/20/2014 | Paid | $220,486.06 |
| PRM 5800 14102102631 | Health/Hospitalization (Including Dental and Vision) | 10/22/2014 | Paid | $220,404.10 |
| PRM 5800 14092337728 | Health/Hospitalization (Including Dental and Vision) | 09/24/2014 | Paid | $219,721.10 |
| PRM 5800 14082034076 | Health/Hospitalization (Including Dental and Vision) | 08/21/2014 | Paid | $218,805.88 |
| PRM 5800 14071629891 | Health/Hospitalization (Including Dental and Vision) | 07/17/2014 | Paid | $218,491.70 |
| PRM 5800 14062026983 | Health/Hospitalization (Including Dental and Vision) | 06/23/2014 | Paid | $217,685.76 |
| PRM 5800 14052023772 | Health/Hospitalization (Including Dental and Vision) | 05/21/2014 | Paid | $216,483.68 |
| PRM 5800 14041820501 | Health/Hospitalization (Including Dental and Vision) | 04/21/2014 | Paid | $215,008.40 |
| PRM 5800 14032016998 | Health/Hospitalization (Including Dental and Vision) | 03/21/2014 | Paid | $214,448.34 |
| PRM 5800 14022414432 | Health/Hospitalization (Including Dental and Vision) | 02/25/2014 | Paid | $213,888.28 |
| PRM 5800 14021113157 | Health/Hospitalization (Including Dental and Vision) | 02/12/2014 | Paid | $212,413.00 |
| PRM 5800 13121708177 | Health/Hospitalization (Including Dental and Vision) | 12/18/2013 | Paid | $162,705.31 |
| PRM 5800 13111905614 | Health/Hospitalization (Including Dental and Vision) | 11/20/2013 | Paid | $162,568.68 |
| PRM 5800 13102102162 | Health/Hospitalization (Including Dental and Vision) | 10/22/2013 | Paid | $161,885.53 |
| PRM 5800 13092035869 | Health/Hospitalization (Including Dental and Vision) | 09/23/2013 | Paid | $161,738.39 |
| PRM 5800 13082733329 | Health/Hospitalization (Including Dental and Vision) | 08/28/2013 | Paid | $161,254.93 |
| PRM 5800 13071829026 | Health/Hospitalization (Including Dental and Vision) | 07/19/2013 | Paid | $160,708.41 |
| PRM 5800 13061926211 | Health/Hospitalization (Including Dental and Vision) | 06/20/2013 | Paid | $160,309.03 |
| PRM 5800 13051522919 | Health/Hospitalization (Including Dental and Vision) | 05/16/2013 | Paid | $159,951.69 |
| PRM 5800 13042320566 | Health/Hospitalization (Including Dental and Vision) | 04/24/2013 | Paid | $159,804.55 |
| PRM 5800 13031316800 | Health/Hospitalization (Including Dental and Vision) | 03/14/2013 | Paid | $159,678.43 |
| PRM 5800 13021514180 | Health/Hospitalization (Including Dental and Vision) | 02/19/2013 | Paid | $159,215.99 |
| PRM 5800 13011610999 | Health/Hospitalization (Including Dental and Vision) | 01/17/2013 | Paid | $158,070.40 |
| PRM 5800 12121707883 | Health/Hospitalization (Including Dental and Vision) | 12/18/2012 | Paid | $76,299.86 |
| PRM 5800 12121707884 | Health/Hospitalization (Including Dental and Vision) | 12/18/2012 | Paid | $36,248.42 |
| PRM 5800 12112705871 | Health/Hospitalization (Including Dental and Vision) | 11/28/2012 | Paid | $36,202.40 |
| PRM 5800 12112705878 | Health/Hospitalization (Including Dental and Vision) | 11/28/2012 | Paid | $75,876.92 |
| PRM 5800 12101802190 | Health/Hospitalization (Including Dental and Vision) | 10/19/2012 | Paid | $75,706.26 |
| PRM 5800 12101802192 | Health/Hospitalization (Including Dental and Vision) | 10/19/2012 | Paid | $36,233.08 |
| PRM 5800 12091433955 | Health/Hospitalization (Including Dental and Vision) | 09/17/2012 | Paid | $75,498.50 |
| PRM 5800 12091433956 | Health/Hospitalization (Including Dental and Vision) | 09/17/2012 | Paid | $36,279.10 |
| PRM 5800 12081530620 | Health/Hospitalization (Including Dental and Vision) | 08/16/2012 | Paid | $36,225.41 |
| PRM 5800 12081530623 | Health/Hospitalization (Including Dental and Vision) | 08/16/2012 | Paid | $75,023.62 |
| PRM 5800 12071727708 | Health/Hospitalization (Including Dental and Vision) | 07/18/2012 | Paid | $74,971.68 |
| PRM 5800 12071727710 | Health/Hospitalization (Including Dental and Vision) | 07/18/2012 | Paid | $36,171.72 |
| PRM 5800 12061524513 | Health/Hospitalization (Including Dental and Vision) | 06/18/2012 | Paid | $75,179.44 |
| PRM 5800 12061524517 | Health/Hospitalization (Including Dental and Vision) | 06/18/2012 | Paid | $36,171.72 |
| PRM 5800 12051521496 | Health/Hospitalization (Including Dental and Vision) | 05/16/2012 | Paid | $36,133.37 |
| PRM 5800 12051521498 | Health/Hospitalization (Including Dental and Vision) | 05/16/2012 | Paid | $75,045.88 |
| PRM 5800 12041718700 | Health/Hospitalization (Including Dental and Vision) | 04/18/2012 | Paid | $74,645.20 |
| PRM 5800 12041718702 | Health/Hospitalization (Including Dental and Vision) | 04/18/2012 | Paid | $36,056.67 |
| PRM 5800 12031515677 | Health/Hospitalization (Including Dental and Vision) | 03/16/2012 | Paid | $36,133.37 |
| PRM 5800 12031515678 | Health/Hospitalization (Including Dental and Vision) | 03/16/2012 | Paid | $74,682.30 |
| PRM 5800 12022112951 | Health/Hospitalization (Including Dental and Vision) | 02/22/2012 | Paid | $74,571.00 |
| PRM 5800 12022112954 | Health/Hospitalization (Including Dental and Vision) | 02/22/2012 | Paid | $36,217.74 |
| PRM 5800 12011309690 | Health/Hospitalization (Including Dental and Vision) | 01/17/2012 | Paid | $36,309.78 |
| PRM 5800 12011309691 | Health/Hospitalization (Including Dental and Vision) | 01/17/2012 | Paid | $74,229.68 |
| PRM 5800 11121607351 | Health/Hospitalization (Including Dental and Vision) | 12/19/2011 | Paid | $31,689.17 |
| PRM 5800 11121607353 | Health/Hospitalization (Including Dental and Vision) | 12/19/2011 | Paid | $64,222.65 |
| PRM 5800 11111604749 | Health/Hospitalization (Including Dental and Vision) | 11/17/2011 | Paid | $31,675.83 |
| PRM 5800 11111604751 | Health/Hospitalization (Including Dental and Vision) | 11/17/2011 | Paid | $64,222.65 |
| PRM 5800 11101801816 | Health/Hospitalization (Including Dental and Vision) | 10/19/2011 | Paid | $95,555.09 |
| PRM 5800 11092034842 | Health/Hospitalization (Including Dental and Vision) | 09/21/2011 | Paid | $63,822.75 |
| PRM 5800 11091934721 | Health/Hospitalization (Including Dental and Vision) | 09/20/2011 | Paid | $31,635.81 |
| PRM 5800 11081731691 | Health/Hospitalization (Including Dental and Vision) | 08/18/2011 | Paid | $31,529.09 |
| PRM 5800 11081731693 | Health/Hospitalization (Including Dental and Vision) | 08/18/2011 | Paid | $63,629.25 |
| PRM 5800 11072128869 | Health/Hospitalization (Including Dental and Vision) | 07/22/2011 | Paid | $95,158.56 |
| PRM 5800 11061725926 | Health/Hospitalization (Including Dental and Vision) | 06/20/2011 | Paid | $31,502.41 |
| PRM 5800 11061725927 | Health/Hospitalization (Including Dental and Vision) | 06/20/2011 | Paid | $63,532.50 |
| PRM 5800 11051823107 | Health/Hospitalization (Including Dental and Vision) | 05/19/2011 | Paid | $63,397.05 |
| PRM 5800 11051823108 | Health/Hospitalization (Including Dental and Vision) | 05/19/2011 | Paid | $31,635.81 |
| PRM 5800 11041920274 | Health/Hospitalization (Including Dental and Vision) | 04/20/2011 | Paid | $31,582.45 |
| PRM 5800 11041920275 | Health/Hospitalization (Including Dental and Vision) | 04/20/2011 | Paid | $63,313.20 |
| PRM 5800 11031616767 | Health/Hospitalization (Including Dental and Vision) | 03/17/2011 | Paid | $31,195.59 |
| PRM 5800 11031616769 | Health/Hospitalization (Including Dental and Vision) | 03/17/2011 | Paid | $62,990.70 |
| PRM 5800 11031416475 | Health/Hospitalization (Including Dental and Vision) | 03/15/2011 | Paid | $31,222.27 |
| PRM 5800 11031416476 | Health/Hospitalization (Including Dental and Vision) | 03/15/2011 | Paid | $31,162.24 |
| PRM 5800 11030215188 | Health/Hospitalization (Including Dental and Vision) | 03/03/2011 | Paid | $62,777.85 |
| PRM 5800 11030215189 | Health/Hospitalization (Including Dental and Vision) | 03/03/2011 | Paid | $62,758.50 |
| PRM 5800 10121007597 | Health/Hospitalization (Including Dental and Vision) | 12/13/2010 | Paid | $26,778.72 |
| PRM 5800 10121007599 | Health/Hospitalization (Including Dental and Vision) | 12/13/2010 | Paid | $52,705.38 |
| PRM 5800 10111805531 | Health/Hospitalization (Including Dental and Vision) | 11/19/2010 | Paid | $11,307.66 |
| PRM 5800 10111805533 | Health/Hospitalization (Including Dental and Vision) | 11/19/2010 | Paid | $7,704.24 |
| PRM 5800 10111705343 | Health/Hospitalization (Including Dental and Vision) | 11/18/2010 | Paid | $41,321.28 |
| PRM 5800 10111705344 | Health/Hospitalization (Including Dental and Vision) | 11/18/2010 | Paid | $18,950.40 |
| PRM 5800 10102603046 | Health/Hospitalization (Including Dental and Vision) | 10/27/2010 | Paid | $7,715.52 |
| PRM 5800 10102603047 | Health/Hospitalization (Including Dental and Vision) | 10/27/2010 | Paid | $11,274.90 |
| PRM 5800 10102502810 | Health/Hospitalization (Including Dental and Vision) | 10/26/2010 | Paid | $18,888.36 |
| PRM 5800 10102502811 | Health/Hospitalization (Including Dental and Vision) | 10/26/2010 | Paid | $41,212.08 |
| PRM 5800 10092338358 | Health/Hospitalization (Including Dental and Visua | 09/24/2010 | Paid | $11,236.68 |
| PRM 5800 10092338359 | Health/Hospitalization (Including Dental and Visua | 09/24/2010 | Paid | $41,086.50 |
| PRM 5800 10092338361 | Health/Hospitalization (Including Dental and Visua | 09/24/2010 | Paid | $7,704.24 |
| PRM 5800 10092338362 | Health/Hospitalization (Including Dental and Visua | 09/24/2010 | Paid | $18,803.76 |
| PRM 5800 10082434850 | Health/Hospitalization (Including Dental and Visua | 08/25/2010 | Paid | $7,709.88 |
| PRM 5800 10082434851 | Health/Hospitalization (Including Dental and Visua | 08/25/2010 | Paid | $11,160.24 |
| PRM 5800 10082434852 | Health/Hospitalization (Including Dental and Visua | 08/25/2010 | Paid | $18,815.04 |
| PRM 5800 10082434854 | Health/Hospitalization (Including Dental and Visua | 08/25/2010 | Paid | $41,037.36 |
| PRM 5800 10072731830 | Health/Hospitalization (Including Dental and Visua | 07/28/2010 | Paid | $7,687.32 |
| PRM 5800 10072731831 | Health/Hospitalization (Including Dental and Visua | 07/28/2010 | Paid | $11,100.18 |
| PRM 5800 10071530562 | Health/Hospitalization (Including Dental and Visua | 07/16/2010 | Paid | $18,668.40 |
| PRM 5800 10071530564 | Health/Hospitalization (Including Dental and Visua | 07/16/2010 | Paid | $40,950.00 |
| PRM 5800 10062528504 | Health/Hospitalization (Including Dental and Visua | 06/28/2010 | Paid | $10,963.68 |
| PRM 5800 10062528507 | Health/Hospitalization (Including Dental and Visua | 06/28/2010 | Paid | $7,692.96 |
| PRM 5800 10061827671 | Health/Hospitalization (Including Dental and Visua | 06/21/2010 | Paid | $18,657.12 |
| PRM 5800 10061827672 | Health/Hospitalization (Including Dental and Visua | 06/21/2010 | Paid | $41,004.60 |
| PRM 5800 10052725385 | Health/Hospitalization (Including Dental and Visua | 05/28/2010 | Paid | $7,687.32 |
| PRM 5800 10052725387 | Health/Hospitalization (Including Dental and Visua | 05/28/2010 | Paid | $10,920.00 |
| PRM 5800 10052424855 | Health/Hospitalization (Including Dental and Visua | 05/25/2010 | Paid | $40,971.84 |
| PRM 5800 10052424857 | Health/Hospitalization (Including Dental and Visua | 05/25/2010 | Paid | $18,668.40 |
| PRM 5800 10042722278 | Health/Hospitalization (Including Dental and Visua | 04/28/2010 | Paid | $7,681.68 |
| PRM 5800 10042722279 | Health/Hospitalization (Including Dental and Visua | 04/28/2010 | Paid | $10,799.88 |
| PRM 5800 10041921599 | Health/Hospitalization (Including Dental and Visua | 04/20/2010 | Paid | $41,020.98 |
| PRM 5800 10041921600 | Health/Hospitalization (Including Dental and Visua | 04/20/2010 | Paid | $18,600.72 |
| PRM 5800 10032318808 | Health/Hospitalization (Including Dental and Visua | 03/24/2010 | Paid | $18,606.36 |
| PRM 5800 10032318809 | Health/Hospitalization (Including Dental and Visua | 03/24/2010 | Paid | $41,004.60 |
| PRM 5800 10032318811 | Health/Hospitalization (Including Dental and Visua | 03/24/2010 | Paid | $10,685.22 |
| PRM 5800 10032318813 | Health/Hospitalization (Including Dental and Visua | 03/24/2010 | Paid | $7,642.20 |
| PRM 5800 10030115742 | Health/Hospitalization (Including Dental and Visua | 03/02/2010 | Paid | $10,619.70 |
| PRM 5800 10030115744 | Health/Hospitalization (Including Dental and Visua | 03/02/2010 | Paid | $7,585.80 |
| PRM 5800 10022214872 | Health/Hospitalization (Including Dental and Visua | 02/23/2010 | Paid | $41,059.20 |
| PRM 5800 10022214873 | Health/Hospitalization (Including Dental and Visua | 02/23/2010 | Paid | $18,606.36 |
| PRM 5800 10020913669 | Health/Hospitalization (Including Dental and Visua | 02/10/2010 | Paid | $18,600.72 |
| PRM 5800 10020913670 | Health/Hospitalization (Including Dental and Visua | 02/10/2010 | Paid | $7,535.04 |
| PRM 5800 10012712166 | Health/Hospitalization (Including Dental and Visua | 01/28/2010 | Paid | $10,521.42 |
| PRM 5800 10012111522 | Health/Hospitalization (Including Dental and Visua | 01/22/2010 | Paid | $41,206.62 |
| PRM 5800 09123009221 | Health/Hospitalization (Including Dental and Visua | 12/31/2009 | Paid | $8,968.00 |
| PRM 5800 09123009223 | Health/Hospitalization (Including Dental and Visua | 12/31/2009 | Paid | $6,708.24 |
| PRM 5800 09121708238 | Health/Hospitalization (Including Dental and Visua | 12/18/2009 | Paid | $16,329.60 |
| PRM 5800 09121708239 | Health/Hospitalization (Including Dental and Visua | 12/18/2009 | Paid | $36,147.50 |
| PRM 5800 09112305910 | Health/Hospitalization (Including Dental and Visua | 11/24/2009 | Paid | $6,708.24 |
| PRM 5800 09112305911 | Health/Hospitalization (Including Dental and Visua | 11/24/2009 | Paid | $8,963.25 |
| PRM 5800 09111605182 | Health/Hospitalization (Including Dental and Visua | 11/17/2009 | Paid | $16,314.48 |
| PRM 5800 09111605183 | Health/Hospitalization (Including Dental and Visua | 11/17/2009 | Paid | $36,100.00 |
| PRM 5800 09102702977 | Health/Hospitalization (Including Dental and Visua | 10/28/2009 | Paid | $6,713.28 |
| PRM 5800 09102702979 | Health/Hospitalization (Including Dental and Visua | 10/28/2009 | Paid | $8,892.00 |
| PRM 5800 09101601964 | Health/Hospitalization (Including Dental and Visua | 10/19/2009 | Paid | $36,114.25 |
| PRM 5800 09101601965 | Health/Hospitalization (Including Dental and Visua | 10/19/2009 | Paid | $16,324.56 |
| PRM 5800 09092344738 | Health/Hospitalization (Including Dental and Visua | 09/24/2009 | Paid | $8,868.25 |
| PRM 5800 09092344739 | Health/Hospitalization (Including Dental and Visua | 09/24/2009 | Paid | $35,967.00 |
| PRM 5800 09082141175 | Health/Hospitalization (Including Dental and Visua | 08/24/2009 | Paid | $8,811.25 |
| PRM 5800 09081340143 | Health/Hospitalization (Including Dental and Visua | 08/14/2009 | Paid | $36,085.75 |
| PRM 5800 09072437696 | Health/Hospitalization (Including Dental and Visua | 07/27/2009 | Paid | $8,763.75 |
| PRM 5800 09071536404 | Health/Hospitalization (Including Dental and Visua | 07/16/2009 | Paid | $36,133.25 |
| PRM 5800 09062434276 | Health/Hospitalization (Including Dental and Visua | 06/25/2009 | Paid | $8,702.00 |
| PRM 5800 09061733373 | Health/Hospitalization (Including Dental and Visua | 06/18/2009 | Paid | $36,199.75 |
| PRM 5800 09052630752 | Health/Hospitalization (Including Dental and Visua | 05/27/2009 | Paid | $8,630.75 |
| PRM 5800 09052230491 | Health/Hospitalization (Including Dental and Visua | 05/26/2009 | Paid | $36,171.25 |
| PRM 5800 09042226912 | Health/Hospitalization (Including Dental and Visua | 04/23/2009 | Paid | $8,602.25 |
| PRM 5800 09042026513 | Health/Hospitalization (Including Dental and Visua | 04/21/2009 | Paid | $36,309.00 |
| PRM 5800 09032522899 | Health/Hospitalization (Including Dental and Visua | 03/26/2009 | Paid | $36,347.00 |
| PRM 5800 09032522900 | Health/Hospitalization (Including Dental and Visua | 03/26/2009 | Paid | $8,516.75 |
| PRM 5800 09022619443 | Health/Hospitalization (Including Dental and Visua | 02/27/2009 | Paid | $37,852.75 |
| PRM 5800 09022619447 | Health/Hospitalization (Including Dental and Visua | 02/27/2009 | Paid | $8,440.75 |
| PRM 5800 09012715295 | Health/Hospitalization (Including Dental and Visua | 01/28/2009 | Paid | $8,293.50 |
| PRM 5800 09012715296 | Health/Hospitalization (Including Dental and Visua | 01/28/2009 | Paid | $37,924.00 |
| PRM 5800 08123111904 | Health/Hospitalization (Including Dental and Visua | 01/02/2009 | Paid | $8,351.42 |
| PRM 5800 08121210411 | Health/Hospitalization (Including Dental and Visua | 12/15/2008 | Paid | $39,420.28 |
| PRM 5800 08120409051 | Health/Hospitalization (Including Dental and Visua | 12/05/2008 | Paid | $8,351.42 |
| PRM 5800 08112407718 | Health/Hospitalization (Including Dental and Visua | 11/25/2008 | Paid | $39,213.22 |