Payment Request
PAYEE | HEALTH CARE SERVICE CORPORATION |
---|---|
EXPENSE CATEGORY | STOP LOSS FEE-HEALTH INSURA |
DEPARTMENT | HUMAN RESOURCES |
FUND | EMPLOYEE BENEFITS FUND |
PROGRAM | EMPLOYEE MEDICAL |
ACTIVITY | EMPLOYEE PPO | PAYMENT REQUEST | PRM 5800 21101801603 |
PURCHASE ORDER | CONTRACT | DESCRIPTION | REF. LINE | CHECK DATE | CHECK STATUS | AMOUNT |
---|---|---|---|---|---|---|
DO 5800 21101301026 | n/a | Health Care Management | 111 | 10/19/2021 | Paid | $155,345.82 |