| Transaction | Transaction Total |
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
4/30/2023
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$27,731.79
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
6/30/2023
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$28,306.12
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
10/31/2022
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$41,885.45
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
3/31/2023
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$33,903.08
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
7/31/2022
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$90,585.63
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
2/28/2023
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$35,142.20
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
5/31/2023
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$87,047.63
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
11/30/2022
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$44,445.21
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
12/31/2022
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$36,098.60
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
9/30/2022
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$70,742.90
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
8/31/2022
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$78,239.22
|
FSA EMPE CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR FSA EMPE CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
1/31/2023
|
|
Account String
|
9600-16-161-96016111-55560-00000
|
|
$35,884.73
|