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.

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2024 MEDICAL CLAIMS Query

#Date EnteredCounty Jail NameClaim Mth/YrClaim TypeOffender Last NameOffender First NameDOBDOC #Group BillingDate of SvcSubmitted AmountApproved AmountDifferenceComments
11/5/2024FOUNTAIN COOCT 23HEA0TRUE$41.01$41.01$0.00HEA GROUP MEDS
21/5/2024FOUNTAIN CONOV 23HEA0TRUE$20.20$20.20$0.00HEA GROUP MEDS
31/5/2024FOUNTAIN COSEPT 23HEA0TRUE$32.77$32.77$0.00HEA GROUP MEDS
41/5/2024DELAWARE COOCT 23HEA0TRUE$36.90$36.90$0.00HEA GROUP MEDS
51/5/2024DELAWARE CONOV 23HEA0TRUE$81.09$81.09$0.00HEA GROUP MEDS
61/5/2024DELAWARE COSEPT 23HEA0TRUE$72.38$72.38$0.00HEA GROUP MEDS
71/5/2024DEARBORN COSEPT 23HEA0TRUE$122.91$86.01($36.90)HEA GROUP MEDS
81/5/2024DEARBORN COOCT 23CF0TRUE$39.54$39.54$0.00CF GROUP MEDS
91/5/2024DEARBORN COSEPT 23CF0TRUE$89.49$89.49$0.00CF GROUP MEDS
101/5/2024DELAWARE CONOV 23CF0TRUE$157.79$157.79$0.00CF GROUP MEDS
111/5/2024DELAWARE COOCT 23CF0TRUE$174.04$174.04$0.00CF GROUP MEDS
121/5/2024DELAWARE COSEPT 23 #2CF0TRUE$248.07$248.07$0.00CF GROUP MEDS
131/5/2024DELAWARE COOCT 23 #2PAR0TRUE$277.28$277.28$0.00PAR GROUP MEDS
141/5/2024DELAWARE COSEPT 23 #2PAR0TRUE$264.86$264.86$0.00PAR GROUP MEDS
151/5/2024DELAWARE CONOV 23PAR0TRUE$376.34$376.34$0.00PAR GROUP MEDS
161/5/2024DELAWARE COOCT 23PAR0TRUE$223.68$223.68$0.00PAR GROUP MEDS
171/5/2024FOUNTAIN COOCT 23CF0TRUE$45.53$40.53($5.00)CF GROUP MEDS
181/5/2024FOUNTAIN COSEPT 23CF0TRUE$57.40$57.40$0.00CF GROUP MEDS
191/5/2024FOUNTAIN CONOV 23CF0TRUE$46.85$46.85$0.00CF GROUP MEDS
201/12/2024DEARBORN COOCT 23HEA0TRUE$156.12$63.48($92.64)HEA GROUP MEDS
211/12/2024STEUBEN COSEPT 23HEA0TRUE$1,304.46$1,151.37($153.09)HEA GROUP MEDS/LABS/XRAY
221/12/2024STEUBEN COOCT 23HEA0TRUE$2,635.59$2,389.46($246.13)HEA GROUP MEDS/DENTAL
231/12/2024STEUBEN COOCT 23CF0TRUE$1,298.10$778.10($520.00)CF GROUP MEDS/DENTAL
241/12/2024STEUBEN COSEPT 23CF0TRUE$128.73$128.73$0.00CF GROUP MEDS
251/12/2024ST. JOSEPH COMAY 23CF0TRUE$115.48$109.57($5.91)CF GROUP MEDS
261/12/2024NOBLE CONOV 23 #2CF0TRUE$600.00$300.00($300.00)CF GROUP DENTAL
271/12/2024NOBLE CONOV 23CF0TRUE$186.98$186.98$0.00CF GROUP MEDS
281/12/2024NOBLE COOCT 23CF0TRUE$223.85$223.85$0.00CF GROUP MEDS
291/12/2024NOBLE COAUG 23CF0TRUE$155.25$155.25$0.00CF GROUP MEDS
301/12/2024NOBLE COSEPT 23CF0TRUE$534.48$534.48$0.00CF GROUP MEDS
311/12/2024NOBLE COOCT 23HEA0TRUE$151.41$144.00($7.41)HEA GROUP MEDS
321/12/2024NOBLE CONOV 23HEA0TRUE$64.74$49.92($14.82)HEA GROUP MEDS
331/12/2024NOBLE CONOV 23 #2HEA0TRUE$900.00$600.00($300.00)HEA GROUP DENTAL
341/12/2024NOBLE COOCT 23 #2HEA1/16/19960FALSE10/16/2023$62.00$62.00$0.00HEA XRAY
351/12/2024NOBLE COSEPT 23HEA0TRUE$102.87$80.79($22.08)HEA GROUP MEDS
361/19/2024SULLIVAN COAUG 23 #3HEA0TRUE$69.69$16.14($53.55)HEA GROUP MEDS
371/19/2024WHITLEY COMAR 23 #2HEA0TRUE$724.46$548.21($176.25)HEA GROUP DENTAL
381/19/2024WHITLEY COJAN 23HEA0TRUE$120.00$60.00($60.00)HEA GROUP XRAYS
391/19/2024WHITLEY COFEB 23 #2HEA9/5/19500FALSE2/22/2023$18.39$18.39$0.00HEA LABS
401/19/2024WHITLEY COJULY 23HEA0TRUE$500.50$500.50$0.00HEA GROUP DENTAL
411/19/2024WHITLEY COJUNE 23HEA9/5/19500FALSE6/2/2023$321.88$321.88$0.00HEA DENTAL
421/19/2024LAKE COAUG 23HEA0TRUE$1,427.59$1,243.21($184.38)HEA GROUP MEDS
431/19/2024LAKE COSEPT 23HEA0TRUE$991.59$499.55($492.04)HEA GROUP MEDS
441/19/2024SULLIVAN COAUG 23HEA0TRUE$31.05$0.00($31.05)HEA GROUP LABS
451/19/2024SULLIVAN COJUNE 23 #3HEA6/20/19880FALSE$75.06$0.00($75.06)HEA XRAYS
461/19/2024SULLIVAN COAPR 23HEA5/15/19880FALSE$20.32$0.00($20.32)HEA XRAY
471/19/2024SULLIVAN COJUNE 23HEA0TRUE$88.77$0.00($88.77)HEA GROUP MEDS
481/19/2024SULLIVAN COJUNE 23 #2HEA7/8/19870FALSE$1,059.82$0.00($1,059.82)HEA SURGERY/ DR/PT
491/19/2024SULLIVAN COAUG 23 #2HEA7/8/19870FALSE$949.68$0.00($949.68)HEA PHYSICAL THERAPY
501/19/2024WHITLEY COFEB 23HEA9/27/19880FALSE2/1/2023$400.63$0.00($400.63)HEA DENTAL
511/19/2024SULLIVAN COAUG 23CF0TRUE$32.50$32.50$0.00CF GROUP MEDS
521/19/2024SULLIVAN COJUNE 23CF0TRUE$18.78$18.78$0.00CF GROUP MEDS
531/19/2024LAKE COAUG 23PAR0TRUE$603.83$603.83$0.00PAR GROUP MEDS
541/19/2024LAKE COSEPT 23PAR0TRUE$158.09$158.09$0.00PAR GROUP MEDS
551/19/2024LAKE COSEPT 23CF0TRUE$2,119.10$1,946.64($172.46)CF GROUP MEDS
561/19/2024LAKE COAUG 23CF0TRUE$1,581.95$1,406.13($175.82)CF GROUP MEDS
571/19/2024WHITLEY COMAR 23PAR289511FALSE3/28/2023$62.00$62.00$0.00PAR XRAYS
581/26/2024BROWN COOCT 23HEA0TRUE$4,119.33$4,119.33$0.00HEA GROUP MEDS
591/26/2024BROWN COSEPT 23HEA0TRUE$52.21$52.21$0.00HEA GROUP MEDS
601/26/2024BROWN CONOV 23HEA0TRUE$4,330.02$4,304.16($25.86)HEA GROUP MEDS
611/26/2024GREENE COSEPT 23HEA0TRUE$877.41$675.39($202.02)HEA GROUP MEDS
621/26/2024BROWN COSEPT 23CF0TRUE$111.17$111.17$0.00CF GROUP MEDS
631/26/2024GREENE COSEPT 23CF0TRUE$70.20$70.20$0.00CF GROUP MEDS
641/26/2024GREENE COAUG 23 #2HEA7/27/19900FALSE8/31/2023$933.90$0.00($933.90)HEA DENTAL
652/2/2024JAY COOCT 23HEA0TRUE$165.90$83.70($82.20)HEA GROUP MEDS
662/2/2024JAY COSEPT 23HEA0TRUE$214.92$12.69($202.23)HEA GROUP MEDS
672/2/2024JAY COOCT 23 #2HEA11/9/19770FALSE10/20/2023$236.82$236.82$0.00HEA ER VISIT
682/2/2024DEKALB COAPR 23 #2HEA3/21/19960FALSE4/6/2023$62.00$62.00$0.00HEA XRAY
692/2/2024DEKALB COMAR 23 #2HEA12/16/19780FALSE3/24/2023$71.22$71.22$0.00HEA ANKLE STABILIZING
702/2/2024DEKALB COOCT 23HEA0TRUE$1,012.05$988.32($23.73)HEA GROUP MEDS
712/2/2024DEKALB COMAR 23 #3HEA12/16/19780FALSE3/24/2023$21.96$21.96$0.00HEA RADIOLOGY
722/2/2024DEKALB CONOV 23HEA0TRUE$537.90$526.20($11.70)HEA GROUP MEDS
732/2/2024DEKALB COSEPT 23HEA0TRUE$760.71$760.71$0.00HEA GROUP MEDS
742/2/2024DEKALB COSEPT 23 #2HEA7/16/19940FALSE9/20/2023$62.00$62.00$0.00HEA XRAY
752/2/2024RANDOLPH COSEPT 23CF103171FALSE$19.77$19.77$0.00CF MEDS
762/2/2024RANDOLPH COOCT 23CF0TRUE$625.41$625.41$0.00CF GROUP MEDS
772/2/2024RANDOLPH CONOV 23CF0TRUE$621.96$621.96$0.00CF GROUP MEDS
782/2/2024DEKALB COSEPT 23CF294825FALSE$15.15$15.15$0.00CF MEDS
792/2/2024DEKALB CONOV 23CF0TRUE$194.22$173.46($20.76)CF GROUP MEDS
802/2/2024JAY COOCT 23CF0TRUE$755.94$755.94$0.00CF GROUP MEDS
812/2/2024JAY COSEPT 23CF0TRUE$71.64$71.64$0.00CF GROUP MEDS
822/9/2024BARTHOLOMEW COOCT 23HEA0TRUE$1,610.52$1,524.76($85.76)HEA GROUP MEDS
832/9/2024BARTHOLOMEW CODEC 23HEA0TRUE$125.73$80.24($45.49)HEA GROUP MEDS
842/9/2024FAYETTE CONOV 23HEA0TRUE$1,872.13$1,819.24($52.89)HEA GROUP MEDS
852/9/2024BARTHOLOMEW CODEC 23CF0TRUE$514.37$514.37$0.00CF GROUP MEDS
862/9/2024BARTHOLOMEW COOCT 23CF0TRUE$186.05$186.05$0.00CF GROUP MEDS
872/9/2024FAYETTE CONOV 23CF0TRUE$440.85$440.85$0.00CF GROUP MEDS
882/9/2024BARTHOLOMEW CONOV 23CF0TRUE$179.97$174.30($5.67)CF GROUP MEDS
892/16/2024JOHNSON CONOV 23HEA0TRUE$585.00$585.00$0.00HEA GROUP DENTAL/DR/SICK CALLS
902/16/2024JOHNSON COAUG 23 #3HEA0TRUE$112.21$112.21$0.00HEA GROUP LABS/EKG
912/16/2024JOHNSON COOCT 23 #2HEA0TRUE$282.42$282.42$0.00HEA GROUP MEDS
922/16/2024JOHNSON CONOV 23 #2HEA0TRUE$370.00$370.00$0.00HEA GROUP XRAYS
932/16/2024JOHNSON COSEPT 23 #2HEA0TRUE$298.00$298.00$0.00HEA GROUP MEDS
942/16/2024JOHNSON COOCT 23HEA0TRUE$300.00$300.00$0.00HEA GROUP DENTAL/DR/SICK CALLS
952/16/2024JOHNSON COOCT 23CF0TRUE$645.00$645.00$0.00CF GROUP SICK CALLS
962/16/2024JOHNSON COOCT 23 #2CF0TRUE$165.06$165.06$0.00CF GROUP MEDS
972/16/2024JOHNSON CONOV 23CF0TRUE$810.00$810.00$0.00CF GROUP SICK CALLS
982/16/2024JOHNSON CODEC 23CF0TRUE$765.00$765.00$0.00CF GROUP SICK CALLS
992/16/2024JOHNSON CODEC 23PAR243120FALSE$15.00$15.00$0.00PAR SICK CALL
1002/16/2024JOHNSON COSEPT 23 #2CF0TRUE$149.25$149.25$0.00CF GROUP MEDS
1012/16/2024BOONE CONOV 23HEA0TRUE$576.03$576.03$0.00HEA GROUP MEDS
1022/16/2024BOONE COOCT 23HEA0TRUE$997.19$997.19$0.00HEA GROUP MEDS
1032/16/2024FRANKLIN CONOV 23HEA0TRUE$1,375.00$550.00($825.00)HEA GROUP DENTAL
1042/16/2024BOONE COOCT 23CF0TRUE$55.45$19.85($35.60)CF GROUP MEDS
1052/16/2024BOONE CONOV 23CF0TRUE$71.10$40.05($31.05)CF GROUP MEDS
1062/16/2024BOONE CONOV 23PAR964341FALSE$25.05$25.05$0.00PAR MEDS
1072/23/2024HANCOCK COSEPT 23HEA0TRUE$380.49$372.75($7.74)HEA GROUP MEDS
1082/23/2024HANCOCK COOCT 23HEA10/1/19990FALSE10/19/2023$15.00$15.00$0.00HEA LABS
1092/23/2024HANCOCK COSEPT 23 #2HEA11/18/19680FALSE9/13/2023$130.58$130.58$0.00HEA GASTRO DR
1102/23/2024HANCOCK COOCT 23 #2HEA0TRUE$293.37$293.37$0.00HEA GROUP MEDS
1112/23/2024HANCOCK CONOV 23HEA0TRUE$369.12$369.12$0.00HEA GROUP MEDS/LABS
1122/23/2024HANCOCK COAUG 23 #3HEA5/19/19670FALSE8/3/2023$129.00$129.00$0.00HEA ULTRASOUND
1132/23/2024WABASH COOCT 23HEA1/20/19900FALSE10/13/2023$7.06$0.00($7.06)HEA MEDS
1142/23/2024HANCOCK COOCT 23CF0TRUE$394.92$394.92$0.00CF GROUP MEDS
1152/23/2024HANCOCK CONOV 23CF0TRUE$386.69$386.69$0.00CF GROUP MEDS
1162/23/2024HANCOCK COSEPT 23CF0TRUE$345.48$345.48$0.00CF GROUP MEDS
1173/1/2024HUNTINGTON COSEPT 23CF0TRUE$117.12$110.04($7.08)CF GROUP MEDS
1183/1/2024HUNTINGTON COJULY 23 #2CF0TRUE$856.03$856.03$0.00CF LABS/ER/XRAY
1193/1/2024STEUBEN COJAN 24CF0TRUE$826.63$826.63$0.00CF GROUP MEDS
1203/1/2024HUNTINGTON COAUG 23CF0TRUE$684.36$0.00($684.36)CF GROUP AMB/LABS/XRAY
1213/1/2024HUNTINGTON COOCT 23HEA0TRUE$211.48$211.48$0.00HEA GROUP MEDS/XRAY
1223/1/2024HUNTINGTON COSEPT 23HEA0TRUE$324.23$324.23$0.00HEA GROUP MEDS/DENTAL
1232/29/2024STEUBEN COJAN 24HEA0TRUE$29,077.37$28,788.81($288.56)HEA GROUP MEDS
1243/8/2024ALLEN CODEC 23HEA0TRUE$368.63$368.63$0.00HEA GROUP ER/LABS
1253/8/2024ALLEN CONOV 23HEA0TRUE$800.56$534.03($266.53)HEA GROUP LABS/XRAYS
1263/8/2024GIBSON CODEC 22HEA1/11/19930FALSE12/25/2022$409.42$409.42$0.00HEA ER VISIT
1273/15/2024DELAWARE COJAN 24HEA9/4/19730FALSE1/8/2024$14.37$14.37$0.00HEA MEDS
1283/15/2024DELAWARE CODEC 23HEA0TRUE$69.72$69.72$0.00HEA GROUP MEDS
1293/15/2024DEARBORN CONOV 23HEA0TRUE$15.15$15.15$0.00HEA GROUP MEDS
1303/15/2024DELAWARE CODEC 23PAR0TRUE$208.97$208.97$0.00PAR GROUP MEDS
1313/15/2024DELAWARE COJAN 24PAR853525FALSE1/31/2024$131.08$131.08$0.00PAR DENTAL
1323/15/2024DELAWARE COJAN 24 #2PAR0TRUE$212.96$212.96$0.00PAR GROUP MEDS
1333/15/2024DEARBORN COJAN 24CF0TRUE$141.39$127.02($14.37)CF GROUP MEDS
1343/15/2024DEARBORN CODEC 23CF0TRUE$648.18$616.38($31.80)CF GROUP MEDS
1353/15/2024DEARBORN CONOV 23CF0TRUE$689.22$626.43($62.79)CF GROUP MEDS
1363/15/2024CLARK COSEPT 23CF295700FALSE$1,979.39$1,979.39$0.00CF DENTAL
1373/22/2024NOBLE COJAN 24HEA0TRUE$300.30$279.48($20.82)HEA GROUP MEDS
1383/22/2024NOBLE CODEC 23HEA0TRUE$68.04$60.63($7.41)HEA GROUP MEDS
1393/22/2024NOBLE COJAN 24 #2HEA0TRUE$885.70$542.85($342.85)HEA GROUP DENTAL
1403/22/2024FOUNTAIN CODEC 23HEA0TRUE$20.43$9.44($10.99)HEA GROUP MEDS
1413/22/2024FOUNTAIN COJAN 24HEA0TRUE$51.04$40.88($10.16)HEA GROUP MEDS
1423/27/2024STEUBEN COOCT 23 #2HEA0TRUE$157.18$157.18$0.00HEA GROUP MEDS/DENTAL
1433/27/2024ALLEN COOCT 23 #2HEA0TRUE$425.46$387.75($37.71)HEA GROUP MEDS
1443/27/2024ALLEN CONOV 23 #2HEA0TRUE$410.39$410.39$0.00HEA GROUP MEDS
1453/27/2024ALLEN CODEC 23 #2HEA0TRUE$472.59$464.19($8.40)HEA GROUP MEDS
1463/22/2024NOBLE COJAN 24CF0TRUE$560.23$560.23$0.00CF GROUP MEDS
1473/22/2024NOBLE CODEC 23CF0TRUE$494.56$470.83($23.73)CF GROUP MEDS
1483/22/2024NOBLE COJAN 24 #2CF0TRUE$742.85$742.85$0.00CF GROUP MEDS
1493/22/2024ST. JOSEPH COJULY 23CF0TRUE$2,865.75$2,835.24($30.51)CF GROUP MEDS
1503/22/2024FOUNTAIN CODEC 23CF0TRUE$35.05$35.05$0.00CF GROUP MEDS
1524/5/2024JOHNSON CODEC 23HEA0TRUE$165.00$150.00($15.00)HEA GROUP SICK CALLS
1534/5/2024DELAWARE COFEB 24HEA10/5/19840FALSE2/15/2024$8.66$8.66$0.00HEA LABS
1543/27/2024ALLEN CONOV 23CF0TRUE$288.03$225.82($62.21)CF GROUP MEDS
1553/27/2024ALLEN COOCT 23CF0TRUE$4,731.90$4,704.83($27.07)CF GROUP MEDS
1563/27/2024ALLEN CODEC 23CF0TRUE$243.37$160.85($82.52)CF GROUP MEDS
1574/5/2024DELAWARE CODEC 23CF0TRUE$361.45$361.45$0.00CF GROUP MEDS
1584/5/2024DELAWARE COJAN 24CF0TRUE$317.55$317.55$0.00CF GROUP MEDS
1594/12/2024LAKE CONOV 23HEA0TRUE$500.37$287.48($212.89)HEA GROUP MEDS
1604/12/2024LAKE CODEC 23HEA0TRUE$696.99$151.30($545.69)HEA GROUP MEDS
1614/12/2024LAKE COOCT 23HEA0TRUE$2,449.56$1,576.67($872.89)HEA GROUP MEDS
1624/12/2024LAKE CODEC 23PAR0TRUE$44.40$44.40$0.00PAR GROUP MEDS
1634/12/2024LAKE COOCT 23CF0TRUE$1,990.13$1,558.65($431.48)CF GROUP MEDS
1644/12/2024LAKE CONOV 23PAR196904FALSE$25.86$25.86$0.00PAR MEDS
1654/12/2024LAKE CONOV 23CF0TRUE$735.81$505.99($229.82)CF GROUP MEDS
1664/12/2024LAKE CODEC 23CF0TRUE$9,025.25$8,567.23($458.02)CF GROUP MEDS
1674/12/2024LAKE COOCT 23PAR0TRUE$6.16$6.16$0.00PAR GROUP MEDS
1684/12/2024RANDOLPH COJAN 24CF0TRUE$60.76$60.76$0.00CF GROUP MEDS
1694/12/2024RANDOLPH CODEC 23CF0TRUE$617.34$617.34$0.00CF GROUP MEDS
1704/12/2024STEUBEN COJAN 24 #2CF297582FALSE$108.53$108.53$0.00CF MEDS
1714/12/2024STEUBEN CONOV 23CF0TRUE$278.69$148.69($130.00)CF GROUP MEDS/DENTAL
1724/12/2024STEUBEN COJAN 24 #3CF0TRUE$260.00$260.00$0.00CF GROUP DENTAL
1734/12/2024STEUBEN CODEC 23CF0TRUE$421.42$421.42$0.00CF GROUP MEDS/DENTAL
1744/12/2024STEUBEN COJAN 24 #3HEA0TRUE$390.00$390.00$0.00HEA GROUP DENTAL
1754/12/2024STEUBEN COJAN 24 #2HEA6/3/19890FALSE$144.51$144.51$0.00HEA MEDS
1764/12/2024STEUBEN CODEC 23HEA0TRUE$764.23$618.41($145.82)HEA GROUP MEDS/DENTAL
1774/12/2024STEUBEN CONOV 23HEA0TRUE$1,577.05$1,577.05$0.00HEA GROUP MEDS/DENTAL
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1905/10/2024DEKALB COFEB 24HEA0TRUE$184.50$74.67($109.83)HEA GROUP MEDS
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1925/10/2024DEKALB COFEB 24CF0TRUE$147.00$93.63($53.37)CF GROUP MEDS
1935/10/2024DEKALB CODEC 23CF0TRUE$159.30$159.30$0.00CF GROUP MEDS
1945/10/2024DEKALB COJAN 24CF0TRUE$378.15$378.15$0.00CF GROUP MEDS
1955/10/2024BARTHOLOMEW COJAN 24HEA0TRUE$621.87$245.10($376.77)HEA GROUP MEDS
1965/10/2024BARTHOLOMEW COFEB 24HEA0TRUE$770.29$189.91($580.38)HEA GROUP MEDS
1975/10/2024BARTHOLOMEW COJAN 24CF0TRUE$359.77$359.77$0.00CF GROUP MEDS
1985/10/2024BARTHOLOMEW COFEB 24CFTRUE$647.48$647.48$0.00CF GROUP MEDS
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2445/31/2024FAYETTE COFEB 24 #2CF0TRUE$201.51$201.51$0.00CF GROUP MEDS
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2636/14/2024NOBLE COFEB 24HEA0TRUE$364.86$344.04($20.82)HEA GROUP MEDS
2646/14/2024NOBLE COMAR 24 #2HEA0TRUE$125.81$76.98($48.83)HEA GROUP MEDS
2656/14/2024WHITLEY COFEB 24HEA0TRUE$355.00$355.00$0.00HEA GROUP DENTAL
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2676/14/2024NOBLE COMAR 24CF0TRUE$600.00$600.00$0.00CF GROUP DENTAL
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2706/14/2024NOBLE COMAR 24 #2CF0TRUE$8,807.93$8,807.93$0.00CF GROUP MEDS
2716/14/2024NOBLE COAPR 24CF0TRUE$146.98$146.98$0.00CF GROUP MEDS
2726/21/2024WABASH COJAN 24HEA0TRUE$67.34$67.34$0.00HEA GROUP MEDS/LABS
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2756/21/2024WABASH COMAR 24CF0TRUE$47.37$47.37$0.00CF GROUP MEDS
2766/21/2024FOUNTAIN COAPR 24HEA0TRUE$899.44$899.44$0.00HEA GROUP MEDS
2776/21/2024FOUNTAIN COFEB 24HEA0TRUE$13.79$6.40($7.39)HEA GROUP MEDS
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2806/21/2024FOUNTAIN COAPR 24CF0TRUE$211.65$183.29($28.36)CF GROUP MEDS
2816/21/2024DEARBORN COFEB 24CF0TRUE$88.38$88.38$0.00CF GROUP MEDS
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2836/28/2024DELAWARE COFEB 24 #2HEA0TRUE$98.25$98.25$0.00HEA GROUP MEDS
2846/28/2024DELAWARE COMAR 24 #2HEA0TRUE$109.32$109.32$0.00HEA GROUP MEDS
2856/28/2024DELAWARE COAPR 24HEA0TRUE$75.96$75.96$0.00HEA GROUP MEDS
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2886/28/2024FOUNTAIN COMAY 24HEA0TRUE$924.17$894.74($29.43)HEA GROUP MEDS
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2926/28/2024DELAWARE COAPR 24PAR0TRUE$70.95$70.95$0.00PAR GROUP MEDS
2936/28/2024DELAWARE COMAY 24PAR0TRUE$106.71$106.71$0.00PAR GROUP MEDS
2946/28/2024DELAWARE COMAY 24CF0TRUE$92.31$92.31$0.00CF GROUP MEDS
2956/28/2024DELAWARE COFEB 24CF0TRUE$88.53$88.53$0.00CF GROUP MEDS
2966/28/2024DELAWARE COMAR 24CF0TRUE$227.40$227.40$0.00CF GROUP MEDS
2976/28/2024DELAWARE COAPR 24CF0TRUE$96.96$96.96$0.00CF GROUP MEDS
2986/28/2024FOUNTAIN COMAY 24CF296539FALSE$27.91$27.91$0.00CF MEDS
2996/28/2024DECATUR CODEC 23CF275543FALSE12/27/2023$457.44$457.44$0.00CF ER/AMBULANCE
3006/28/2024DECATUR COFEB 24CF298496FALSE2/4/2024$125.71$125.71$0.00CF ER VISIT
3016/28/2024DECATUR COMAR 24CF298496FALSE3/3/2024$270.06$270.06$0.00CF ER/LABS/CT
3026/28/2024SWITZERLAND COJAN 24CF0TRUE$24.27$24.27$0.00CF GROUP MEDS
3036/28/2024SWITZERLAND COFEB 24CF0TRUE$65.10$65.10$0.00CF GROUP MEDS
3046/28/2024SWITZERLAND COMAR 24CF241953FALSE3/12/2024$12.84$12.84$0.00CF MEDS
3057/12/2024ST. JOSEPH COMAR 24CF0TRUE$68.26$68.26$0.00CF GROUP MEDS
3067/19/2024CLARK COSEPT 23 #2CF295700FALSE9/21/2023$1,564.00$1,564.00$0.00CF DENTAL EXT.
3077/26/2024JENNINGS COFEB 24HEA0TRUE$400.97$365.58($35.39)HEA GROUP MEDS/NURSE
3087/26/2024JENNINGS COMAR 24HEA0TRUE$217.54$0.00($217.54)HEA GROUP MEDS
3097/26/2024PERRY COAPR 24CF0TRUE$2,828.10$2,828.10$0.00CF GROUP MEDS
3107/26/2024PERRY COMAR 24CF0TRUE$1,420.53$1,420.53$0.00CF GROUP MEDS
3117/26/2024JOHNSON COFEB 24CF0TRUE$270.00$240.00($30.00)CF GROUP SICK CALLS/DENTAL
3127/26/2024JOHNSON CODEC 23 #2CF0TRUE$931.24$931.24$0.00CF GROUP MEDS
3137/26/2024JOHNSON COJAN 24CF0TRUE$330.00$330.00$0.00CF GROUP SICK CALLS/DENTAL
3147/26/2024JOHNSON COMAR 24CF0TRUE$600.00$450.00($150.00)CF GROUP SICK CALLS/DENTAL
3157/26/2024JOHNSON COAPR 24CF0TRUE$600.00$585.00($15.00)CF GROUP SICK CALLS/DENTAL
3167/26/2024JOHNSON COMAR 24HEA0TRUE$255.00$90.00($165.00)HEA GROUP SICK CALLS
3177/26/2024JOHNSON COFEB 24HEA0TRUE$105.00$90.00($15.00)HEA GROUP SICK CALLS
3187/26/2024JOHNSON CODEC 23 #2HEA0TRUE$77.25$77.25$0.00HEA GROUP MEDS
3197/26/2024JOHNSON COAPR 24HEA0TRUE$240.00$105.00($135.00)HEA GROUP SICK CALLS
3207/26/2024JOHNSON COJAN 24HEA0TRUE$135.00$120.00($15.00)HEA GROUP SICK CALLS
3218/2/2024LAKE COFEB 24HEA0TRUE$188.10$44.35($143.75)HEA GROUP MEDS
3228/2/2024LAKE COJAN 24 #2HEA0TRUE$231.93$38.80($193.13)HEA GROUP MEDS
3238/2/2024LAKE COMAR 24HEA0TRUE$1,283.42$1,246.57($36.85)HEA GROUP MEDS
3248/2/2024LAKE COMAR 24CF0TRUE$4,586.58$4,100.46($486.12)CF GROUP MEDS
3258/2/2024LAKE COJAN 24CF0TRUE$5,271.41$4,912.84($358.57)CF GROUP MEDS
3268/2/2024LAKE COMAR 24PAR178162FALSE3/3/2024$9.26$9.26$0.00PAR MEDS
3278/2/2024LAKE COFEB 24CF0TRUE$4,298.91$3,836.11($462.80)CF GROUP MEDS
3288/2/2024RANDOLPH COFEB 24CF0TRUE$56.34$56.34$0.00CF GROUP MEDS
3298/2/2024RANDOLPH COMAR 24CF298059FALSE3/19/2024$23.13$23.13$0.00CF MEDS
3308/9/2024CLINTON COMAR 24HEA0TRUE$62.57$62.57$0.00HEA GROUP MEDS
3318/9/2024CLINTON COAPR 24HEA0TRUE$29.90$29.90$0.00HEA GROUP MEDS
3328/9/2024CLINTON COFEB 24HEA0TRUE$116.76$100.74($16.02)HEA GROUP MEDS
3338/9/2024CLINTON COFEB 24CF0TRUE$1,390.47$1,390.47$0.00CF GROUP MEDS
3348/9/2024CLINTON COMAR 24CF0TRUE$261.13$261.13$0.00CF GROUP MEDS
3358/9/2024CLINTON COAPR 24CF0TRUE$169.57$169.57$0.00CF GROUP MEDS
3368/9/2024STEUBEN COMAR 24HEA0TRUE$381.01$251.01($130.00)HEA GROUP DENTAL/MEDS
3378/9/2024STEUBEN COAPR 24HEA0TRUE$123.72$123.72$0.00HEA GROUP MEDS
3388/9/2024STEUBEN COFEB 24HEA0TRUE$165.91$127.42($38.49)HEA GROUP MEDS
3398/9/2024STEUBEN COMAR 24CF0TRUE$793.05$663.05($130.00)CF GROUP MEDS
3408/9/2024STEUBEN COAPR 24CF0TRUE$187.81$187.81$0.00CF GROUP MEDS
3418/9/2024STEUBEN COFEB 24CF0TRUE$127.21$127.21$0.00CF GROUP MEDS
3428/9/2024DEKALB COAPR 24HEA0TRUE$157.74$57.99($99.75)HEA GROUP MEDS
3438/9/2024DEKALB COMAR 24HEA0TRUE$157.74$57.99($99.75)HEA GROUP MEDS
3448/9/2024DEKALB COAPR 24CF0TRUE$209.10$187.95($21.15)CF GROUP MEDS
3458/9/2024DEKALB COMAR 24CF0TRUE$137.94$91.35($46.59)CF GROUP MEDS
3468/9/2024DEKALB COMAR 24PAR128299FALSE$65.76$65.76$0.00PAR MEDS
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3488/9/2024BARTHOLOMEW COAPR 24PAR290083FALSE4/15/2024$8.75$8.75$0.00PAR MEDS
3498/9/2024BARTHOLOMEW COMAR 24CF0TRUE$641.92$641.92$0.00CF GROUP MEDS
3508/9/2024BARTHOLOMEW COAPR 24CF0TRUE$1,731.35$1,727.56($3.79)CF GROUP MEDS
3518/9/2024BARTHOLOMEW COMAR 24HEA0TRUE$136.12$100.23($35.89)HEA GROUP MEDS
3528/9/2024BARTHOLOMEW COAPR 24HEA0TRUE$1,992.31$1,360.88($631.43)HEA GROUP MEDS
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3548/9/2024FRANKLIN COAPR 24HEA0TRUE$77.37$65.97($11.40)HEA GROUP MEDS
3558/9/2024FRANKLIN COMAR 24HEA3/3/19610FALSE$82.55$0.00($82.55)HEA MEDS
3568/16/2024BOONE COAPR 24HEA0TRUE$611.35$405.69($205.66)HEA GROUP MEDS
3578/16/2024BOONE COAPR 24 #3CF298562FALSE4/18/2024$10.07$10.07$0.00CF MEDS
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3608/16/2024BOONE COAPR 24CF0TRUE$783.73$703.06($80.67)CF GROUP MEDS
3618/16/2024JAY COJAN 24HEA0TRUE$757.64$42.78($714.86)HEA GROUP MEDS
3628/16/2024JAY COFEB 24HEA0TRUE$729.89$14.37($715.52)HEA GROUP MEDS
3638/16/2024JAY COMAR 24HEA0TRUE$802.22$14.37($787.85)HEA GROUP MEDS
3648/16/2024JAY COJUNE 23CF0TRUE$594.96$114.74($480.22)CF GROUP EYE CARE/RAD EXAM
3658/16/2024JAY COJAN 24CF0TRUE$286.43$234.23($52.20)CF GROUP MEDS
3668/16/2024JAY COFEB 24CF0TRUE$204.71$204.71$0.00CF GROUP MEDS
3678/16/2024JAY COJAN 24 #2HEA0TRUE$405.00$0.00($405.00)HEA GROUP XRAY/ULTRASOUND
3688/16/2024JAY COMAY 23HEA11/21/19970FALSE$174.75$0.00($174.75)HEA DR VISITS
3698/16/2024HANCOCK COMAR 24CF0TRUE$150.63$150.63$0.00CF GROUP MEDS
3708/16/2024HANCOCK COMAR 24HEA0TRUE$358.29$358.29$0.00HEA GROUP LABS/ULTRASOUND/XRAY
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3728/16/2024HANCOCK COMAR 24 #2HEA0TRUE$363.04$363.04$0.00HEA GROUP MEDS
3738/23/2024WASHINGTON COAPR 24HEA0TRUE$90.03$27.75($62.28)HEA GROUP MEDS
3748/23/2024WASHINGTON COMAR 24HEA0TRUE$127.20$27.75($99.45)HEA GROUP MEDS
3758/23/2024WASHINGTON COFEB 24HEA0TRUE$48.06$0.00($48.06)HEA GROUP MEDS
3768/23/2024WASHINGTON COAPR 24CF0TRUE$141.80$116.03($25.77)CF GROUP MEDS
3778/23/2024WASHINGTON COMAR 24CF0TRUE$273.47$180.98($92.49)CF GROUP MEDS
3788/23/2024WASHINGTON COFEB 24CF229634FALSE2/21/2024$25.59$25.59$0.00CF GROUP MEDS
3798/23/2024ALLEN COFEB 24HEA0TRUE$377.41$377.41$0.00HEA GROUP MEDS
3808/23/2024ALLEN COMAR 24HEA0TRUE$413.41$413.41$0.00HEA GROUP MEDS
3818/23/2024ALLEN COAPR 24HEA0TRUE$260.70$249.63($11.07)HEA GROUP MEDS
3828/23/2024ALLEN COAPR 24CF0TRUE$7,741.54$7,678.74($62.80)CF GROUP MEDS
3838/23/2024ALLEN COMAR 24CF0TRUE$1,410.57$1,309.09($101.48)CF GROUP MEDS
3848/23/2024ALLEN COFEB 24CF0TRUE$306.59$306.59$0.00CF GROUP MEDS
3858/23/2024BROWN COMAR 24CF0TRUE$136.74$136.74$0.00CF GROUP MEDS
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