2024 MEDICAL CLAIMS Query.xlsx
XLSX spreadsheet 63 KB Posted
- Attached to
- RFP DOC Correctional Health ServicesBid Documents State and local contract opportunity
- Solicitation number
- 27-87787
- Issued by
- Hendricks County, Indiana
About this file
This is a 2024 Medical Claims Query spreadsheet documenting inmate medical expense claims processed across multiple Indiana county jails, including facilities in Fountain, Delaware, Dearborn, Steuben, Noble, Sullivan, Lake, Brown, Greene, Jay, DeKalb, Bartholomew, Johnson, Boone, Franklin, Hancock, Allen, Fayette, and numerous other counties. The spreadsheet tracks medical claim submissions for healthcare (HEA), correctional facility (CF), and pharmacy (PAR) services rendered to offenders during 2023 and 2024, with claims processed throughout the calendar year 2024 from January through December.
The document records 587 individual medical claims with submitted amounts totaling $375,222.41 and approved amounts totaling $299,019.26, representing a cumulative difference of $76,203.15 in claim adjustments. Claims encompass medications, dental services, laboratory work, x-rays, emergency room visits, surgical procedures, physical therapy, imaging services, and other medical treatments. Claim types are categorized by service provider (HEA for healthcare, CF for correctional facility services, and PAR for pharmacy), with service dates spanning from September 2022 through September 2024. Notable claim denials and reductions appear throughout the dataset, with some claims fully approved and others partially denied or reduced by varying amounts, indicating review and adjustment processes were applied during claim adjudication.
View the file
Other files for this state and local contract opportunity
Show all 50
RFP DOC Correctional Health ServicesBid Documents has more files on GovTribe.
On GovTribe
Work with this file on GovTribe
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
2024 MEDICAL CLAIMS Query
| # | Date Entered | County Jail Name | Claim Mth/Yr | Claim Type | Offender Last Name | Offender First Name | DOB | DOC # | Group Billing | Date of Svc | Submitted Amount | Approved Amount | Difference | Comments |
| 1 | 1/5/2024 | FOUNTAIN CO | OCT 23 | HEA | 0 | TRUE | $41.01 | $41.01 | $0.00 | HEA GROUP MEDS | ||||
| 2 | 1/5/2024 | FOUNTAIN CO | NOV 23 | HEA | 0 | TRUE | $20.20 | $20.20 | $0.00 | HEA GROUP MEDS | ||||
| 3 | 1/5/2024 | FOUNTAIN CO | SEPT 23 | HEA | 0 | TRUE | $32.77 | $32.77 | $0.00 | HEA GROUP MEDS | ||||
| 4 | 1/5/2024 | DELAWARE CO | OCT 23 | HEA | 0 | TRUE | $36.90 | $36.90 | $0.00 | HEA GROUP MEDS | ||||
| 5 | 1/5/2024 | DELAWARE CO | NOV 23 | HEA | 0 | TRUE | $81.09 | $81.09 | $0.00 | HEA GROUP MEDS | ||||
| 6 | 1/5/2024 | DELAWARE CO | SEPT 23 | HEA | 0 | TRUE | $72.38 | $72.38 | $0.00 | HEA GROUP MEDS | ||||
| 7 | 1/5/2024 | DEARBORN CO | SEPT 23 | HEA | 0 | TRUE | $122.91 | $86.01 | ($36.90) | HEA GROUP MEDS | ||||
| 8 | 1/5/2024 | DEARBORN CO | OCT 23 | CF | 0 | TRUE | $39.54 | $39.54 | $0.00 | CF GROUP MEDS | ||||
| 9 | 1/5/2024 | DEARBORN CO | SEPT 23 | CF | 0 | TRUE | $89.49 | $89.49 | $0.00 | CF GROUP MEDS | ||||
| 10 | 1/5/2024 | DELAWARE CO | NOV 23 | CF | 0 | TRUE | $157.79 | $157.79 | $0.00 | CF GROUP MEDS | ||||
| 11 | 1/5/2024 | DELAWARE CO | OCT 23 | CF | 0 | TRUE | $174.04 | $174.04 | $0.00 | CF GROUP MEDS | ||||
| 12 | 1/5/2024 | DELAWARE CO | SEPT 23 #2 | CF | 0 | TRUE | $248.07 | $248.07 | $0.00 | CF GROUP MEDS | ||||
| 13 | 1/5/2024 | DELAWARE CO | OCT 23 #2 | PAR | 0 | TRUE | $277.28 | $277.28 | $0.00 | PAR GROUP MEDS | ||||
| 14 | 1/5/2024 | DELAWARE CO | SEPT 23 #2 | PAR | 0 | TRUE | $264.86 | $264.86 | $0.00 | PAR GROUP MEDS | ||||
| 15 | 1/5/2024 | DELAWARE CO | NOV 23 | PAR | 0 | TRUE | $376.34 | $376.34 | $0.00 | PAR GROUP MEDS | ||||
| 16 | 1/5/2024 | DELAWARE CO | OCT 23 | PAR | 0 | TRUE | $223.68 | $223.68 | $0.00 | PAR GROUP MEDS | ||||
| 17 | 1/5/2024 | FOUNTAIN CO | OCT 23 | CF | 0 | TRUE | $45.53 | $40.53 | ($5.00) | CF GROUP MEDS | ||||
| 18 | 1/5/2024 | FOUNTAIN CO | SEPT 23 | CF | 0 | TRUE | $57.40 | $57.40 | $0.00 | CF GROUP MEDS | ||||
| 19 | 1/5/2024 | FOUNTAIN CO | NOV 23 | CF | 0 | TRUE | $46.85 | $46.85 | $0.00 | CF GROUP MEDS | ||||
| 20 | 1/12/2024 | DEARBORN CO | OCT 23 | HEA | 0 | TRUE | $156.12 | $63.48 | ($92.64) | HEA GROUP MEDS | ||||
| 21 | 1/12/2024 | STEUBEN CO | SEPT 23 | HEA | 0 | TRUE | $1,304.46 | $1,151.37 | ($153.09) | HEA GROUP MEDS/LABS/XRAY | ||||
| 22 | 1/12/2024 | STEUBEN CO | OCT 23 | HEA | 0 | TRUE | $2,635.59 | $2,389.46 | ($246.13) | HEA GROUP MEDS/DENTAL | ||||
| 23 | 1/12/2024 | STEUBEN CO | OCT 23 | CF | 0 | TRUE | $1,298.10 | $778.10 | ($520.00) | CF GROUP MEDS/DENTAL | ||||
| 24 | 1/12/2024 | STEUBEN CO | SEPT 23 | CF | 0 | TRUE | $128.73 | $128.73 | $0.00 | CF GROUP MEDS | ||||
| 25 | 1/12/2024 | ST. JOSEPH CO | MAY 23 | CF | 0 | TRUE | $115.48 | $109.57 | ($5.91) | CF GROUP MEDS | ||||
| 26 | 1/12/2024 | NOBLE CO | NOV 23 #2 | CF | 0 | TRUE | $600.00 | $300.00 | ($300.00) | CF GROUP DENTAL | ||||
| 27 | 1/12/2024 | NOBLE CO | NOV 23 | CF | 0 | TRUE | $186.98 | $186.98 | $0.00 | CF GROUP MEDS | ||||
| 28 | 1/12/2024 | NOBLE CO | OCT 23 | CF | 0 | TRUE | $223.85 | $223.85 | $0.00 | CF GROUP MEDS | ||||
| 29 | 1/12/2024 | NOBLE CO | AUG 23 | CF | 0 | TRUE | $155.25 | $155.25 | $0.00 | CF GROUP MEDS | ||||
| 30 | 1/12/2024 | NOBLE CO | SEPT 23 | CF | 0 | TRUE | $534.48 | $534.48 | $0.00 | CF GROUP MEDS | ||||
| 31 | 1/12/2024 | NOBLE CO | OCT 23 | HEA | 0 | TRUE | $151.41 | $144.00 | ($7.41) | HEA GROUP MEDS | ||||
| 32 | 1/12/2024 | NOBLE CO | NOV 23 | HEA | 0 | TRUE | $64.74 | $49.92 | ($14.82) | HEA GROUP MEDS | ||||
| 33 | 1/12/2024 | NOBLE CO | NOV 23 #2 | HEA | 0 | TRUE | $900.00 | $600.00 | ($300.00) | HEA GROUP DENTAL | ||||
| 34 | 1/12/2024 | NOBLE CO | OCT 23 #2 | HEA | 1/16/1996 | 0 | FALSE | 10/16/2023 | $62.00 | $62.00 | $0.00 | HEA XRAY | ||
| 35 | 1/12/2024 | NOBLE CO | SEPT 23 | HEA | 0 | TRUE | $102.87 | $80.79 | ($22.08) | HEA GROUP MEDS | ||||
| 36 | 1/19/2024 | SULLIVAN CO | AUG 23 #3 | HEA | 0 | TRUE | $69.69 | $16.14 | ($53.55) | HEA GROUP MEDS | ||||
| 37 | 1/19/2024 | WHITLEY CO | MAR 23 #2 | HEA | 0 | TRUE | $724.46 | $548.21 | ($176.25) | HEA GROUP DENTAL | ||||
| 38 | 1/19/2024 | WHITLEY CO | JAN 23 | HEA | 0 | TRUE | $120.00 | $60.00 | ($60.00) | HEA GROUP XRAYS | ||||
| 39 | 1/19/2024 | WHITLEY CO | FEB 23 #2 | HEA | 9/5/1950 | 0 | FALSE | 2/22/2023 | $18.39 | $18.39 | $0.00 | HEA LABS | ||
| 40 | 1/19/2024 | WHITLEY CO | JULY 23 | HEA | 0 | TRUE | $500.50 | $500.50 | $0.00 | HEA GROUP DENTAL | ||||
| 41 | 1/19/2024 | WHITLEY CO | JUNE 23 | HEA | 9/5/1950 | 0 | FALSE | 6/2/2023 | $321.88 | $321.88 | $0.00 | HEA DENTAL | ||
| 42 | 1/19/2024 | LAKE CO | AUG 23 | HEA | 0 | TRUE | $1,427.59 | $1,243.21 | ($184.38) | HEA GROUP MEDS | ||||
| 43 | 1/19/2024 | LAKE CO | SEPT 23 | HEA | 0 | TRUE | $991.59 | $499.55 | ($492.04) | HEA GROUP MEDS | ||||
| 44 | 1/19/2024 | SULLIVAN CO | AUG 23 | HEA | 0 | TRUE | $31.05 | $0.00 | ($31.05) | HEA GROUP LABS | ||||
| 45 | 1/19/2024 | SULLIVAN CO | JUNE 23 #3 | HEA | 6/20/1988 | 0 | FALSE | $75.06 | $0.00 | ($75.06) | HEA XRAYS | |||
| 46 | 1/19/2024 | SULLIVAN CO | APR 23 | HEA | 5/15/1988 | 0 | FALSE | $20.32 | $0.00 | ($20.32) | HEA XRAY | |||
| 47 | 1/19/2024 | SULLIVAN CO | JUNE 23 | HEA | 0 | TRUE | $88.77 | $0.00 | ($88.77) | HEA GROUP MEDS | ||||
| 48 | 1/19/2024 | SULLIVAN CO | JUNE 23 #2 | HEA | 7/8/1987 | 0 | FALSE | $1,059.82 | $0.00 | ($1,059.82) | HEA SURGERY/ DR/PT | |||
| 49 | 1/19/2024 | SULLIVAN CO | AUG 23 #2 | HEA | 7/8/1987 | 0 | FALSE | $949.68 | $0.00 | ($949.68) | HEA PHYSICAL THERAPY | |||
| 50 | 1/19/2024 | WHITLEY CO | FEB 23 | HEA | 9/27/1988 | 0 | FALSE | 2/1/2023 | $400.63 | $0.00 | ($400.63) | HEA DENTAL | ||
| 51 | 1/19/2024 | SULLIVAN CO | AUG 23 | CF | 0 | TRUE | $32.50 | $32.50 | $0.00 | CF GROUP MEDS | ||||
| 52 | 1/19/2024 | SULLIVAN CO | JUNE 23 | CF | 0 | TRUE | $18.78 | $18.78 | $0.00 | CF GROUP MEDS | ||||
| 53 | 1/19/2024 | LAKE CO | AUG 23 | PAR | 0 | TRUE | $603.83 | $603.83 | $0.00 | PAR GROUP MEDS | ||||
| 54 | 1/19/2024 | LAKE CO | SEPT 23 | PAR | 0 | TRUE | $158.09 | $158.09 | $0.00 | PAR GROUP MEDS | ||||
| 55 | 1/19/2024 | LAKE CO | SEPT 23 | CF | 0 | TRUE | $2,119.10 | $1,946.64 | ($172.46) | CF GROUP MEDS | ||||
| 56 | 1/19/2024 | LAKE CO | AUG 23 | CF | 0 | TRUE | $1,581.95 | $1,406.13 | ($175.82) | CF GROUP MEDS | ||||
| 57 | 1/19/2024 | WHITLEY CO | MAR 23 | PAR | 289511 | FALSE | 3/28/2023 | $62.00 | $62.00 | $0.00 | PAR XRAYS | |||
| 58 | 1/26/2024 | BROWN CO | OCT 23 | HEA | 0 | TRUE | $4,119.33 | $4,119.33 | $0.00 | HEA GROUP MEDS | ||||
| 59 | 1/26/2024 | BROWN CO | SEPT 23 | HEA | 0 | TRUE | $52.21 | $52.21 | $0.00 | HEA GROUP MEDS | ||||
| 60 | 1/26/2024 | BROWN CO | NOV 23 | HEA | 0 | TRUE | $4,330.02 | $4,304.16 | ($25.86) | HEA GROUP MEDS | ||||
| 61 | 1/26/2024 | GREENE CO | SEPT 23 | HEA | 0 | TRUE | $877.41 | $675.39 | ($202.02) | HEA GROUP MEDS | ||||
| 62 | 1/26/2024 | BROWN CO | SEPT 23 | CF | 0 | TRUE | $111.17 | $111.17 | $0.00 | CF GROUP MEDS | ||||
| 63 | 1/26/2024 | GREENE CO | SEPT 23 | CF | 0 | TRUE | $70.20 | $70.20 | $0.00 | CF GROUP MEDS | ||||
| 64 | 1/26/2024 | GREENE CO | AUG 23 #2 | HEA | 7/27/1990 | 0 | FALSE | 8/31/2023 | $933.90 | $0.00 | ($933.90) | HEA DENTAL | ||
| 65 | 2/2/2024 | JAY CO | OCT 23 | HEA | 0 | TRUE | $165.90 | $83.70 | ($82.20) | HEA GROUP MEDS | ||||
| 66 | 2/2/2024 | JAY CO | SEPT 23 | HEA | 0 | TRUE | $214.92 | $12.69 | ($202.23) | HEA GROUP MEDS | ||||
| 67 | 2/2/2024 | JAY CO | OCT 23 #2 | HEA | 11/9/1977 | 0 | FALSE | 10/20/2023 | $236.82 | $236.82 | $0.00 | HEA ER VISIT | ||
| 68 | 2/2/2024 | DEKALB CO | APR 23 #2 | HEA | 3/21/1996 | 0 | FALSE | 4/6/2023 | $62.00 | $62.00 | $0.00 | HEA XRAY | ||
| 69 | 2/2/2024 | DEKALB CO | MAR 23 #2 | HEA | 12/16/1978 | 0 | FALSE | 3/24/2023 | $71.22 | $71.22 | $0.00 | HEA ANKLE STABILIZING | ||
| 70 | 2/2/2024 | DEKALB CO | OCT 23 | HEA | 0 | TRUE | $1,012.05 | $988.32 | ($23.73) | HEA GROUP MEDS | ||||
| 71 | 2/2/2024 | DEKALB CO | MAR 23 #3 | HEA | 12/16/1978 | 0 | FALSE | 3/24/2023 | $21.96 | $21.96 | $0.00 | HEA RADIOLOGY | ||
| 72 | 2/2/2024 | DEKALB CO | NOV 23 | HEA | 0 | TRUE | $537.90 | $526.20 | ($11.70) | HEA GROUP MEDS | ||||
| 73 | 2/2/2024 | DEKALB CO | SEPT 23 | HEA | 0 | TRUE | $760.71 | $760.71 | $0.00 | HEA GROUP MEDS | ||||
| 74 | 2/2/2024 | DEKALB CO | SEPT 23 #2 | HEA | 7/16/1994 | 0 | FALSE | 9/20/2023 | $62.00 | $62.00 | $0.00 | HEA XRAY | ||
| 75 | 2/2/2024 | RANDOLPH CO | SEPT 23 | CF | 103171 | FALSE | $19.77 | $19.77 | $0.00 | CF MEDS | ||||
| 76 | 2/2/2024 | RANDOLPH CO | OCT 23 | CF | 0 | TRUE | $625.41 | $625.41 | $0.00 | CF GROUP MEDS | ||||
| 77 | 2/2/2024 | RANDOLPH CO | NOV 23 | CF | 0 | TRUE | $621.96 | $621.96 | $0.00 | CF GROUP MEDS | ||||
| 78 | 2/2/2024 | DEKALB CO | SEPT 23 | CF | 294825 | FALSE | $15.15 | $15.15 | $0.00 | CF MEDS | ||||
| 79 | 2/2/2024 | DEKALB CO | NOV 23 | CF | 0 | TRUE | $194.22 | $173.46 | ($20.76) | CF GROUP MEDS | ||||
| 80 | 2/2/2024 | JAY CO | OCT 23 | CF | 0 | TRUE | $755.94 | $755.94 | $0.00 | CF GROUP MEDS | ||||
| 81 | 2/2/2024 | JAY CO | SEPT 23 | CF | 0 | TRUE | $71.64 | $71.64 | $0.00 | CF GROUP MEDS | ||||
| 82 | 2/9/2024 | BARTHOLOMEW CO | OCT 23 | HEA | 0 | TRUE | $1,610.52 | $1,524.76 | ($85.76) | HEA GROUP MEDS | ||||
| 83 | 2/9/2024 | BARTHOLOMEW CO | DEC 23 | HEA | 0 | TRUE | $125.73 | $80.24 | ($45.49) | HEA GROUP MEDS | ||||
| 84 | 2/9/2024 | FAYETTE CO | NOV 23 | HEA | 0 | TRUE | $1,872.13 | $1,819.24 | ($52.89) | HEA GROUP MEDS | ||||
| 85 | 2/9/2024 | BARTHOLOMEW CO | DEC 23 | CF | 0 | TRUE | $514.37 | $514.37 | $0.00 | CF GROUP MEDS | ||||
| 86 | 2/9/2024 | BARTHOLOMEW CO | OCT 23 | CF | 0 | TRUE | $186.05 | $186.05 | $0.00 | CF GROUP MEDS | ||||
| 87 | 2/9/2024 | FAYETTE CO | NOV 23 | CF | 0 | TRUE | $440.85 | $440.85 | $0.00 | CF GROUP MEDS | ||||
| 88 | 2/9/2024 | BARTHOLOMEW CO | NOV 23 | CF | 0 | TRUE | $179.97 | $174.30 | ($5.67) | CF GROUP MEDS | ||||
| 89 | 2/16/2024 | JOHNSON CO | NOV 23 | HEA | 0 | TRUE | $585.00 | $585.00 | $0.00 | HEA GROUP DENTAL/DR/SICK CALLS | ||||
| 90 | 2/16/2024 | JOHNSON CO | AUG 23 #3 | HEA | 0 | TRUE | $112.21 | $112.21 | $0.00 | HEA GROUP LABS/EKG | ||||
| 91 | 2/16/2024 | JOHNSON CO | OCT 23 #2 | HEA | 0 | TRUE | $282.42 | $282.42 | $0.00 | HEA GROUP MEDS | ||||
| 92 | 2/16/2024 | JOHNSON CO | NOV 23 #2 | HEA | 0 | TRUE | $370.00 | $370.00 | $0.00 | HEA GROUP XRAYS | ||||
| 93 | 2/16/2024 | JOHNSON CO | SEPT 23 #2 | HEA | 0 | TRUE | $298.00 | $298.00 | $0.00 | HEA GROUP MEDS | ||||
| 94 | 2/16/2024 | JOHNSON CO | OCT 23 | HEA | 0 | TRUE | $300.00 | $300.00 | $0.00 | HEA GROUP DENTAL/DR/SICK CALLS | ||||
| 95 | 2/16/2024 | JOHNSON CO | OCT 23 | CF | 0 | TRUE | $645.00 | $645.00 | $0.00 | CF GROUP SICK CALLS | ||||
| 96 | 2/16/2024 | JOHNSON CO | OCT 23 #2 | CF | 0 | TRUE | $165.06 | $165.06 | $0.00 | CF GROUP MEDS | ||||
| 97 | 2/16/2024 | JOHNSON CO | NOV 23 | CF | 0 | TRUE | $810.00 | $810.00 | $0.00 | CF GROUP SICK CALLS | ||||
| 98 | 2/16/2024 | JOHNSON CO | DEC 23 | CF | 0 | TRUE | $765.00 | $765.00 | $0.00 | CF GROUP SICK CALLS | ||||
| 99 | 2/16/2024 | JOHNSON CO | DEC 23 | PAR | 243120 | FALSE | $15.00 | $15.00 | $0.00 | PAR SICK CALL | ||||
| 100 | 2/16/2024 | JOHNSON CO | SEPT 23 #2 | CF | 0 | TRUE | $149.25 | $149.25 | $0.00 | CF GROUP MEDS | ||||
| 101 | 2/16/2024 | BOONE CO | NOV 23 | HEA | 0 | TRUE | $576.03 | $576.03 | $0.00 | HEA GROUP MEDS | ||||
| 102 | 2/16/2024 | BOONE CO | OCT 23 | HEA | 0 | TRUE | $997.19 | $997.19 | $0.00 | HEA GROUP MEDS | ||||
| 103 | 2/16/2024 | FRANKLIN CO | NOV 23 | HEA | 0 | TRUE | $1,375.00 | $550.00 | ($825.00) | HEA GROUP DENTAL | ||||
| 104 | 2/16/2024 | BOONE CO | OCT 23 | CF | 0 | TRUE | $55.45 | $19.85 | ($35.60) | CF GROUP MEDS | ||||
| 105 | 2/16/2024 | BOONE CO | NOV 23 | CF | 0 | TRUE | $71.10 | $40.05 | ($31.05) | CF GROUP MEDS | ||||
| 106 | 2/16/2024 | BOONE CO | NOV 23 | PAR | 964341 | FALSE | $25.05 | $25.05 | $0.00 | PAR MEDS | ||||
| 107 | 2/23/2024 | HANCOCK CO | SEPT 23 | HEA | 0 | TRUE | $380.49 | $372.75 | ($7.74) | HEA GROUP MEDS | ||||
| 108 | 2/23/2024 | HANCOCK CO | OCT 23 | HEA | 10/1/1999 | 0 | FALSE | 10/19/2023 | $15.00 | $15.00 | $0.00 | HEA LABS | ||
| 109 | 2/23/2024 | HANCOCK CO | SEPT 23 #2 | HEA | 11/18/1968 | 0 | FALSE | 9/13/2023 | $130.58 | $130.58 | $0.00 | HEA GASTRO DR | ||
| 110 | 2/23/2024 | HANCOCK CO | OCT 23 #2 | HEA | 0 | TRUE | $293.37 | $293.37 | $0.00 | HEA GROUP MEDS | ||||
| 111 | 2/23/2024 | HANCOCK CO | NOV 23 | HEA | 0 | TRUE | $369.12 | $369.12 | $0.00 | HEA GROUP MEDS/LABS | ||||
| 112 | 2/23/2024 | HANCOCK CO | AUG 23 #3 | HEA | 5/19/1967 | 0 | FALSE | 8/3/2023 | $129.00 | $129.00 | $0.00 | HEA ULTRASOUND | ||
| 113 | 2/23/2024 | WABASH CO | OCT 23 | HEA | 1/20/1990 | 0 | FALSE | 10/13/2023 | $7.06 | $0.00 | ($7.06) | HEA MEDS | ||
| 114 | 2/23/2024 | HANCOCK CO | OCT 23 | CF | 0 | TRUE | $394.92 | $394.92 | $0.00 | CF GROUP MEDS | ||||
| 115 | 2/23/2024 | HANCOCK CO | NOV 23 | CF | 0 | TRUE | $386.69 | $386.69 | $0.00 | CF GROUP MEDS | ||||
| 116 | 2/23/2024 | HANCOCK CO | SEPT 23 | CF | 0 | TRUE | $345.48 | $345.48 | $0.00 | CF GROUP MEDS | ||||
| 117 | 3/1/2024 | HUNTINGTON CO | SEPT 23 | CF | 0 | TRUE | $117.12 | $110.04 | ($7.08) | CF GROUP MEDS | ||||
| 118 | 3/1/2024 | HUNTINGTON CO | JULY 23 #2 | CF | 0 | TRUE | $856.03 | $856.03 | $0.00 | CF LABS/ER/XRAY | ||||
| 119 | 3/1/2024 | STEUBEN CO | JAN 24 | CF | 0 | TRUE | $826.63 | $826.63 | $0.00 | CF GROUP MEDS | ||||
| 120 | 3/1/2024 | HUNTINGTON CO | AUG 23 | CF | 0 | TRUE | $684.36 | $0.00 | ($684.36) | CF GROUP AMB/LABS/XRAY | ||||
| 121 | 3/1/2024 | HUNTINGTON CO | OCT 23 | HEA | 0 | TRUE | $211.48 | $211.48 | $0.00 | HEA GROUP MEDS/XRAY | ||||
| 122 | 3/1/2024 | HUNTINGTON CO | SEPT 23 | HEA | 0 | TRUE | $324.23 | $324.23 | $0.00 | HEA GROUP MEDS/DENTAL | ||||
| 123 | 2/29/2024 | STEUBEN CO | JAN 24 | HEA | 0 | TRUE | $29,077.37 | $28,788.81 | ($288.56) | HEA GROUP MEDS | ||||
| 124 | 3/8/2024 | ALLEN CO | DEC 23 | HEA | 0 | TRUE | $368.63 | $368.63 | $0.00 | HEA GROUP ER/LABS | ||||
| 125 | 3/8/2024 | ALLEN CO | NOV 23 | HEA | 0 | TRUE | $800.56 | $534.03 | ($266.53) | HEA GROUP LABS/XRAYS | ||||
| 126 | 3/8/2024 | GIBSON CO | DEC 22 | HEA | 1/11/1993 | 0 | FALSE | 12/25/2022 | $409.42 | $409.42 | $0.00 | HEA ER VISIT | ||
| 127 | 3/15/2024 | DELAWARE CO | JAN 24 | HEA | 9/4/1973 | 0 | FALSE | 1/8/2024 | $14.37 | $14.37 | $0.00 | HEA MEDS | ||
| 128 | 3/15/2024 | DELAWARE CO | DEC 23 | HEA | 0 | TRUE | $69.72 | $69.72 | $0.00 | HEA GROUP MEDS | ||||
| 129 | 3/15/2024 | DEARBORN CO | NOV 23 | HEA | 0 | TRUE | $15.15 | $15.15 | $0.00 | HEA GROUP MEDS | ||||
| 130 | 3/15/2024 | DELAWARE CO | DEC 23 | PAR | 0 | TRUE | $208.97 | $208.97 | $0.00 | PAR GROUP MEDS | ||||
| 131 | 3/15/2024 | DELAWARE CO | JAN 24 | PAR | 853525 | FALSE | 1/31/2024 | $131.08 | $131.08 | $0.00 | PAR DENTAL | |||
| 132 | 3/15/2024 | DELAWARE CO | JAN 24 #2 | PAR | 0 | TRUE | $212.96 | $212.96 | $0.00 | PAR GROUP MEDS | ||||
| 133 | 3/15/2024 | DEARBORN CO | JAN 24 | CF | 0 | TRUE | $141.39 | $127.02 | ($14.37) | CF GROUP MEDS | ||||
| 134 | 3/15/2024 | DEARBORN CO | DEC 23 | CF | 0 | TRUE | $648.18 | $616.38 | ($31.80) | CF GROUP MEDS | ||||
| 135 | 3/15/2024 | DEARBORN CO | NOV 23 | CF | 0 | TRUE | $689.22 | $626.43 | ($62.79) | CF GROUP MEDS | ||||
| 136 | 3/15/2024 | CLARK CO | SEPT 23 | CF | 295700 | FALSE | $1,979.39 | $1,979.39 | $0.00 | CF DENTAL | ||||
| 137 | 3/22/2024 | NOBLE CO | JAN 24 | HEA | 0 | TRUE | $300.30 | $279.48 | ($20.82) | HEA GROUP MEDS | ||||
| 138 | 3/22/2024 | NOBLE CO | DEC 23 | HEA | 0 | TRUE | $68.04 | $60.63 | ($7.41) | HEA GROUP MEDS | ||||
| 139 | 3/22/2024 | NOBLE CO | JAN 24 #2 | HEA | 0 | TRUE | $885.70 | $542.85 | ($342.85) | HEA GROUP DENTAL | ||||
| 140 | 3/22/2024 | FOUNTAIN CO | DEC 23 | HEA | 0 | TRUE | $20.43 | $9.44 | ($10.99) | HEA GROUP MEDS | ||||
| 141 | 3/22/2024 | FOUNTAIN CO | JAN 24 | HEA | 0 | TRUE | $51.04 | $40.88 | ($10.16) | HEA GROUP MEDS | ||||
| 142 | 3/27/2024 | STEUBEN CO | OCT 23 #2 | HEA | 0 | TRUE | $157.18 | $157.18 | $0.00 | HEA GROUP MEDS/DENTAL | ||||
| 143 | 3/27/2024 | ALLEN CO | OCT 23 #2 | HEA | 0 | TRUE | $425.46 | $387.75 | ($37.71) | HEA GROUP MEDS | ||||
| 144 | 3/27/2024 | ALLEN CO | NOV 23 #2 | HEA | 0 | TRUE | $410.39 | $410.39 | $0.00 | HEA GROUP MEDS | ||||
| 145 | 3/27/2024 | ALLEN CO | DEC 23 #2 | HEA | 0 | TRUE | $472.59 | $464.19 | ($8.40) | HEA GROUP MEDS | ||||
| 146 | 3/22/2024 | NOBLE CO | JAN 24 | CF | 0 | TRUE | $560.23 | $560.23 | $0.00 | CF GROUP MEDS | ||||
| 147 | 3/22/2024 | NOBLE CO | DEC 23 | CF | 0 | TRUE | $494.56 | $470.83 | ($23.73) | CF GROUP MEDS | ||||
| 148 | 3/22/2024 | NOBLE CO | JAN 24 #2 | CF | 0 | TRUE | $742.85 | $742.85 | $0.00 | CF GROUP MEDS | ||||
| 149 | 3/22/2024 | ST. JOSEPH CO | JULY 23 | CF | 0 | TRUE | $2,865.75 | $2,835.24 | ($30.51) | CF GROUP MEDS | ||||
| 150 | 3/22/2024 | FOUNTAIN CO | DEC 23 | CF | 0 | TRUE | $35.05 | $35.05 | $0.00 | CF GROUP MEDS | ||||
| 152 | 4/5/2024 | JOHNSON CO | DEC 23 | HEA | 0 | TRUE | $165.00 | $150.00 | ($15.00) | HEA GROUP SICK CALLS | ||||
| 153 | 4/5/2024 | DELAWARE CO | FEB 24 | HEA | 10/5/1984 | 0 | FALSE | 2/15/2024 | $8.66 | $8.66 | $0.00 | HEA LABS | ||
| 154 | 3/27/2024 | ALLEN CO | NOV 23 | CF | 0 | TRUE | $288.03 | $225.82 | ($62.21) | CF GROUP MEDS | ||||
| 155 | 3/27/2024 | ALLEN CO | OCT 23 | CF | 0 | TRUE | $4,731.90 | $4,704.83 | ($27.07) | CF GROUP MEDS | ||||
| 156 | 3/27/2024 | ALLEN CO | DEC 23 | CF | 0 | TRUE | $243.37 | $160.85 | ($82.52) | CF GROUP MEDS | ||||
| 157 | 4/5/2024 | DELAWARE CO | DEC 23 | CF | 0 | TRUE | $361.45 | $361.45 | $0.00 | CF GROUP MEDS | ||||
| 158 | 4/5/2024 | DELAWARE CO | JAN 24 | CF | 0 | TRUE | $317.55 | $317.55 | $0.00 | CF GROUP MEDS | ||||
| 159 | 4/12/2024 | LAKE CO | NOV 23 | HEA | 0 | TRUE | $500.37 | $287.48 | ($212.89) | HEA GROUP MEDS | ||||
| 160 | 4/12/2024 | LAKE CO | DEC 23 | HEA | 0 | TRUE | $696.99 | $151.30 | ($545.69) | HEA GROUP MEDS | ||||
| 161 | 4/12/2024 | LAKE CO | OCT 23 | HEA | 0 | TRUE | $2,449.56 | $1,576.67 | ($872.89) | HEA GROUP MEDS | ||||
| 162 | 4/12/2024 | LAKE CO | DEC 23 | PAR | 0 | TRUE | $44.40 | $44.40 | $0.00 | PAR GROUP MEDS | ||||
| 163 | 4/12/2024 | LAKE CO | OCT 23 | CF | 0 | TRUE | $1,990.13 | $1,558.65 | ($431.48) | CF GROUP MEDS | ||||
| 164 | 4/12/2024 | LAKE CO | NOV 23 | PAR | 196904 | FALSE | $25.86 | $25.86 | $0.00 | PAR MEDS | ||||
| 165 | 4/12/2024 | LAKE CO | NOV 23 | CF | 0 | TRUE | $735.81 | $505.99 | ($229.82) | CF GROUP MEDS | ||||
| 166 | 4/12/2024 | LAKE CO | DEC 23 | CF | 0 | TRUE | $9,025.25 | $8,567.23 | ($458.02) | CF GROUP MEDS | ||||
| 167 | 4/12/2024 | LAKE CO | OCT 23 | PAR | 0 | TRUE | $6.16 | $6.16 | $0.00 | PAR GROUP MEDS | ||||
| 168 | 4/12/2024 | RANDOLPH CO | JAN 24 | CF | 0 | TRUE | $60.76 | $60.76 | $0.00 | CF GROUP MEDS | ||||
| 169 | 4/12/2024 | RANDOLPH CO | DEC 23 | CF | 0 | TRUE | $617.34 | $617.34 | $0.00 | CF GROUP MEDS | ||||
| 170 | 4/12/2024 | STEUBEN CO | JAN 24 #2 | CF | 297582 | FALSE | $108.53 | $108.53 | $0.00 | CF MEDS | ||||
| 171 | 4/12/2024 | STEUBEN CO | NOV 23 | CF | 0 | TRUE | $278.69 | $148.69 | ($130.00) | CF GROUP MEDS/DENTAL | ||||
| 172 | 4/12/2024 | STEUBEN CO | JAN 24 #3 | CF | 0 | TRUE | $260.00 | $260.00 | $0.00 | CF GROUP DENTAL | ||||
| 173 | 4/12/2024 | STEUBEN CO | DEC 23 | CF | 0 | TRUE | $421.42 | $421.42 | $0.00 | CF GROUP MEDS/DENTAL | ||||
| 174 | 4/12/2024 | STEUBEN CO | JAN 24 #3 | HEA | 0 | TRUE | $390.00 | $390.00 | $0.00 | HEA GROUP DENTAL | ||||
| 175 | 4/12/2024 | STEUBEN CO | JAN 24 #2 | HEA | 6/3/1989 | 0 | FALSE | $144.51 | $144.51 | $0.00 | HEA MEDS | |||
| 176 | 4/12/2024 | STEUBEN CO | DEC 23 | HEA | 0 | TRUE | $764.23 | $618.41 | ($145.82) | HEA GROUP MEDS/DENTAL | ||||
| 177 | 4/12/2024 | STEUBEN CO | NOV 23 | HEA | 0 | TRUE | $1,577.05 | $1,577.05 | $0.00 | HEA GROUP MEDS/DENTAL | ||||
| 178 | 4/12/2024 | RANDOLPH CO | JAN 24 | HEA | 4/13/1979 | 0 | FALSE | $44.10 | $44.10 | $0.00 | HEA MEDS | |||
| 179 | 4/19/2024 | JENNINGS CO | JAN 24 | HEA | 0 | TRUE | $558.82 | $363.61 | ($195.21) | HEA GROUP MEDS | ||||
| 180 | 4/26/2024 | GREENE CO | NOV 23 | CF | 0 | TRUE | $78.12 | $78.12 | $0.00 | CF GROUP MEDS | ||||
| 181 | 4/26/2024 | GREENE CO | JAN 24 | PAR | 179630 | FALSE | $12.39 | $12.39 | $0.00 | PAR MEDS | ||||
| 182 | 4/26/2024 | GREENE CO | DEC 23 | CF | 0 | TRUE | $122.73 | $122.73 | $0.00 | CF GROUP MEDS | ||||
| 183 | 4/26/2024 | GREENE CO | DEC 23 | PAR | 292606 | FALSE | $20.97 | $20.97 | $0.00 | PAR MEDS | ||||
| 184 | 4/26/2024 | GREENE CO | JAN 24 | CF | 0 | TRUE | $113.67 | $113.67 | $0.00 | CF GROUP MEDS | ||||
| 185 | 5/3/2024 | KNOX CO | DEC 23 | HEA | 0 | TRUE | $61.62 | $16.65 | ($44.97) | HEA GROUP MEDS | ||||
| 186 | 5/3/2024 | KNOX CO | JAN 24 | HEA | 0 | TRUE | $724.98 | $645.84 | ($79.14) | HEA GROUP MEDS | ||||
| 187 | 5/3/2024 | ST. JOSEPH CO | JAN 24 | CF | 0 | TRUE | $529.28 | $520.21 | ($9.07) | CF GROUP MEDS | ||||
| 188 | 5/3/2024 | ST. JOSEPH CO | DEC 23 | CF | 0 | TRUE | $171.09 | $171.09 | $0.00 | CF GROUP MEDS | ||||
| 189 | 5/10/2024 | DEKALB CO | JAN 24 | HEA | 0 | TRUE | $237.03 | $97.80 | ($139.23) | HEA GROUP MEDS | ||||
| 190 | 5/10/2024 | DEKALB CO | FEB 24 | HEA | 0 | TRUE | $184.50 | $74.67 | ($109.83) | HEA GROUP MEDS | ||||
| 191 | 5/10/2024 | DEKALB CO | DEC 23 | HEA | 0 | TRUE | $746.73 | $673.89 | ($72.84) | HEA GROUP MEDS | ||||
| 192 | 5/10/2024 | DEKALB CO | FEB 24 | CF | 0 | TRUE | $147.00 | $93.63 | ($53.37) | CF GROUP MEDS | ||||
| 193 | 5/10/2024 | DEKALB CO | DEC 23 | CF | 0 | TRUE | $159.30 | $159.30 | $0.00 | CF GROUP MEDS | ||||
| 194 | 5/10/2024 | DEKALB CO | JAN 24 | CF | 0 | TRUE | $378.15 | $378.15 | $0.00 | CF GROUP MEDS | ||||
| 195 | 5/10/2024 | BARTHOLOMEW CO | JAN 24 | HEA | 0 | TRUE | $621.87 | $245.10 | ($376.77) | HEA GROUP MEDS | ||||
| 196 | 5/10/2024 | BARTHOLOMEW CO | FEB 24 | HEA | 0 | TRUE | $770.29 | $189.91 | ($580.38) | HEA GROUP MEDS | ||||
| 197 | 5/10/2024 | BARTHOLOMEW CO | JAN 24 | CF | 0 | TRUE | $359.77 | $359.77 | $0.00 | CF GROUP MEDS | ||||
| 198 | 5/10/2024 | BARTHOLOMEW CO | FEB 24 | CF | TRUE | $647.48 | $647.48 | $0.00 | CF GROUP MEDS | |||||
| 200 | 5/10/2024 | BARTHOLOMEW CO | FEB 24 | PAR | 149681 | FALSE | 2/6/2024 | $4.50 | $4.50 | $0.00 | PAR MEDS | |||
| 201 | 5/10/2024 | BARTHOLOMEW CO | JAN 24 | PAR | 149681 | FALSE | $9.99 | $9.99 | $0.00 | PAR MEDS | ||||
| 202 | 5/10/2024 | BARTHOLOMEW CO | JAN 24 #2 | HEA | 8/19/1963 | 0 | FALSE | $21.18 | $0.00 | ($21.18) | HEA MEDS | |||
| 203 | 5/17/2024 | JAY CO | OCT 23 #3 | HEA | 11/9/1977 | 0 | FALSE | $25.77 | $25.77 | $0.00 | HEA LABS | |||
| 204 | 5/17/2024 | JAY CO | DEC 23 | HEA | 0 | TRUE | $333.41 | $65.90 | ($267.51) | HEA GROUP MEDS | ||||
| 205 | 5/17/2024 | JAY CO | NOV 23 | HEA | 11/27/1970 | 0 | FALSE | 11/2/2023 | $12.37 | $0.00 | ($12.37) | HEA LABS | ||
| 206 | 5/17/2024 | JAY CO | NOV 23 | CF | 0 | TRUE | $124.23 | $35.58 | ($88.65) | CF GROUP MEDS | ||||
| 207 | 5/17/2024 | JAY CO | DEC 23 | CF | 0 | TRUE | $33.34 | $33.34 | $0.00 | CF GROUP MEDS | ||||
| 208 | 5/24/2024 | BOONE CO | FEB 24 | HEA | 0 | TRUE | $368.49 | $368.49 | $0.00 | HEA GROUP MEDS | ||||
| 209 | 5/24/2024 | BOONE CO | SEPT 23 #2 | HEA | 9/4/1963 | 0 | FALSE | 9/13/2023 | $96.01 | $96.01 | $0.00 | HEA ER VISIT | ||
| 210 | 5/24/2024 | BOONE CO | MAR 24 | HEA | 0 | TRUE | $1,031.08 | $428.34 | ($602.74) | HEA GROUP MEDS | ||||
| 211 | 5/24/2024 | BOONE CO | DEC 23 | HEA | 0 | TRUE | $898.91 | $807.63 | ($91.28) | HEA GROUP MEDS | ||||
| 212 | 5/24/2024 | BOONE CO | SEPT 23 #3 | HEA | 9/4/1963 | 0 | FALSE | 9/13/2023 | $353.30 | $0.00 | ($353.30) | HEA LABS/ER/EKG | ||
| 213 | 5/24/2024 | BOONE CO | JAN 24 | HEA | 0 | TRUE | $884.01 | $823.44 | ($60.57) | HEA GROUP MEDS | ||||
| 214 | 5/24/2024 | BOONE CO | DEC 23 | CF | 0 | TRUE | $120.92 | $90.75 | ($30.17) | CF GROUP MEDS | ||||
| 215 | 5/24/2024 | BOONE CO | JAN 24 | CF | 270072 | FALSE | $183.23 | $142.91 | ($40.32) | CF MEDS | ||||
| 216 | 5/24/2024 | BOONE CO | FEB 24 | CF | 0 | TRUE | $383.11 | $249.86 | ($133.25) | CF GROUP MEDS | ||||
| 217 | 5/24/2024 | BOONE CO | MAR 24 | CF | 0 | TRUE | $171.68 | $159.34 | ($12.34) | CF GROUP MEDS | ||||
| 218 | 5/24/2024 | BOONE CO | MAR 24 #2 | CF | 133526 | FALSE | 3/7/2024 | $21.53 | $21.53 | $0.00 | CF MEDS | |||
| 219 | 5/24/2024 | BROWN CO | JAN 24 | HEA | 0 | TRUE | $112.02 | $112.02 | $0.00 | HEA GROUP MEDS | ||||
| 220 | 5/24/2024 | BROWN CO | DEC 23 #2 | HEA | 12/10/2002 | 0 | FALSE | 12/10/2023 | $185.00 | $185.00 | $0.00 | HEA XRAY | ||
| 221 | 5/24/2024 | BROWN CO | DEC 23 | HEA | 0 | TRUE | $100.83 | $89.46 | ($11.37) | HEA GROUP MEDS | ||||
| 222 | 5/24/2024 | BROWN CO | DEC 23 | CF | 296642 | FALSE | $31.29 | $31.29 | $0.00 | CF MEDS | ||||
| 223 | 5/24/2024 | BROWN CO | JAN 24 | CF | 297126 | FALSE | $21.48 | $21.48 | $0.00 | CF MEDS | ||||
| 224 | 5/24/2024 | BLACKFORD CO | FEB 24 | HEA | 0 | TRUE | $101.94 | $101.94 | $0.00 | HEA GROUP MEDS | ||||
| 225 | 5/24/2024 | BLACKFORD CO | FEB 24 | CF | 0 | TRUE | $247.17 | $247.17 | $0.00 | CF GROUP MEDS | ||||
| 226 | 5/24/2024 | LAKE CO | JAN 24 | HEA | 10/20/1967 | 0 | FALSE | 1/23/2024 | $589.00 | $589.00 | $0.00 | HEA EYE DR | ||
| 227 | 5/24/2024 | WABASH CO | NOV 23 | HEA | 1/20/1990 | 0 | FALSE | 11/6/2023 | $7.06 | $0.00 | ($7.06) | HEA MEDS | ||
| 228 | 5/24/2024 | HANCOCK CO | JAN 24 | CF | 0 | TRUE | $66.24 | $66.24 | $0.00 | CF GROUP MEDS | ||||
| 229 | 5/24/2024 | HANCOCK CO | DEC 23 | CF | 0 | TRUE | $213.33 | $213.33 | $0.00 | CF GROUP MEDS | ||||
| 230 | 5/24/2024 | HANCOCK CO | FEB 24 | CF | 0 | TRUE | $120.77 | $120.77 | $0.00 | CF GROUP MEDS | ||||
| 231 | 5/24/2024 | HANCOCK CO | JAN 24 | HEA | 0 | TRUE | $481.00 | $481.00 | $0.00 | HEA GROUP XRAYS/MEDS | ||||
| 232 | 5/24/2024 | HANCOCK CO | FEB 24 | HEA | 0 | TRUE | $26.97 | $26.97 | $0.00 | HEA GROUP LABS | ||||
| 233 | 5/24/2024 | HANCOCK CO | FEB 24 #2 | HEA | 0 | TRUE | $93.33 | $93.33 | $0.00 | HEA GROUP MEDS | ||||
| 234 | 5/24/2024 | HANCOCK CO | JAN 24 #2 | HEA | 6/24/1992 | 0 | FALSE | 1/6/2024 | $87.94 | $87.94 | $0.00 | HEA LABS | ||
| 235 | 5/24/2024 | HANCOCK CO | DEC 23 #2 | HEA | 0 | TRUE | $148.30 | $148.30 | $0.00 | HEA GROUP LABS | ||||
| 236 | 5/24/2024 | HANCOCK CO | DEC 23 | HEA | 0 | TRUE | $322.57 | $286.45 | ($36.12) | HEA GROUP LABS/MEDS | ||||
| 237 | 5/31/2024 | ALLEN CO | FEB 24 | HEA | 12/3/1992 | 0 | FALSE | 2/9/2024 | $185.00 | $185.00 | $0.00 | HEA XRAY | ||
| 238 | 5/31/2024 | ALLEN CO | JAN 24 | HEA | 0 | TRUE | $477.64 | $477.64 | $0.00 | HEA GROUP LABS/ER | ||||
| 239 | 5/31/2024 | ALLEN CO | JAN 24 #2 | HEA | 0 | TRUE | $8,444.01 | $8,444.01 | $0.00 | HEA GROUP MEDS | ||||
| 240 | 5/31/2024 | ALLEN CO | JAN 24 | CF | 0 | TRUE | $648.02 | $625.22 | ($22.80) | CF GROUP MEDS | ||||
| 241 | 5/31/2024 | FAYETTE CO | FEB 24 | CF | 0 | TRUE | $388.23 | $258.82 | ($129.41) | CF GROUP DENTAL | ||||
| 242 | 5/31/2024 | FAYETTE CO | JAN 24 | CF | 0 | TRUE | $24.12 | $24.12 | $0.00 | CF GROUP MEDS | ||||
| 243 | 5/31/2024 | FAYETTE CO | DEC 23 | CF | 0 | TRUE | $142.89 | $142.89 | $0.00 | CF GROUP MEDS | ||||
| 244 | 5/31/2024 | FAYETTE CO | FEB 24 #2 | CF | 0 | TRUE | $201.51 | $201.51 | $0.00 | CF GROUP MEDS | ||||
| 245 | 5/31/2024 | HUNTINGTON CO | DEC 23 | CF | 0 | TRUE | $1,344.07 | $499.11 | ($844.96) | CF GROUP MEDS | ||||
| 246 | 5/31/2024 | HUNTINGTON CO | NOV 23 | CF | 0 | TRUE | $772.47 | $772.47 | $0.00 | CF GROUP MEDS | ||||
| 247 | 5/31/2024 | HUNTINGTON CO | JAN 24 | CF | 0 | TRUE | $1,803.19 | $1,742.59 | ($60.60) | CF GROUP MEDS/ER/XRAY | ||||
| 248 | 5/31/2024 | HUNTINGTON CO | OCT 23 | CF | 0 | TRUE | $150.06 | $150.06 | $0.00 | CF GROUP MEDS | ||||
| 249 | 5/31/2024 | HUNTINGTON CO | FEB 24 | CF | 0 | TRUE | $138.24 | $67.56 | ($70.68) | CF GROUP MEDS | ||||
| 250 | 5/31/2024 | HUNTINGTON CO | DEC 23 | HEA | 0 | TRUE | $848.41 | $848.41 | $0.00 | HEA GROUP MEDS/XRAY | ||||
| 251 | 5/31/2024 | HUNTINGTON CO | NOV 23 | HEA | 0 | TRUE | $43.65 | $43.65 | $0.00 | HEA GROUP MEDS | ||||
| 252 | 5/31/2024 | HUNTINGTON CO | JAN 24 | HEA | 0 | TRUE | $677.73 | $677.73 | $0.00 | HEA GROUP MEDS | ||||
| 253 | 5/31/2024 | HUNTINGTON CO | FEB 24 | HEA | 0 | TRUE | $677.73 | $677.73 | $0.00 | HEA GROUP MEDS | ||||
| 254 | 6/6/2024 | FAYETTE CO | FEB 24 #2 | HEA | 0 | TRUE | $388.23 | $258.82 | ($129.41) | HEA GROUP DENTAL | ||||
| 255 | 6/6/2024 | WABASH CO | NOV 23 | CF | 220189 | FALSE | 11/15/2023 | $7.93 | $7.93 | $0.00 | CF MEDS | |||
| 256 | 6/14/2024 | FAYETTE CO | FEB 24 | HEA | 0 | TRUE | $79.29 | $51.54 | ($27.75) | HEA GROUP MEDS | ||||
| 257 | 6/14/2024 | FAYETTE CO | JAN 24 | HEA | 0 | TRUE | $297.15 | $171.12 | ($126.03) | HEA GROUP MEDS | ||||
| 258 | 6/14/2024 | FAYETTE CO | MAR 24 | HEA | 0 | TRUE | $190.77 | $13.38 | ($177.39) | HEA GROUP MEDS | ||||
| 259 | 6/14/2024 | FAYETTE CO | DEC 23 | HEA | 0 | TRUE | $142.93 | $69.76 | ($73.17) | HEA GROUP MEDS | ||||
| 260 | 6/14/2024 | NOBLE CO | OCT 23 #3 | HEA | 1/16/1996 | 0 | FALSE | 10/27/2023 | $88.92 | $88.92 | $0.00 | HEA CT SCAN | ||
| 261 | 6/14/2024 | NOBLE CO | MAR 24 | HEA | 12/26/1982 | 0 | FALSE | 3/22/2024 | $300.00 | $300.00 | $0.00 | HEA DENTAL | ||
| 262 | 6/14/2024 | NOBLE CO | APR 24 | HEA | 0 | TRUE | $149.85 | $80.13 | ($69.72) | HEA GROUP MEDS | ||||
| 263 | 6/14/2024 | NOBLE CO | FEB 24 | HEA | 0 | TRUE | $364.86 | $344.04 | ($20.82) | HEA GROUP MEDS | ||||
| 264 | 6/14/2024 | NOBLE CO | MAR 24 #2 | HEA | 0 | TRUE | $125.81 | $76.98 | ($48.83) | HEA GROUP MEDS | ||||
| 265 | 6/14/2024 | WHITLEY CO | FEB 24 | HEA | 0 | TRUE | $355.00 | $355.00 | $0.00 | HEA GROUP DENTAL | ||||
| 266 | 6/14/2024 | WHITLEY CO | FEB 24 | CF | 133181 | FALSE | $6.00 | $6.00 | $0.00 | CF MEDS | ||||
| 267 | 6/14/2024 | NOBLE CO | MAR 24 | CF | 0 | TRUE | $600.00 | $600.00 | $0.00 | CF GROUP DENTAL | ||||
| 268 | 6/14/2024 | NOBLE CO | FEB 24 | CF | 297971 | FALSE | 2/23/2024 | $300.00 | $300.00 | $0.00 | CF DENTAL | |||
| 269 | 6/14/2024 | NOBLE CO | FEB 24 #2 | CF | 0 | TRUE | $196.26 | $196.26 | $0.00 | CF GROUP MEDS | ||||
| 270 | 6/14/2024 | NOBLE CO | MAR 24 #2 | CF | 0 | TRUE | $8,807.93 | $8,807.93 | $0.00 | CF GROUP MEDS | ||||
| 271 | 6/14/2024 | NOBLE CO | APR 24 | CF | 0 | TRUE | $146.98 | $146.98 | $0.00 | CF GROUP MEDS | ||||
| 272 | 6/21/2024 | WABASH CO | JAN 24 | HEA | 0 | TRUE | $67.34 | $67.34 | $0.00 | HEA GROUP MEDS/LABS | ||||
| 273 | 6/21/2024 | WABASH CO | MAR 24 | HEA | 8/14/1983 | 0 | FALSE | 3/25/2024 | $17.72 | $17.72 | $0.00 | HEA MEDS | ||
| 274 | 6/21/2024 | WABASH CO | JAN 24 | CF | 0 | TRUE | $47.57 | $47.57 | $0.00 | CF GROUP MEDS | ||||
| 275 | 6/21/2024 | WABASH CO | MAR 24 | CF | 0 | TRUE | $47.37 | $47.37 | $0.00 | CF GROUP MEDS | ||||
| 276 | 6/21/2024 | FOUNTAIN CO | APR 24 | HEA | 0 | TRUE | $899.44 | $899.44 | $0.00 | HEA GROUP MEDS | ||||
| 277 | 6/21/2024 | FOUNTAIN CO | FEB 24 | HEA | 0 | TRUE | $13.79 | $6.40 | ($7.39) | HEA GROUP MEDS | ||||
| 278 | 6/21/2024 | FOUNTAIN CO | MAR 24 | CF | 298930 | FALSE | $160.46 | $160.46 | $0.00 | CF MEDS | ||||
| 279 | 6/21/2024 | FOUNTAIN CO | MAR 24 | HEA | 2/16/2000 | 0 | FALSE | 3/12/2024 | $13.33 | $0.00 | ($13.33) | HEA MEDS | ||
| 280 | 6/21/2024 | FOUNTAIN CO | APR 24 | CF | 0 | TRUE | $211.65 | $183.29 | ($28.36) | CF GROUP MEDS | ||||
| 281 | 6/21/2024 | DEARBORN CO | FEB 24 | CF | 0 | TRUE | $88.38 | $88.38 | $0.00 | CF GROUP MEDS | ||||
| 282 | 6/21/2024 | DEARBORN CO | FEB 24 #2 | CF | 297522 | FALSE | $17.67 | $17.67 | $0.00 | CF MEDS | ||||
| 283 | 6/28/2024 | DELAWARE CO | FEB 24 #2 | HEA | 0 | TRUE | $98.25 | $98.25 | $0.00 | HEA GROUP MEDS | ||||
| 284 | 6/28/2024 | DELAWARE CO | MAR 24 #2 | HEA | 0 | TRUE | $109.32 | $109.32 | $0.00 | HEA GROUP MEDS | ||||
| 285 | 6/28/2024 | DELAWARE CO | APR 24 | HEA | 0 | TRUE | $75.96 | $75.96 | $0.00 | HEA GROUP MEDS | ||||
| 286 | 6/28/2024 | DELAWARE CO | MAR 24 | HEA | 2/19/1993 | 0 | FALSE | 3/5/2024 | $171.88 | $171.88 | $0.00 | HEA DENTAL | ||
| 287 | 6/28/2024 | DELAWARE CO | MAY 24 | HEA | 7/29/1981 | 0 | FALSE | 5/28/2024 | $41.94 | $41.94 | $0.00 | HEA MEDS | ||
| 288 | 6/28/2024 | FOUNTAIN CO | MAY 24 | HEA | 0 | TRUE | $924.17 | $894.74 | ($29.43) | HEA GROUP MEDS | ||||
| 289 | 6/28/2024 | DELAWARE CO | MAR 24 | PAR | 0 | TRUE | $184.89 | $184.89 | $0.00 | PAR GROUP MEDS | ||||
| 290 | 6/28/2024 | DELAWARE CO | APR 24 #2 | CF | 232564 | FALSE | 4/5/2024 | $183.33 | $183.33 | $0.00 | CF DENTAL | |||
| 291 | 6/28/2024 | DELAWARE CO | FEB 24 | PAR | 0 | TRUE | $226.45 | $226.45 | $0.00 | PAR GROUP MEDS | ||||
| 292 | 6/28/2024 | DELAWARE CO | APR 24 | PAR | 0 | TRUE | $70.95 | $70.95 | $0.00 | PAR GROUP MEDS | ||||
| 293 | 6/28/2024 | DELAWARE CO | MAY 24 | PAR | 0 | TRUE | $106.71 | $106.71 | $0.00 | PAR GROUP MEDS | ||||
| 294 | 6/28/2024 | DELAWARE CO | MAY 24 | CF | 0 | TRUE | $92.31 | $92.31 | $0.00 | CF GROUP MEDS | ||||
| 295 | 6/28/2024 | DELAWARE CO | FEB 24 | CF | 0 | TRUE | $88.53 | $88.53 | $0.00 | CF GROUP MEDS | ||||
| 296 | 6/28/2024 | DELAWARE CO | MAR 24 | CF | 0 | TRUE | $227.40 | $227.40 | $0.00 | CF GROUP MEDS | ||||
| 297 | 6/28/2024 | DELAWARE CO | APR 24 | CF | 0 | TRUE | $96.96 | $96.96 | $0.00 | CF GROUP MEDS | ||||
| 298 | 6/28/2024 | FOUNTAIN CO | MAY 24 | CF | 296539 | FALSE | $27.91 | $27.91 | $0.00 | CF MEDS | ||||
| 299 | 6/28/2024 | DECATUR CO | DEC 23 | CF | 275543 | FALSE | 12/27/2023 | $457.44 | $457.44 | $0.00 | CF ER/AMBULANCE | |||
| 300 | 6/28/2024 | DECATUR CO | FEB 24 | CF | 298496 | FALSE | 2/4/2024 | $125.71 | $125.71 | $0.00 | CF ER VISIT | |||
| 301 | 6/28/2024 | DECATUR CO | MAR 24 | CF | 298496 | FALSE | 3/3/2024 | $270.06 | $270.06 | $0.00 | CF ER/LABS/CT | |||
| 302 | 6/28/2024 | SWITZERLAND CO | JAN 24 | CF | 0 | TRUE | $24.27 | $24.27 | $0.00 | CF GROUP MEDS | ||||
| 303 | 6/28/2024 | SWITZERLAND CO | FEB 24 | CF | 0 | TRUE | $65.10 | $65.10 | $0.00 | CF GROUP MEDS | ||||
| 304 | 6/28/2024 | SWITZERLAND CO | MAR 24 | CF | 241953 | FALSE | 3/12/2024 | $12.84 | $12.84 | $0.00 | CF MEDS | |||
| 305 | 7/12/2024 | ST. JOSEPH CO | MAR 24 | CF | 0 | TRUE | $68.26 | $68.26 | $0.00 | CF GROUP MEDS | ||||
| 306 | 7/19/2024 | CLARK CO | SEPT 23 #2 | CF | 295700 | FALSE | 9/21/2023 | $1,564.00 | $1,564.00 | $0.00 | CF DENTAL EXT. | |||
| 307 | 7/26/2024 | JENNINGS CO | FEB 24 | HEA | 0 | TRUE | $400.97 | $365.58 | ($35.39) | HEA GROUP MEDS/NURSE | ||||
| 308 | 7/26/2024 | JENNINGS CO | MAR 24 | HEA | 0 | TRUE | $217.54 | $0.00 | ($217.54) | HEA GROUP MEDS | ||||
| 309 | 7/26/2024 | PERRY CO | APR 24 | CF | 0 | TRUE | $2,828.10 | $2,828.10 | $0.00 | CF GROUP MEDS | ||||
| 310 | 7/26/2024 | PERRY CO | MAR 24 | CF | 0 | TRUE | $1,420.53 | $1,420.53 | $0.00 | CF GROUP MEDS | ||||
| 311 | 7/26/2024 | JOHNSON CO | FEB 24 | CF | 0 | TRUE | $270.00 | $240.00 | ($30.00) | CF GROUP SICK CALLS/DENTAL | ||||
| 312 | 7/26/2024 | JOHNSON CO | DEC 23 #2 | CF | 0 | TRUE | $931.24 | $931.24 | $0.00 | CF GROUP MEDS | ||||
| 313 | 7/26/2024 | JOHNSON CO | JAN 24 | CF | 0 | TRUE | $330.00 | $330.00 | $0.00 | CF GROUP SICK CALLS/DENTAL | ||||
| 314 | 7/26/2024 | JOHNSON CO | MAR 24 | CF | 0 | TRUE | $600.00 | $450.00 | ($150.00) | CF GROUP SICK CALLS/DENTAL | ||||
| 315 | 7/26/2024 | JOHNSON CO | APR 24 | CF | 0 | TRUE | $600.00 | $585.00 | ($15.00) | CF GROUP SICK CALLS/DENTAL | ||||
| 316 | 7/26/2024 | JOHNSON CO | MAR 24 | HEA | 0 | TRUE | $255.00 | $90.00 | ($165.00) | HEA GROUP SICK CALLS | ||||
| 317 | 7/26/2024 | JOHNSON CO | FEB 24 | HEA | 0 | TRUE | $105.00 | $90.00 | ($15.00) | HEA GROUP SICK CALLS | ||||
| 318 | 7/26/2024 | JOHNSON CO | DEC 23 #2 | HEA | 0 | TRUE | $77.25 | $77.25 | $0.00 | HEA GROUP MEDS | ||||
| 319 | 7/26/2024 | JOHNSON CO | APR 24 | HEA | 0 | TRUE | $240.00 | $105.00 | ($135.00) | HEA GROUP SICK CALLS | ||||
| 320 | 7/26/2024 | JOHNSON CO | JAN 24 | HEA | 0 | TRUE | $135.00 | $120.00 | ($15.00) | HEA GROUP SICK CALLS | ||||
| 321 | 8/2/2024 | LAKE CO | FEB 24 | HEA | 0 | TRUE | $188.10 | $44.35 | ($143.75) | HEA GROUP MEDS | ||||
| 322 | 8/2/2024 | LAKE CO | JAN 24 #2 | HEA | 0 | TRUE | $231.93 | $38.80 | ($193.13) | HEA GROUP MEDS | ||||
| 323 | 8/2/2024 | LAKE CO | MAR 24 | HEA | 0 | TRUE | $1,283.42 | $1,246.57 | ($36.85) | HEA GROUP MEDS | ||||
| 324 | 8/2/2024 | LAKE CO | MAR 24 | CF | 0 | TRUE | $4,586.58 | $4,100.46 | ($486.12) | CF GROUP MEDS | ||||
| 325 | 8/2/2024 | LAKE CO | JAN 24 | CF | 0 | TRUE | $5,271.41 | $4,912.84 | ($358.57) | CF GROUP MEDS | ||||
| 326 | 8/2/2024 | LAKE CO | MAR 24 | PAR | 178162 | FALSE | 3/3/2024 | $9.26 | $9.26 | $0.00 | PAR MEDS | |||
| 327 | 8/2/2024 | LAKE CO | FEB 24 | CF | 0 | TRUE | $4,298.91 | $3,836.11 | ($462.80) | CF GROUP MEDS | ||||
| 328 | 8/2/2024 | RANDOLPH CO | FEB 24 | CF | 0 | TRUE | $56.34 | $56.34 | $0.00 | CF GROUP MEDS | ||||
| 329 | 8/2/2024 | RANDOLPH CO | MAR 24 | CF | 298059 | FALSE | 3/19/2024 | $23.13 | $23.13 | $0.00 | CF MEDS | |||
| 330 | 8/9/2024 | CLINTON CO | MAR 24 | HEA | 0 | TRUE | $62.57 | $62.57 | $0.00 | HEA GROUP MEDS | ||||
| 331 | 8/9/2024 | CLINTON CO | APR 24 | HEA | 0 | TRUE | $29.90 | $29.90 | $0.00 | HEA GROUP MEDS | ||||
| 332 | 8/9/2024 | CLINTON CO | FEB 24 | HEA | 0 | TRUE | $116.76 | $100.74 | ($16.02) | HEA GROUP MEDS | ||||
| 333 | 8/9/2024 | CLINTON CO | FEB 24 | CF | 0 | TRUE | $1,390.47 | $1,390.47 | $0.00 | CF GROUP MEDS | ||||
| 334 | 8/9/2024 | CLINTON CO | MAR 24 | CF | 0 | TRUE | $261.13 | $261.13 | $0.00 | CF GROUP MEDS | ||||
| 335 | 8/9/2024 | CLINTON CO | APR 24 | CF | 0 | TRUE | $169.57 | $169.57 | $0.00 | CF GROUP MEDS | ||||
| 336 | 8/9/2024 | STEUBEN CO | MAR 24 | HEA | 0 | TRUE | $381.01 | $251.01 | ($130.00) | HEA GROUP DENTAL/MEDS | ||||
| 337 | 8/9/2024 | STEUBEN CO | APR 24 | HEA | 0 | TRUE | $123.72 | $123.72 | $0.00 | HEA GROUP MEDS | ||||
| 338 | 8/9/2024 | STEUBEN CO | FEB 24 | HEA | 0 | TRUE | $165.91 | $127.42 | ($38.49) | HEA GROUP MEDS | ||||
| 339 | 8/9/2024 | STEUBEN CO | MAR 24 | CF | 0 | TRUE | $793.05 | $663.05 | ($130.00) | CF GROUP MEDS | ||||
| 340 | 8/9/2024 | STEUBEN CO | APR 24 | CF | 0 | TRUE | $187.81 | $187.81 | $0.00 | CF GROUP MEDS | ||||
| 341 | 8/9/2024 | STEUBEN CO | FEB 24 | CF | 0 | TRUE | $127.21 | $127.21 | $0.00 | CF GROUP MEDS | ||||
| 342 | 8/9/2024 | DEKALB CO | APR 24 | HEA | 0 | TRUE | $157.74 | $57.99 | ($99.75) | HEA GROUP MEDS | ||||
| 343 | 8/9/2024 | DEKALB CO | MAR 24 | HEA | 0 | TRUE | $157.74 | $57.99 | ($99.75) | HEA GROUP MEDS | ||||
| 344 | 8/9/2024 | DEKALB CO | APR 24 | CF | 0 | TRUE | $209.10 | $187.95 | ($21.15) | CF GROUP MEDS | ||||
| 345 | 8/9/2024 | DEKALB CO | MAR 24 | CF | 0 | TRUE | $137.94 | $91.35 | ($46.59) | CF GROUP MEDS | ||||
| 346 | 8/9/2024 | DEKALB CO | MAR 24 | PAR | 128299 | FALSE | $65.76 | $65.76 | $0.00 | PAR MEDS | ||||
| 347 | 8/9/2024 | BARTHOLOMEW CO | MAR 24 | PAR | 149681 | FALSE | 3/11/2024 | $29.13 | $29.13 | $0.00 | PAR MEDS | |||
| 348 | 8/9/2024 | BARTHOLOMEW CO | APR 24 | PAR | 290083 | FALSE | 4/15/2024 | $8.75 | $8.75 | $0.00 | PAR MEDS | |||
| 349 | 8/9/2024 | BARTHOLOMEW CO | MAR 24 | CF | 0 | TRUE | $641.92 | $641.92 | $0.00 | CF GROUP MEDS | ||||
| 350 | 8/9/2024 | BARTHOLOMEW CO | APR 24 | CF | 0 | TRUE | $1,731.35 | $1,727.56 | ($3.79) | CF GROUP MEDS | ||||
| 351 | 8/9/2024 | BARTHOLOMEW CO | MAR 24 | HEA | 0 | TRUE | $136.12 | $100.23 | ($35.89) | HEA GROUP MEDS | ||||
| 352 | 8/9/2024 | BARTHOLOMEW CO | APR 24 | HEA | 0 | TRUE | $1,992.31 | $1,360.88 | ($631.43) | HEA GROUP MEDS | ||||
| 353 | 8/9/2024 | BARTHOLOMEW CO | JAN 24 #3 | HEA | 8/19/1963 | 0 | FALSE | 1/23/2024 | $20.12 | $20.12 | $0.00 | HEA MEDS | ||
| 354 | 8/9/2024 | FRANKLIN CO | APR 24 | HEA | 0 | TRUE | $77.37 | $65.97 | ($11.40) | HEA GROUP MEDS | ||||
| 355 | 8/9/2024 | FRANKLIN CO | MAR 24 | HEA | 3/3/1961 | 0 | FALSE | $82.55 | $0.00 | ($82.55) | HEA MEDS | |||
| 356 | 8/16/2024 | BOONE CO | APR 24 | HEA | 0 | TRUE | $611.35 | $405.69 | ($205.66) | HEA GROUP MEDS | ||||
| 357 | 8/16/2024 | BOONE CO | APR 24 #3 | CF | 298562 | FALSE | 4/18/2024 | $10.07 | $10.07 | $0.00 | CF MEDS | |||
| 358 | 8/16/2024 | BOONE CO | MAR 24 #3 | CF | 246758 | FALSE | 3/28/2024 | $131.93 | $131.93 | $0.00 | CF ER VISIT | |||
| 359 | 8/16/2024 | BOONE CO | APR 24 | PAR | 292805 | FALSE | $41.70 | $41.70 | $0.00 | PAR MEDS | ||||
| 360 | 8/16/2024 | BOONE CO | APR 24 | CF | 0 | TRUE | $783.73 | $703.06 | ($80.67) | CF GROUP MEDS | ||||
| 361 | 8/16/2024 | JAY CO | JAN 24 | HEA | 0 | TRUE | $757.64 | $42.78 | ($714.86) | HEA GROUP MEDS | ||||
| 362 | 8/16/2024 | JAY CO | FEB 24 | HEA | 0 | TRUE | $729.89 | $14.37 | ($715.52) | HEA GROUP MEDS | ||||
| 363 | 8/16/2024 | JAY CO | MAR 24 | HEA | 0 | TRUE | $802.22 | $14.37 | ($787.85) | HEA GROUP MEDS | ||||
| 364 | 8/16/2024 | JAY CO | JUNE 23 | CF | 0 | TRUE | $594.96 | $114.74 | ($480.22) | CF GROUP EYE CARE/RAD EXAM | ||||
| 365 | 8/16/2024 | JAY CO | JAN 24 | CF | 0 | TRUE | $286.43 | $234.23 | ($52.20) | CF GROUP MEDS | ||||
| 366 | 8/16/2024 | JAY CO | FEB 24 | CF | 0 | TRUE | $204.71 | $204.71 | $0.00 | CF GROUP MEDS | ||||
| 367 | 8/16/2024 | JAY CO | JAN 24 #2 | HEA | 0 | TRUE | $405.00 | $0.00 | ($405.00) | HEA GROUP XRAY/ULTRASOUND | ||||
| 368 | 8/16/2024 | JAY CO | MAY 23 | HEA | 11/21/1997 | 0 | FALSE | $174.75 | $0.00 | ($174.75) | HEA DR VISITS | |||
| 369 | 8/16/2024 | HANCOCK CO | MAR 24 | CF | 0 | TRUE | $150.63 | $150.63 | $0.00 | CF GROUP MEDS | ||||
| 370 | 8/16/2024 | HANCOCK CO | MAR 24 | HEA | 0 | TRUE | $358.29 | $358.29 | $0.00 | HEA GROUP LABS/ULTRASOUND/XRAY | ||||
| 371 | 8/16/2024 | HANCOCK CO | FEB 24 | HEA | 11/17/1982 | 0 | FALSE | 2/24/2024 | $170.00 | $170.00 | $0.00 | HEA XRAYS | ||
| 372 | 8/16/2024 | HANCOCK CO | MAR 24 #2 | HEA | 0 | TRUE | $363.04 | $363.04 | $0.00 | HEA GROUP MEDS | ||||
| 373 | 8/23/2024 | WASHINGTON CO | APR 24 | HEA | 0 | TRUE | $90.03 | $27.75 | ($62.28) | HEA GROUP MEDS | ||||
| 374 | 8/23/2024 | WASHINGTON CO | MAR 24 | HEA | 0 | TRUE | $127.20 | $27.75 | ($99.45) | HEA GROUP MEDS | ||||
| 375 | 8/23/2024 | WASHINGTON CO | FEB 24 | HEA | 0 | TRUE | $48.06 | $0.00 | ($48.06) | HEA GROUP MEDS | ||||
| 376 | 8/23/2024 | WASHINGTON CO | APR 24 | CF | 0 | TRUE | $141.80 | $116.03 | ($25.77) | CF GROUP MEDS | ||||
| 377 | 8/23/2024 | WASHINGTON CO | MAR 24 | CF | 0 | TRUE | $273.47 | $180.98 | ($92.49) | CF GROUP MEDS | ||||
| 378 | 8/23/2024 | WASHINGTON CO | FEB 24 | CF | 229634 | FALSE | 2/21/2024 | $25.59 | $25.59 | $0.00 | CF GROUP MEDS | |||
| 379 | 8/23/2024 | ALLEN CO | FEB 24 | HEA | 0 | TRUE | $377.41 | $377.41 | $0.00 | HEA GROUP MEDS | ||||
| 380 | 8/23/2024 | ALLEN CO | MAR 24 | HEA | 0 | TRUE | $413.41 | $413.41 | $0.00 | HEA GROUP MEDS | ||||
| 381 | 8/23/2024 | ALLEN CO | APR 24 | HEA | 0 | TRUE | $260.70 | $249.63 | ($11.07) | HEA GROUP MEDS | ||||
| 382 | 8/23/2024 | ALLEN CO | APR 24 | CF | 0 | TRUE | $7,741.54 | $7,678.74 | ($62.80) | CF GROUP MEDS | ||||
| 383 | 8/23/2024 | ALLEN CO | MAR 24 | CF | 0 | TRUE | $1,410.57 | $1,309.09 | ($101.48) | CF GROUP MEDS | ||||
| 384 | 8/23/2024 | ALLEN CO | FEB 24 | CF | 0 | TRUE | $306.59 | $306.59 | $0.00 | CF GROUP MEDS | ||||
| 385 | 8/23/2024 | BROWN CO | MAR 24 | CF | 0 | TRUE | $136.74 | $136.74 | $0.00 | CF GROUP MEDS | ||||
| 386 | 8/23/2024 | BLACKFORD CO | APR 24 | CF | 0 | TRUE | $46.26 | $46.26 | $0.00 | CF GROUP MEDS | ||||
| 387 | 8/23/2024 | BLACKFORD CO | MAY 24 | CF | 0 | TRUE | $68.07 | $68.07 | $0.00 | CF GROUP MEDS | ||||
| 388 | 8/23/2024 | BLACKFORD CO | MAR 24 | CF | 0 | TRUE | $106.56 | $106.56 | $0.00 | CF GROUP MEDS | ||||
| 389 | 8/23/2024 | BLACKFORD CO | APR 24 | HEA | 0 | TRUE | $93.18 | $93.18 | $0.00 | HEA GROUP MEDS | ||||
| 390 | 8/23/2024 | BLACKFORD CO | MAR 24 | HEA | 0 | TRUE | $55.68 | $55.68 | $0.00 | HEA GROUP MEDS | ||||
| 391 | 8/23/2024 | BLACKFORD CO | MAY 24 | HEA | 0 | TRUE | $75.18 | $75.18 | $0.00 | HEA GROUP MEDS | ||||
| 392 | 8/30/2024 | BROWN CO | MAR 24 | HEA | 0 | TRUE | $172.95 | $68.73 | ($104.22) | HEA GROUP MEDS | ||||
| 393 | 8/30/2024 | DEARBORN CO | APR 24 | CF | 0 | TRUE | $67.89 | $67.89 | $0.00 | CF GROUP MEDS | ||||
| 394 | 9/13/2024 | DELAWARE CO | JUNE 24 | HEA | 7/29/1981 | 0 | FALSE | $90.48 | $90.48 | $0.00 | HEA MEDS | |||
| 395 | 9/13/2024 | DELAWARE CO | JUNE 24 #2 | CF | 0 | TRUE | $147.66 | $147.66 | $0.00 | CF GROUP MEDS | ||||
| 396 | 9/13/2024 | DELAWARE CO | JUNE 24 | PAR | 0 | TRUE | $382.27 | $382.27 | $0.00 | PAR GROUP MEDS | ||||
| 397 | 9/13/2024 | DELAWARE CO | JULY 24 | PAR | 853525 | FALSE | 7/9/2024 | $250.25 | $250.25 | $0.00 | PAR DENTAL | |||
| 398 | 9/13/2024 | DELAWARE CO | JULY 24 | CF | 180466 | FALSE | 7/9/2024 | $250.25 | $250.25 | $0.00 | CF DENTAL | |||
| 399 | 9/13/2024 | DELAWARE CO | JUNE 24 | CF | 0 | TRUE | $375.84 | $375.84 | $0.00 | CF GROUP DENTAL | ||||
| 400 | 9/13/2024 | SWITZERLAND CO | APR 24 | CF | 241953 | FALSE | $25.68 | $25.68 | $0.00 | CF MEDS | ||||
| 401 | 9/13/2024 | SWITZERLAND CO | MAY 24 | CF | 0 | TRUE | $15.48 | $15.48 | $0.00 | CF GROUP MEDS | ||||
| 402 | 9/13/2024 | FOUNTAIN CO | JULY 24 | PAR | 286665 | FALSE | $24.02 | $24.02 | $0.00 | PAR MEDS | ||||
| 403 | 9/13/2024 | FOUNTAIN CO | JULY 24 | CF | 0 | TRUE | $165.88 | $165.88 | $0.00 | CF GROUP MEDS | ||||
| 404 | 9/13/2024 | FOUNTAIN CO | JULY 24 | HEA | 0 | TRUE | $867.66 | $867.66 | $0.00 | HEA GROUP MEDS | ||||
| 405 | 9/13/2024 | FOUNTAIN CO | JUNE 24 | HEA | 0 | TRUE | $785.02 | $785.02 | $0.00 | HEA GROUP MEDS | ||||
| 406 | 9/13/2024 | HANCOCK CO | MAY 24 | HEA | 0 | TRUE | $1,271.46 | $1,271.46 | $0.00 | HEA GROUP LABS/MEDS | ||||
| 407 | 9/13/2024 | HANCOCK CO | MAY 24 #2 | HEA | 5/16/1986 | 0 | FALSE | 5/30/2024 | $185.00 | $185.00 | $0.00 | HEA XRAY | ||
| 408 | 9/13/2024 | HANCOCK CO | JUNE 24 | HEA | 0 | TRUE | $14.25 | $14.25 | $0.00 | HEA GROUP LABS | ||||
| 409 | 9/13/2024 | HANCOCK CO | APR 24 | HEA | 0 | TRUE | $475.00 | $475.00 | $0.00 | HEA GROUP MEDS/XRAY | ||||
| 410 | 9/13/2024 | HANCOCK CO | MAY 24 | CF | 0 | TRUE | $1,553.20 | $1,553.20 | $0.00 | CF GROUP MEDS | ||||
| 411 | 9/13/2024 | HANCOCK CO | APR 24 | CF | 0 | TRUE | $62.94 | $62.94 | $0.00 | CF GROUP MEDS | ||||
| 412 | 9/13/2024 | BOONE CO | JUNE 24 | HEA | 0 | TRUE | $182.88 | $108.20 | ($74.68) | HEA GROUP MEDS | ||||
| 413 | 9/13/2024 | BOONE CO | MAY 24 | HEA | 0 | TRUE | $288.96 | $265.62 | ($23.34) | HEA GROUP MEDS | ||||
| 414 | 9/13/2024 | BOONE CO | JULY 24 | HEA | 0 | TRUE | $177.85 | $164.61 | ($13.24) | HEA GROUP MEDS | ||||
| 415 | 9/20/2024 | NOBLE CO | JUNE 24 | HEA | 0 | TRUE | $720.00 | $240.00 | ($480.00) | HEA GROUP DENTAL | ||||
| 416 | 9/20/2024 | NOBLE CO | MAY 24 | HEA | 0 | TRUE | $233.68 | $107.73 | ($125.95) | HEA GROUP MEDS | ||||
| 417 | 9/20/2024 | NOBLE CO | JUNE 24 #2 | HEA | 0 | TRUE | $99.63 | $77.16 | ($22.47) | HEA GROUP MEDS | ||||
| 418 | 9/20/2024 | NOBLE CO | JUNE 24 | CF | 0 | TRUE | $205.28 | $205.28 | $0.00 | CF GROUP MEDS | ||||
| 419 | 9/20/2024 | NOBLE CO | MAY 24 #2 | PAR | 0 | TRUE | $149.52 | $149.52 | $0.00 | PAR GROUP MEDS | ||||
| 420 | 9/20/2024 | NOBLE CO | MAY 24 | CF | 0 | TRUE | $225.33 | $225.33 | $0.00 | CF GROUP MEDS | ||||
| 421 | 9/20/2024 | NOBLE CO | MAY 24 | PAR | 922586 | FALSE | 5/31/2024 | $11.73 | $11.73 | $0.00 | PAR MEDS | |||
| 422 | 9/20/2024 | NOBLE CO | JUNE 24 | CF | 300456 | FALSE | 6/28/2024 | $240.00 | $240.00 | $0.00 | CF DENTAL | |||
| 423 | 9/20/2024 | BOONE CO | JUNE 24 | CF | 0 | TRUE | $139.24 | $116.21 | ($23.03) | CF GROUP MEDS | ||||
| 424 | 9/20/2024 | BOONE CO | JULY 24 | CF | 0 | TRUE | $93.07 | $80.68 | ($12.39) | CF GROUP MEDS | ||||
| 425 | 9/20/2024 | BOONE CO | MAY 24 | CF | 0 | TRUE | $816.90 | $807.04 | ($9.86) | CF GROUP MEDS | ||||
| 426 | 9/20/2024 | DEKALB CO | MAY 24 | CF | 0 | TRUE | $780.96 | $759.81 | ($21.15) | CF GROUP MEDS | ||||
| 427 | 9/20/2024 | DEKALB CO | MAY 24 | PAR | 273815 | FALSE | 5/7/2024 | $83.67 | $83.67 | $0.00 | PAR MEDS | |||
| 428 | 9/20/2024 | DEKALB CO | MAY 24 | HEA | 0 | TRUE | $232.47 | $55.35 | ($177.12) | HEA GROUP MEDS | ||||
| 429 | 9/20/2024 | FAYETTE CO | MAY 24 | HEA | 0 | TRUE | $124.20 | $74.64 | ($49.56) | HEA GROUP MEDS | ||||
| 430 | 9/20/2024 | FAYETTE CO | APR 24 | HEA | 0 | TRUE | $162.39 | $162.39 | $0.00 | HEA GROUP MEDS | ||||
| 431 | 9/20/2024 | FAYETTE CO | MAY 24 | CF | 0 | TRUE | $9,440.40 | $129.66 | ($9,310.74) | CF GROUP MEDS | ||||
| 432 | 9/20/2024 | FAYETTE CO | APR 24 | CF | 0 | TRUE | $191.76 | $191.76 | $0.00 | CF GROUP MEDS | ||||
| 433 | 9/20/2024 | FRANKLIN CO | JUNE 24 | CF | 992515 | FALSE | 6/20/2024 | $20.82 | $20.82 | $0.00 | CF MEDS | |||
| 434 | 9/20/2024 | KNOX CO | JUNE 24 | HEA | 0 | TRUE | $268.38 | $179.52 | ($88.86) | HEA GROUP MEDS | ||||
| 435 | 9/20/2024 | WHITLEY CO | FEB 24 | CF | 972397 | FALSE | 2/1/2024 | $177.50 | $177.50 | $0.00 | CF DENTAL | |||
| 436 | 9/20/2024 | WHITLEY CO | APR 24 | HEA | 11/30/1984 | 0 | FALSE | 4/12/2024 | $168.06 | $168.06 | $0.00 | HEA DENTAL | ||
| 437 | 9/20/2024 | FAYETTE CO | MAY 24 | CF | 960153 | FALSE | 5/21/2024 | $152.78 | $0.00 | ($152.78) | CF DENTAL | |||
| 438 | 9/27/2024 | ST. JOSEPH CO | APR 24 | CF | 0 | TRUE | $1,072.63 | $707.13 | ($365.50) | CF GROUP MEDS | ||||
| 439 | 9/27/2024 | ST. JOSEPH CO | FEB 24 | CF | 0 | TRUE | $719.12 | $7.18 | ($711.94) | CF GROUP MEDS | ||||
| 440 | 9/27/2024 | JAY CO | APR 24 | CF | 0 | TRUE | $210.48 | $210.48 | $0.00 | CF GROUP MEDS | ||||
| 441 | 9/27/2024 | JAY CO | MAY 24 | CF | 0 | TRUE | $238.44 | $238.44 | $0.00 | CF GROUP MEDS | ||||
| 442 | 9/27/2024 | JAY CO | MAY 24 #2 | HEA | 0 | TRUE | $880.01 | $725.03 | ($154.98) | HEA GROUP AMBULANCE/RADIOLOGY | ||||
| 443 | 9/27/2024 | JAY CO | APR 24 | HEA | 0 | TRUE | $796.61 | $24.78 | ($771.83) | HEA GROUP MEDS | ||||
| 444 | 9/27/2024 | JAY CO | MAY 24 | HEA | 0 | TRUE | $963.51 | $82.51 | ($881.00) | HEA GROUP MEDS | ||||
| 445 | 9/27/2024 | BARTHOLOMEW CO | MAY 24 | PAR | 290083 | FALSE | 5/16/2024 | $8.75 | $8.75 | $0.00 | PAR MEDS | |||
| 446 | 9/27/2024 | BARTHOLOMEW CO | JUNE 24 | CF | 0 | TRUE | $536.16 | $8.28 | ($527.88) | CF GROUP MEDS | ||||
| 447 | 9/27/2024 | BARTHOLOMEW CO | MAY 24 | CF | 0 | TRUE | $1,277.91 | $565.29 | ($712.62) | CF GROUP MEDS | ||||
| 448 | 9/27/2024 | BARTHOLOMEW CO | JUNE 24 | HEA | 0 | TRUE | $1,283.33 | $1,283.33 | $0.00 | HEA GROUP MEDS | ||||
| 449 | 9/27/2024 | BARTHOLOMEW CO | MAY 24 | HEA | 0 | TRUE | $72.87 | $18.16 | ($54.71) | HEA GROUP MEDS | ||||
| 450 | 9/27/2024 | RANDOLPH CO | MAY 24 | HEA | 8/15/1973 | 0 | FALSE | 5/14/2024 | $79.14 | $0.00 | ($79.14) | HEA MEDS | ||
| 451 | 9/27/2024 | RANDOLPH CO | MAY 24 | CF | 0 | TRUE | $63.27 | $63.27 | $0.00 | CF GROUP MEDS | ||||
| 452 | 10/4/2024 | HUNTINGTON CO | APR 24 | HEA | 0 | TRUE | $817.79 | $817.79 | $0.00 | HEA GROUP MEDS/XRAY | ||||
| 453 | 10/4/2024 | HUNTINGTON CO | MAR 24 | HEA | 0 | TRUE | $644.19 | $632.79 | ($11.40) | HEA GROUP MEDS | ||||
| 454 | 10/4/2024 | HUNTINGTON CO | MAY 24 | HEA | 11/15/1971 | 0 | FALSE | $684.33 | $684.33 | $0.00 | HEA MEDS | |||
| 455 | 10/4/2024 | HUNTINGTON CO | JUNE 24 | HEA | 11/15/1971 | 0 | FALSE | $647.16 | $647.16 | $0.00 | HEA MEDS | |||
| 456 | 10/4/2024 | HUNTINGTON CO | MAR 24 | CF | 0 | TRUE | $282.45 | $244.79 | ($37.66) | CF GROUP MEDS/LABS/XRAY | ||||
| 457 | 10/4/2024 | HUNTINGTON CO | APR 24 | CF | 0 | TRUE | $138.23 | $89.70 | ($48.53) | CF GROUP MEDS | ||||
| 458 | 10/4/2024 | ALLEN CO | MAY 24 | HEA | 0 | TRUE | $337.62 | $319.10 | ($18.52) | HEA GROUP MEDS | ||||
| 459 | 10/4/2024 | ALLEN CO | JUNE 24 | HEA | 0 | TRUE | $139.89 | $139.89 | $0.00 | HEA GROUP MEDS | ||||
| 460 | 10/4/2024 | ALLEN CO | MAY 24 | CF | 0 | TRUE | $988.92 | $988.92 | $0.00 | CF GROUP MEDS | ||||
| 461 | 10/4/2024 | ALLEN CO | JUNE 24 | CF | 0 | TRUE | $842.99 | $842.99 | $0.00 | CF GROUP MEDS | ||||
| 462 | 10/4/2024 | ALLEN CO | MAY 24 #2 | CF | 299389 | FALSE | 5/28/2024 | $18.52 | $18.52 | $0.00 | CF MEDS | |||
| 463 | 10/4/2024 | DEARBORN CO | JUNE 24 | CF | 0 | TRUE | $128.32 | $128.32 | $0.00 | CF GROUP MEDS | ||||
| 464 | 10/4/2024 | DEARBORN CO | JULY 24 | CF | 0 | TRUE | $819.34 | $770.44 | ($48.90) | CF GROUP MEDS | ||||
| 465 | 10/4/2024 | LAKE CO | MAY 24 | PAR | 0 | TRUE | $49.73 | $49.73 | $0.00 | PAR GROUP MEDS | ||||
| 466 | 10/4/2024 | LAKE CO | APR 24 | CF | 0 | TRUE | $5,572.10 | $4,249.26 | ($1,322.84) | CF GROUP MEDS | ||||
| 467 | 10/4/2024 | LAKE CO | MAY 24 | CF | 0 | TRUE | $25,545.77 | $22,832.60 | ($2,713.17) | CF GROUP MEDS | ||||
| 468 | 10/4/2024 | LAKE CO | APR 24 | PAR | 0 | TRUE | $15.05 | $15.05 | $0.00 | PAR GROUP MEDS | ||||
| 469 | 10/4/2024 | POSEY CO | APR 24 | CF | 0 | TRUE | $665.15 | $552.96 | ($112.19) | CF GROUP MEDS | ||||
| 470 | 10/4/2024 | POSEY CO | MAY 24 | PAR | 999652 | FALSE | 5/9/2024 | $31.34 | $31.34 | $0.00 | PAR MEDS | |||
| 471 | 10/4/2024 | POSEY CO | MAY 24 | CF | 0 | TRUE | $573.92 | $43.32 | ($530.60) | CF GROUP MEDS | ||||
| 473 | 10/11/2024 | PERRY CO | MAY 24 | CF | 0 | TRUE | $1,376.58 | $1,376.58 | $0.00 | CF GROUP MEDS | ||||
| 474 | 10/25/2024 | LAKE CO | MAY 24 | HEA | 0 | TRUE | $4,818.30 | $244.76 | ($4,573.54) | HEA GROUP MEDS | ||||
| 475 | 10/25/2024 | LAKE CO | APR 24 | HEA | 0 | TRUE | $8,801.97 | $55.14 | ($8,746.83) | HEA GROUP MEDS | ||||
| 476 | 10/25/2024 | STEUBEN CO | JULY 24 | HEA | 0 | TRUE | $675.00 | $675.00 | $0.00 | HEA GROUP DENTAL | ||||
| 477 | 10/25/2024 | STEUBEN CO | MAY 24 | HEA | 0 | TRUE | $200.42 | $119.10 | ($81.32) | HEA GROUP MEDS | ||||
| 478 | 10/25/2024 | STEUBEN CO | JUNE 24 | HEA | 0 | TRUE | $160.05 | $136.59 | ($23.46) | HEA GROUP MEDS | ||||
| 479 | 10/25/2024 | STEUBEN CO | JUNE 24 | CF | 0 | TRUE | $58.52 | $58.52 | $0.00 | CF GROUP MEDS | ||||
| 480 | 10/25/2024 | STEUBEN CO | MAY 24 | CF | 0 | TRUE | $816.18 | $816.18 | $0.00 | CF GROUP MEDS | ||||
| 481 | 10/25/2024 | STEUBEN CO | JUNE 24 | PAR | 831672 | FALSE | 6/20/2024 | $55.02 | $55.02 | $0.00 | PAR MEDS | |||
| 482 | 10/25/2024 | STEUBEN CO | JULY 24 | CF | 0 | TRUE | $270.00 | $270.00 | $0.00 | CF GROUP DENTAL | ||||
| 483 | 10/25/2024 | SULLIVAN CO | APR 24 | HEA | 0 | TRUE | $93.18 | $10.41 | ($82.77) | HEA GROUP MEDS | ||||
| 484 | 10/25/2024 | SULLIVAN CO | MAY 24 | HEA | 0 | TRUE | $34.53 | $10.41 | ($24.12) | HEA GROUP MEDS | ||||
| 485 | 10/25/2024 | SULLIVAN CO | APR 24 | CF | 256196 | FALSE | 4/29/2024 | $10.74 | $10.74 | $0.00 | CF MEDS | |||
| 486 | 10/25/2024 | SULLIVAN CO | MAY 24 | CF | 0 | TRUE | $255.26 | $255.26 | $0.00 | CF GROUP MEDS | ||||
| 487 | 10/25/2024 | JOHNSON CO | JUNE 24 | CF | 0 | TRUE | $360.00 | $300.00 | ($60.00) | CF GROUP SICK CALLS | ||||
| 488 | 10/25/2024 | JOHNSON CO | MAY 24 | CF | 0 | TRUE | $435.00 | $405.00 | ($30.00) | CF GROUP NSC/DENTAL | ||||
| 489 | 10/25/2024 | JOHNSON CO | MAY 24 | HEA | 0 | TRUE | $45.00 | $0.00 | ($45.00) | HEA GROUP SICK CALLS | ||||
| 490 | 10/25/2024 | JOHNSON CO | JUNE 24 | HEA | 0 | TRUE | $105.00 | $0.00 | ($105.00) | HEA GROUP SICK CALLS | ||||
| 491 | 11/1/2024 | BLACKFORD CO | JUNE 24 | HEA | 8/18/1989 | 0 | FALSE | $318.07 | $318.07 | $0.00 | HEA MEDS/DENTAL | |||
| 492 | 11/1/2024 | BLACKFORD CO | JUNE 24 | CF | 0 | TRUE | $796.69 | $769.69 | ($27.00) | CF GROUP MEDS/DENTAL | ||||
| 493 | 11/1/2024 | MADISON CO | JUNE 24 | HEA | 0 | TRUE | $166.92 | $154.20 | ($12.72) | HEA GROUP MEDS | ||||
| 494 | 11/1/2024 | MADISON CO | MAY 24 | HEA | 0 | TRUE | $33.87 | $33.87 | $0.00 | HEA GROUP MEDS | ||||
| 495 | 11/1/2024 | MADISON CO | JUNE 24 | CF | 0 | TRUE | $155.46 | $83.46 | ($72.00) | CF GROUP MEDS | ||||
| 496 | 11/1/2024 | MADISON CO | MAY 24 | CF | 0 | TRUE | $92.53 | $92.53 | $0.00 | CF GROUP MEDS | ||||
| 497 | 11/1/2024 | DELAWARE CO | AUG 24 | HEA | 0 | TRUE | $35.67 | $35.67 | $0.00 | HEA GROUP MEDS | ||||
| 498 | 11/1/2024 | DELAWARE CO | SEPT 24 | HEA | 5/26/1992 | 0 | FALSE | $22.14 | $22.14 | $0.00 | HEA MEDS | |||
| 499 | 11/1/2024 | DELAWARE CO | AUG 24 | HEA | 0 | TRUE | $44.76 | $44.76 | $0.00 | HEA GROUP MEDS | ||||
| 500 | 11/1/2024 | DELAWARE CO | JULY 24 #2 | PAR | 0 | TRUE | $331.84 | $331.84 | $0.00 | PAR GROUP MEDS | ||||
| 501 | 11/1/2024 | DELAWARE CO | SEPT 24 | PAR | 0 | TRUE | $511.53 | $511.53 | $0.00 | PAR GROUP MEDS | ||||
| 502 | 11/1/2024 | DELAWARE CO | AUG 24 #2 | PAR | 0 | TRUE | $150.91 | $150.91 | $0.00 | PAR GROUP MEDS | ||||
| 503 | 11/1/2024 | DELAWARE CO | SEPT 24 | CF | 0 | TRUE | $2,723.88 | $2,723.88 | $0.00 | CF GROUP MEDS | ||||
| 504 | 11/1/2024 | DELAWARE CO | JULY 24 #2 | CF | 0 | TRUE | $1,367.21 | $1,367.21 | $0.00 | CF GROUP MEDS | ||||
| 505 | 11/1/2024 | DELAWARE CO | AUG 24 | PAR | 853525 | FALSE | 8/6/2024 | $220.00 | $220.00 | $0.00 | PAR DENTAL | |||
| 506 | 11/1/2024 | DELAWARE CO | AUG 24 | CF | 0 | TRUE | $4,929.57 | $4,929.57 | $0.00 | CF GROUP MEDS | ||||
| 507 | 11/1/2024 | MADISON CO | MAY 24 #2 | CF | 0 | TRUE | $82.98 | $82.98 | $0.00 | CF GROUP MEDS | ||||
| 508 | 11/8/2024 | RANDOLPH CO | AUG 24 | CF | 300642 | FALSE | $48.90 | $48.90 | $0.00 | CF MEDS | ||||
| 509 | 11/8/2024 | FOUNTAIN CO | SEPT 24 | CF | 260280 | FALSE | 9/24/2024 | $11.48 | $11.48 | $0.00 | CF MEDS | |||
| 510 | 11/8/2024 | FOUNTAIN CO | AUG 24 | CF | 100048 | FALSE | $32.73 | $32.73 | $0.00 | CF MEDS | ||||
| 511 | 11/8/2024 | FOUNTAIN CO | JULY 24 #2 | CF | 100048 | FALSE | $44.08 | $44.08 | $0.00 | CF MEDS | ||||
| 512 | 11/8/2024 | SWITZERLAND CO | JUNE 24 | CF | 0 | TRUE | $110.49 | $110.49 | $0.00 | CF GROUP MEDS | ||||
| 513 | 11/8/2024 | FOUNTAIN CO | SEPT 24 | HEA | 0 | TRUE | $836.86 | $836.86 | $0.00 | HEA GROUP MEDS | ||||
| 514 | 11/8/2024 | FOUNTAIN CO | AUG 24 | HEA | 0 | TRUE | $798.84 | $798.84 | $0.00 | HEA GROUP MEDS | ||||
| 515 | 11/8/2024 | BROWN CO | MAY 24 | HEA | 0 | TRUE | $153.63 | $24.12 | ($129.51) | HEA GROUP MEDS | ||||
| 516 | 11/8/2024 | RANDOLPH CO | JULY 24 | HEA | 4/9/1985 | 0 | FALSE | 7/23/2024 | $37.17 | $0.00 | ($37.17) | HEA MEDS | ||
| 517 | 11/8/2024 | BROWN CO | AUG 24 | HEA | 0 | TRUE | $142.36 | $0.00 | ($142.36) | HEA GROUP MEDS | ||||
| 518 | 11/8/2024 | BROWN CO | JULY 24 | HEA | 0 | TRUE | $105.39 | $0.00 | ($105.39) | HEA GROUP MEDS | ||||
| 519 | 11/8/2024 | BROWN CO | JUNE 24 | HEA | 0 | TRUE | $59.64 | $0.00 | ($59.64) | HEA GROUP MEDS | ||||
| 520 | 11/15/2024 | BROWN CO | JULY 24 | CF | 0 | TRUE | $700.20 | $700.20 | $0.00 | CF GROUP MEDS | ||||
| 521 | 11/15/2024 | BROWN CO | AUG 24 | CF | 0 | TRUE | $967.42 | $967.42 | $0.00 | CF GROUP MEDS | ||||
| 522 | 11/15/2024 | BROWN CO | AUG 24 #2 | CF | 0 | TRUE | $916.64 | $916.64 | $0.00 | CF GROUP DENTAL | ||||
| 523 | 11/15/2024 | BROWN CO | JUNE 24 #2 | CF | 0 | TRUE | $551.73 | $551.73 | $0.00 | CF GROUP DENTAL | ||||
| 524 | 11/15/2024 | BROWN CO | JUNE 24 | CF | 0 | TRUE | $238.47 | $238.47 | $0.00 | CF GROUP MEDS | ||||
| 525 | 11/15/2024 | BROWN CO | MAY 24 | CF | 0 | TRUE | $757.38 | $757.38 | $0.00 | CF GROUP MEDS | ||||
| 526 | 11/15/2024 | HANCOCK CO | JUNE 24 | CF | 0 | TRUE | $44.76 | $44.76 | $0.00 | CF GROUP MEDS | ||||
| 527 | 11/15/2024 | HANCOCK CO | JULY 24 | HEA | 0 | TRUE | $197.35 | $197.35 | $0.00 | HEA GROUP LABS/XRAY | ||||
| 528 | 11/15/2024 | HANCOCK CO | JUNE 24 #2 | HEA | 0 | TRUE | $136.91 | $136.91 | $0.00 | HEA GROUP MEDS | ||||
| 529 | 11/15/2024 | BROWN CO | AUG 24 | HEA | 12/9/1988 | 0 | FALSE | 8/13/2024 | $229.16 | $0.00 | ($229.16) | HEA DENTAL | ||
| 530 | 11/22/2024 | HANCOCK CO | JULY 24 | CF | 0 | TRUE | $145.02 | $145.02 | $0.00 | CF GROUP MEDS | ||||
| 531 | 11/22/2024 | FRANKLIN CO | AUG 24 | CF | 272576 | FALSE | 8/27/2024 | $550.00 | $550.00 | $0.00 | CF DENTAL | |||
| 532 | 11/22/2024 | FRANKLIN CO | JULY 24 | CF | 272576 | FALSE | 7/10/2024 | $11.57 | $11.57 | $0.00 | CF MEDS | |||
| 533 | 11/22/2024 | FRANKLIN CO | AUG 24 #2 | CF | 272576 | FALSE | 8/28/2024 | $11.57 | $11.57 | $0.00 | CF MEDS | |||
| 534 | 11/22/2024 | NOBLE CO | AUG 24 | CF | 0 | TRUE | $533.34 | $266.67 | ($266.67) | CF GROUP DENTAL | ||||
| 535 | 11/22/2024 | NOBLE CO | JULY 24 #2 | CF | 300456 | FALSE | 7/26/2024 | $218.18 | $218.18 | $0.00 | CF DENTAL | |||
| 536 | 11/22/2024 | NOBLE CO | AUG 24 #2 | CF | 299195 | FALSE | $40.14 | $40.14 | $0.00 | CF MEDS | ||||
| 537 | 11/22/2024 | NOBLE CO | JULY 24 | CF | 0 | TRUE | $455.77 | $455.77 | $0.00 | CF GROUP MEDS | ||||
| 538 | 11/22/2024 | NOBLE CO | SEPT 24 | CF | 0 | TRUE | $169.60 | $150.94 | ($18.66) | CF GROUP MEDS | ||||
| 539 | 11/22/2024 | HANCOCK CO | JULY 24 #2 | HEA | TRUE | $783.09 | $783.09 | $0.00 | HEA GROUP MEDS | |||||
| 540 | 11/22/2024 | NOBLE CO | SEPT 24 | HEA | 0 | TRUE | $165.38 | $44.94 | ($120.44) | HEA GROUP MEDS | ||||
| 541 | 11/22/2024 | NOBLE CO | JULY 24 #2 | HEA | 0 | TRUE | $436.36 | $218.18 | ($218.18) | HEA GROUP DENTAL | ||||
| 542 | 11/22/2024 | NOBLE CO | JULY 24 | HEA | 0 | TRUE | $210.33 | $97.98 | ($112.35) | HEA GROUP MEDS | ||||
| 543 | 11/22/2024 | NOBLE CO | AUG 24 #2 | HEA | 0 | TRUE | $132.11 | $10.74 | ($121.37) | HEA GROUP MEDS | ||||
| 544 | 11/22/2024 | NOBLE CO | AUG 24 | HEA | 5/20/1981 | 0 | FALSE | 8/23/2024 | $266.67 | $266.67 | $0.00 | HEA DENTAL | ||
| 545 | 11/27/2024 | DEKALB CO | JULY 24 | HEA | 0 | TRUE | $167.62 | $81.45 | ($86.17) | HEA GROUP MEDS | ||||
| 546 | 11/27/2024 | DEKALB CO | AUG 24 #2 | HEA | 0 | TRUE | $140.25 | $32.88 | ($107.37) | HEA GROUP MEDS | ||||
| 547 | 11/27/2024 | DEKALB CO | JUNE 24 | HEA | 0 | TRUE | $59.02 | $59.02 | $0.00 | HEA GROUP MEDS | ||||
| 548 | 11/27/2024 | DEKALB CO | JULY 24 | PAR | 226879 | FALSE | 7/2/2024 | $62.22 | $62.22 | $0.00 | PAR MEDS | |||
| 549 | 11/27/2024 | DEKALB CO | AUG 24 | CF | 0 | TRUE | $217.93 | $112.83 | ($105.10) | CF GROUP MEDS | ||||
| 550 | 11/27/2024 | DEKALB CO | AUG 24 | PAR | 0 | TRUE | $182.67 | $182.67 | $0.00 | PAR GROUP MEDS | ||||
| 551 | 11/27/2024 | DEKALB CO | JULY 24 | CF | 0 | TRUE | $259.27 | $190.44 | ($68.83) | CF GROUP MEDS | ||||
| 552 | 11/27/2024 | DEKALB CO | JUNE 24 | CF | 0 | TRUE | $751.56 | $730.41 | ($21.15) | CF GROUP MEDS | ||||
| 553 | 11/27/2024 | JACKSON CO | MAY 24 | CF | 299488 | FALSE | 5/31/2024 | $1,467.81 | $1,467.81 | $0.00 | CF ER VISIT | |||
| 554 | 11/27/2024 | DEKALB CO | AUG 24 | HEA | 3/14/1974 | FALSE | $1,011.40 | $0.00 | ($1,011.40) | HEA DENTAL | ||||
| 555 | 12/6/2024 | BOONE CO | AUG 24 | HEA | 0 | TRUE | $134.54 | $94.36 | ($40.18) | HEA GROUP MEDS | ||||
| 556 | 12/6/2024 | LAKE CO | JUNE 24 | HEA | 0 | TRUE | $4,630.51 | $453.95 | ($4,176.56) | HEA GROUP MEDS | ||||
| 557 | 12/6/2024 | LAKE CO | JULY 24 | HEA | 0 | TRUE | $4,357.50 | $204.23 | ($4,153.27) | HEA GROUP MEDS | ||||
| 558 | 12/6/2024 | ALLEN CO | JULY 24 | HEA | 0 | TRUE | $86.40 | $86.40 | $0.00 | HEA GROUP MEDS | ||||
| 559 | 12/6/2024 | ALLEN CO | AUG 24 | HEA | 0 | TRUE | $103.41 | $103.41 | $0.00 | HEA GROUP MEDS | ||||
| 560 | 12/6/2024 | JAY CO | JULY 24 | HEA | 11/9/1977 | 0 | FALSE | $79.96 | $79.96 | $0.00 | HEA MEDS | |||
| 561 | 12/6/2024 | JAY CO | JUNE 24 | HEA | 11/9/1977 | 0 | FALSE | $63.69 | $63.69 | $0.00 | HEA MEDS | |||
| 562 | 12/6/2024 | JAY CO | JULY 24 #2 | HEA | 11/9/1977 | 0 | FALSE | 7/31/2024 | $650.28 | $650.28 | $0.00 | HEA ENDOSCOPY/RADIOLOGY | ||
| 563 | 12/6/2024 | BOONE CO | SEPT 24 #2 | HEA | 5/24/1990 | 0 | FALSE | $155.19 | $155.19 | $0.00 | HEA MEDS | |||
| 564 | 12/6/2024 | BOONE CO | SEPT 24 | HEA | 0 | TRUE | $294.07 | $129.39 | ($164.68) | HEA GROUP MEDS | ||||
| 565 | 12/6/2024 | LAKE CO | JUNE 24 | PAR | 0 | TRUE | $6.56 | $6.56 | $0.00 | PAR GROUP MEDS | ||||
| 566 | 12/6/2024 | LAKE CO | JUNE 24 | CF | 0 | TRUE | $6,654.37 | $4,645.19 | ($2,009.18) | CF GROUP MEDS | ||||
| 567 | 12/6/2024 | LAKE CO | JULY 24 | CF | 0 | TRUE | $2,944.24 | $895.24 | ($2,049.00) | CF GROUP MEDS | ||||
| 568 | 12/6/2024 | LAKE CO | JULY 24 | PAR | 259652 | FALSE | $20.68 | $20.68 | $0.00 | PAR MEDS | ||||
| 569 | 12/6/2024 | BOONE CO | AUG 24 | CF | 0 | TRUE | $39.01 | $39.01 | $0.00 | CF GROUP MEDS | ||||
| 570 | 12/6/2024 | BOONE CO | SEPT 24 | CF | 301449 | FALSE | $40.58 | $40.58 | $0.00 | CF MEDS | ||||
| 571 | 12/6/2024 | ALLEN CO | AUG 24 | CF | 0 | TRUE | $480.70 | $480.70 | $0.00 | CF GROUP MEDS | ||||
| 572 | 12/6/2024 | ALLEN CO | JULY 24 | CF | 0 | TRUE | $5,461.89 | $5,461.89 | $0.00 | CF GROUP MEDS | ||||
| 573 | 12/6/2024 | ALLEN CO | JULY 24 | PAR | 270899 | FALSE | $33.87 | $33.87 | $0.00 | PAR MEDS | ||||
| 574 | 12/6/2024 | JAY CO | JULY 24 | CF | 301142 | FALSE | 7/22/2024 | $11.07 | $11.07 | $0.00 | CF MEDS | |||
| 575 | 12/6/2024 | PORTER CO | SEPT 24 | CF | 0 | TRUE | $3,843.09 | $3,843.09 | $0.00 | CF GROUP MEDS | ||||
| 576 | 12/6/2024 | ST. JOSEPH CO | JUNE 24 | CF | 0 | TRUE | $88.51 | $69.26 | ($19.25) | CF GROUP MEDS | ||||
| 577 | 12/6/2024 | ST. JOSEPH CO | JULY 24 | CF | 0 | TRUE | $64.27 | $33.40 | ($30.87) | CF GROUP MEDS | ||||
| 578 | 12/13/2024 | MADISON CO | JULY 24 | HEA | 0 | TRUE | $90.89 | $90.89 | $0.00 | HEA GROUP MEDS | ||||
| 579 | 12/13/2024 | MADISON CO | JULY 24 | CF | 0 | TRUE | $417.73 | $167.86 | ($249.87) | CF GROUP MEDS | ||||
| 580 | 12/13/2024 | MADISON CO | JULY 24 | PAR | 0 | TRUE | $35.43 | $35.43 | $0.00 | PAR GROUP MEDS | ||||
| 581 | 12/13/2024 | CLINTON CO | AUG 24 | CF | 0 | TRUE | $22.47 | $22.47 | $0.00 | CF GROUP MEDS | ||||
| 582 | 12/13/2024 | CLINTON CO | AUG 24 | HEA | 6/19/1995 | 0 | FALSE | $54.84 | $0.00 | ($54.84) | HEA MEDS |
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .