|
| Transaction | Transaction Total |
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
3/17/2022
|
|
Account String
|
9020-16-162-90216211-55530-00000
|
|
$625,328.62
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
9/13/2021
|
|
Account String
|
9020-16-162-90216212-55530-00000
|
|
$96,356.93
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
12/17/2021
|
|
Account String
|
9020-16-162-90216211-55530-00000
|
|
$431,714.31
|
CLAIM SETTLEMENT
|
Batch Type
|
GNI
|
|
Transaction Description
|
CHARGE; TO RECORD CHARGES/ADJUSTMENTS FOR CLAIM SETTLEMENT
|
|
Vendor
|
N/A
|
|
Payment Method
|
OTHER
|
|
Date
|
6/30/2022
|
|
Account String
|
9020-16-162-90216212-55530-00000
|
|
($8,897.27)
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
2/16/2022
|
|
Account String
|
9020-16-162-90216215-55530-00000
|
|
$160,779.57
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
9/13/2021
|
|
Account String
|
9020-16-162-90216213-55530-00000
|
|
$11,057.00
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
6/23/2022
|
|
Account String
|
9020-16-162-90216211-55530-00000
|
|
$579,993.13
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
4/6/2022
|
|
Account String
|
9020-16-162-90216212-55530-00000
|
|
$67,377.40
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
11/22/2021
|
|
Account String
|
9020-16-162-90216211-55530-00000
|
|
$430,140.69
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
10/5/2021
|
|
Account String
|
9020-16-162-90216212-55530-00000
|
|
$75,316.20
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
6/30/2022
|
|
Account String
|
9020-16-162-90216213-55530-00000
|
|
$11,983.00
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
5/24/2022
|
|
Account String
|
9020-16-162-90216213-55530-00000
|
|
$5,827.00
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
6/23/2022
|
|
Account String
|
9020-16-162-90216215-55530-00000
|
|
$66,190.35
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
6/13/2022
|
|
Account String
|
9020-16-162-90216212-55530-00000
|
|
$63,732.40
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
5/16/2022
|
|
Account String
|
9020-16-162-90216215-55530-00000
|
|
$69,086.51
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
10/19/2021
|
|
Account String
|
9020-16-162-90216215-55530-00000
|
|
$55,215.34
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
5/16/2022
|
|
Account String
|
9020-16-162-90216214-55530-00000
|
|
$339,758.45
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
1/19/2022
|
|
Account String
|
9020-16-162-90216215-55530-00000
|
|
$114,069.11
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
10/18/2021
|
|
Account String
|
9020-16-162-90216213-55530-00000
|
|
$12,235.50
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
3/17/2022
|
|
Account String
|
9020-16-162-90216215-55530-00000
|
|
$81,168.49
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
10/19/2021
|
|
Account String
|
9020-16-162-90216211-55530-00000
|
|
$535,800.90
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
4/25/2022
|
|
Account String
|
9020-16-162-90216214-55530-00000
|
|
$241,366.55
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
10/19/2021
|
|
Account String
|
9020-16-162-90216214-55530-00000
|
|
$225,670.48
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
11/16/2021
|
|
Account String
|
9020-16-162-90216214-55530-00000
|
|
$316,341.34
|
CLAIM SETTLEMENT
|
Batch Type
|
API
|
|
Transaction Description
|
|
|
Vendor
|
|
|
Payment Method
|
OTHER
|
|
Date
|
9/21/2021
|
|
Account String
|
9020-16-162-90216214-55530-00000
|
|
$188,854.26
|
|