Data Drill Down for All Months & All Years
PAYMENT REQUEST
| CATEGORY | CONTRACTUALS |
|---|---|
| EXPENSE CATEGORY | OTHER HEALTH PREMIUMS |
| PAYEE | UNITED DENTAL CARE 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 09092344746 | Health/Hospitalization (Including Dental and Visua | 09/24/2009 | Paid | $13,333.87 |
| PRM 5800 09082141177 | Health/Hospitalization (Including Dental and Visua | 08/24/2009 | Paid | $13,293.31 |
| PRM 5800 09072437697 | Health/Hospitalization (Including Dental and Visua | 07/27/2009 | Paid | $13,280.54 |
| PRM 5800 09062434278 | Health/Hospitalization (Including Dental and Visua | 06/25/2009 | Paid | $13,176.45 |
| PRM 5800 09052630757 | Health/Hospitalization (Including Dental and Visua | 05/27/2009 | Paid | $13,039.08 |
| PRM 5800 09042226917 | Health/Hospitalization (Including Dental and Visua | 04/23/2009 | Paid | $12,989.16 |
| PRM 5800 09033123662 | Health/Hospitalization (Including Dental and Visua | 04/01/2009 | Paid | $12,876.55 |
| PRM 5800 09022619451 | Health/Hospitalization (Including Dental and Visua | 02/27/2009 | Paid | $12,862.77 |
| PRM 5800 09012715301 | Health/Hospitalization (Including Dental and Visua | 01/28/2009 | Paid | $12,698.45 |
| PRM 5800 09010211991 | Health/Hospitalization (Including Dental and Visua | 01/05/2009 | Paid | $13,248.88 |
| PRM 5800 08112107518 | Health/Hospitalization (Including Dental and Visua | 11/24/2008 | Paid | $13,258.01 |
| PRM 5800 08102804095 | Health/Hospitalization (Including Dental and Visua | 10/29/2008 | Paid | $13,192.69 |