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UWI HEALTH CENTRE

UWI
Mona
Kingston
CHEQUE DETAILS
GUARDIAN LIFE LIMITED - 001
Batch Id Date Claim No Member_ID Name Benefit Charged Copay Payable Fee Gct Total Reject Reason

Cheque Number: E1450554 11/30/18 12:00 AM


7260 20181126 0330200 5506-01-620077502-000 TONI-SHAE WILLIAMS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330201 5985-900-10005458-000 CYRIL WILLIAMS MINSURGERY 400.00 80.00 320.00 5.60 0.92 313.48 null

7260 20181126 0330202 5985-900-10005458-000 CYRIL WILLIAMS MINSURGERY 800.00 160.00 640.00 11.20 1.85 626.95 null

7260 20181126 0330203 5506-01-620096154-000 COBRINI DENTON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330204 5506-01-620085726-000 CLEONETTE THOMAS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330205 5985-137-10010574-000 MARK MITCHELL OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330206 5506-01-620113272-000 DACIAN WILSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330207 5506-01-620118205-000 SHANIQUE GRAHAM OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330208 5985-009-10033834-000 CLIVE EDWARDS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330209 5985-200-10030082-002 LEONARDO FRASER OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330211 5985-900-10007795-000 GRETEL THOMAS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330212 5985-900-10007795-000 GRETEL THOMAS LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181126 0330213 5506-01-620090036-000 RASHEDA CAMPBELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330214 5506-01-620053463-000 KEYSHA CHARLES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330215 5506-01-620096219-000 PINESHA ANGUS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330216 5985-008-10011844-000 GEORGE KERR OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

Page 1 of 17 Rep 004 -R2


7260 20181126 0330217 5506-01-620090921-000 RANDY GREAVES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330218 5985-900-10015005-000 LINFORD LEE MINSURGERY 400.00 80.00 320.00 5.60 0.92 313.48 null

7260 20181126 0330220 5985-220-10014635-000 ANNESHIA WELSH OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330221 5506-01-620072774-000 JODIAN MASON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330222 5506-01-620052870-000 MONIQUE KING MINSURGERY 800.00 0.00 800.00 14.00 2.31 783.69 null

7260 20181126 0330223 5985-242-10013891-001 TIANA STEELE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330224 5506-01-620067204-000 DENNEIVA DWYER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330225 5506-01-620098102-000 DENICKA BLACKWOOD PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330226 5985-325-10013360-000 JANICE BROWN-ROBERTS MINSURGERY 400.00 80.00 320.00 5.60 0.92 313.48 null

7260 20181126 0330227 5506-01-620061532-000 CORENT MCDONALD OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330228 5506-01-620117073-000 RHENA HEPBURN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330229 5506-01-416002620-000 YAN CATTOUSE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330230 5506-01-620120994-000 TASHA-GAYE MUNROE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330231 5506-01-620107075-000 CHRISHIKA WILLIAMS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330232 5985-302-10019230-003 BRIGETTE-ANN SENIOR OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330233 5985-252-10019096-001 ROSEMARIE JOHNSON- OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330234 5506-01-620099511-000 TASHA CAMPBELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330235 5506-01-620099511-000 TASHA CAMPBELL LAB 300.00 0.00 300.00 5.25 0.87 293.88 null

7260 20181126 0330236 5506-01-620107381-000 AALIYAH HAYNES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330237 5506-01-620110656-000 KELISHA STEWART OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330238 5506-01-620106101-000 RYAN PEDRO OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330239 5506-01-620107812-000 LORI LEWIN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330240 5985-261-10017613-000 CAMILLE MORRIS ROBINSON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330241 5506-01-620088727-000 DONESA TRAIL PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

Page 2 of 17 Rep 004 -R2


7260 20181126 0330242 5506-01-620111689-000 ARIELLE SAMPSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330247 5506-01-620052985-000 GLEASIA REID OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330248 5506-01-620100465-000 ROSHAE WILSON PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330249 5506-01-620107354-000 CHRISAN MARTIN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330250 5985-900-10007795-000 GRETEL THOMAS MEDICAL 600.00 120.00 480.00 8.40 1.39 470.21 null

7260 20181126 0330253 5506-01-620119526-000 SHAY-ANN RAYMOND PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330254 5506-01-620120869-000 AKILI DAVIDS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330255 5506-01-620067968-000 SHANICE WHITTER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330256 5506-01-620106915-000 HAILLE JOSEPH PSY_INIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330257 5506-01-620118976-000 TONI-ANN GAYLE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330258 5985-900-10011109-000 CAROL WILDMAN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330259 5985-175-10036483-000 EMILEE WATTS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330260 5506-01-620112672-000 AALIYAH GEORGE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330261 5506-01-620112672-000 AALIYAH GEORGE PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330262 5506-01-620066785-000 SOLENE WALKER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330263 5506-01-620066785-000 SOLENE WALKER LAB 300.00 0.00 300.00 5.25 0.87 293.88 null

7260 20181126 0330264 5506-01-620102473-000 NAKISA SEVERIN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330265 5506-01-620116202-000 SHAVEL SOARES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330266 5506-01-620106839-000 SHADISA CONNELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330267 5506-01-620085540-000 TITANIA WHITE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330268 5506-01-620107827-000 ROSHEL LEBERT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330269 5506-01-620057581-000 ARTNELL EBANKS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330270 5506-01-620096715-000 KRISTEN ST. BERNARD OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330271 5506-01-620079283-000 OPAL ELLIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 3 of 17 Rep 004 -R2


7260 20181126 0330272 5506-01-620097606-000 TAMRA-KAY MILLWOOD OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330273 5985-180-10018435-000 LEANORA EVELYN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330274 5506-01-620113628-000 CHEVAR NELSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330275 5506-01-620098463-000 SHAUNDRICE FOSTER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330276 5506-01-620099835-000 TASHALEE DIXON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330277 5985-082-10035285-001 MAKEDA ROMANETTI PSY_INIT 1,000.00 0.00 1,000.00 17.50 2.89 979.61 null

7260 20181126 0330278 5506-01-620081701-000 IMMANUEL WILLIAMS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330279 5506-01-620077043-000 ACKEEM STEVENS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330281 5506-01-620068459-000 TRISHANA KANNEH PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330282 5506-01-620100231-000 ADUNOLA OLURIN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330283 5506-01-620117652-000 ABIGAIL NANKOO OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330284 5506-01-620099730-000 TRICIAN REID OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330285 5506-01-620093405-000 DANIELLE JULES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330286 5506-01-620109754-000 ROLINDO FRANCIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330287 5985-008-10030267-000 ANGELA ROBINSON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330288 5506-01-620099730-000 TRICIAN REID LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181126 0330289 5506-01-620090767-000 OSHEEKA BUCHANAN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330290 5506-01-620089991-000 JHOMONE LESLIE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330291 5506-01-620087305-000 RYAN COUSINS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330292 5506-01-620118076-000 ANTANIEKA THOMAS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330293 5506-01-620066625-000 PRIYA ALEXANDER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330294 5985-369-10016071-000 HILARY ROBERTSON- OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181126 0330295 5506-01-620091624-000 KIAN BENNETT PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330296 5506-01-620096125-000 AMANDA MATTHEWS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 4 of 17 Rep 004 -R2


7260 20181126 0330297 5506-01-620085881-000 SANDRA DIAH OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330298 5506-01-620106465-000 JHANELLE POWELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330299 5506-01-620088567-000 MAJEL ROBERTS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330300 5506-01-620037278-000 KERRY-ANN POWELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330301 5506-01-607007453-000 RASHIDA WISDOM OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330302 5506-01-620084731-000 DEROS FRANK LAB 300.00 0.00 300.00 5.25 0.87 293.88 null

7260 20181126 0330303 5506-01-620073166-000 MYKEA BOVELL PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330304 5506-01-92113212-000 WINSTON FLETCHER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330305 5506-01-620111495-000 JHANELLE DOUGLAS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330306 5506-01-620084731-000 DEROS FRANK OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330307 5506-01-620071207-000 NATASHA WILLIAMS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181126 0330308 5506-01-620006585-000 ANDREW BURTON PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181126 0330309 5985-319-10012128-002 DEJAUGHN CAMPBELL OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330312 5506-01-620071515-000 SACHA OLIVER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330313 5506-01-620111878-000 ASHLEY WEDDERBURN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330314 5985-015-10017663-000 GLORIA WEBSTER OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330315 5506-01-620115411-000 SIMONE JOHNSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330316 5985-900-10005614-000 MIRIAM FORBES OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330317 5985-015-10017663-001 JADA WEBSTER OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330321 5506-01-620117988-000 TALITHA SMITH OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330322 5506-01-620077994-000 OSHIN MORRIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330323 5506-01-620123829-000 ZOE HALL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330324 5506-01-620070045-000 CHRISTAL ELLISTON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330325 5506-01-620075653-000 TRISHANA WRIGHT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 5 of 17 Rep 004 -R2


7260 20181127 0330326 5506-01-620087367-000 JERONIE SMITH OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330327 5506-01-620106219-000 STEPHANIE MURRAY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330328 5506-01-620112204-000 TANEISHA TURNER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330329 5506-01-620054204-000 ALEXIA NELSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330330 5985-158-10006967-000 FREDERICK FLEET OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330331 5506-01-620087324-000 SIMONE WINT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330337 5506-01-620120289-000 PRINCINA NEVINS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330338 5506-01-620107354-000 CHRISAN MARTIN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330339 5985-031-10019123-000 COURTNEY BRYCE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330340 5506-01-620086980-000 CHRISTOPHER MURRAY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330341 5506-01-620099816-000 CHEVONNE BEADLE PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330342 5985-220-10015429-000 VIVIENNE HARDING OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330343 5506-01-620090921-000 RANDY GREAVES PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330344 5985-060-10015389-000 BEVERLEY FINDLAY OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330345 5985-900-10005614-001 MICHAEL FORBES OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330346 5506-01-620123485-000 LEX-ANN HAUGHTON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330351 5506-01-620096409-000 TONI BOLTON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330352 5985-158-10013955-000 ANGELLA CAMPBELL OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330353 5506-01-620117061-000 ALEX HENRY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330354 5506-01-310100898-000 MERIDITH BLAKE OFFVISIT -350.00 0.00 -350.00 -6.13 -1.01 -342.86 CLAIM REVERSED

7260 20181127 0330354 5506-01-310100898-000 MERIDITH BLAKE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330355 5506-01-620099228-000 CHINELLE MILLER PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330357 5506-01-620118517-000 TECIA ROBB PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330358 5985-158-10006967-001 SHIRLEY THOMPSON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

Page 6 of 17 Rep 004 -R2


7260 20181127 0330359 5506-01-310100898-000 MERIDITH BLAKE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330360 5506-01-620071152-000 JUSTINE WILLIAMS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330361 5506-01-620092885-000 MARIE CAZI OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330362 5506-01-620115464-000 AMMA GYIMAH OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330363 5985-011-10015997-001 BERNARDO JOHNSON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330364 5506-02-620040100-000 MICHAEL MCPHERSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330365 5506-01-620093144-000 AMIR MOHAMMED OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330368 5506-01-620096901-000 TANNECIA SIMMONDS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330369 5506-01-620078953-000 TERRY THOMPSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330370 5985-292-10019380-000 NICKESHA LEVENE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330371 5985-114-10031052-000 KATHI-ANN THOMAS PSY_INIT 1,000.00 0.00 1,000.00 17.50 2.89 979.61 null

7260 20181127 0330372 5506-01-620106897-000 DENEAL DALEY MINSURGERY 1,200.00 0.00 1,200.00 21.00 3.47 1,175.53 null

7260 20181127 0330373 5985-900-10008218-000 VIOLET WALLEN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330374 5506-01-620118941-000 ALEYAH GRAHAM OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330375 5506-01-620117196-000 KELLY-ANN DIXON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330376 5985-372-10014124-001 MARISKA PINNOCK OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330377 5506-02-620108432-000 SHANOI CARTER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330378 5985-220-10015429-000 VIVIENNE HARDING PSY_INIT 1,000.00 0.00 1,000.00 17.50 2.89 979.61 null

7260 20181127 0330379 5506-01-620120918-000 ADRIA DALEY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330380 5985-173-10011622-000 BRIAN RHULE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330381 5985-138-10036226-000 JANET BROWN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330382 5506-01-620078793-000 TOURAINE OWEN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330383 5506-01-620106471-000 SHANICE WHYTE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330384 5985-252-10033124-002 YASMEEN SHAIKH OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

Page 7 of 17 Rep 004 -R2


7260 20181127 0330385 5506-01-620071220-000 CAPRIAL BARNETT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330387 5506-01-814004851-000 KOURDELL POWELL PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330388 5985-008-10013747-004 CHAMOYA THOMAS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330389 5506-01-620096049-000 SAUNJAE LEWIS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330390 5506-01-620120512-000 TASHAE DOWNER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330391 5506-01-620110250-000 ZADIAN RHODEN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330392 5506-01-620110250-000 ZADIAN RHODEN MEDICAL 600.00 120.00 480.00 8.40 1.39 470.21 null

7260 20181127 0330393 5506-01-620105574-000 MICHELLE HUNTER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330394 5506-01-620112993-000 RACQUEL GOODRIDGE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330395 5506-01-620075658-000 TASHEEKA MOULTON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330396 5985-009-10015508-000 PHILLIP BAILEY OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330397 5985-009-10015508-000 PHILLIP BAILEY LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181127 0330398 5985-053-10015481-001 AVEANNA VENAIR OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330399 5506-01-620086663-000 STEPHANIE LEWIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330400 5506-01-620085574-000 SARENA BENT PSY_INIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330401 5985-127-10011405-001 LODIAN BROWN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330402 5506-01-620077513-000 KRYSTAL GOODEN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330403 5506-01-620117545-000 ANDRENE BLACKWOOD OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330404 5506-01-620086458-000 WINOA GORDON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330405 5506-01-620090049-000 DAVID SAVAGE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330406 5506-01-620090049-000 DAVID SAVAGE MEDICAL 600.00 120.00 480.00 8.40 1.39 470.21 null

7260 20181127 0330407 5506-01-620116968-000 LUCAS HOWARD OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330408 5985-252-10037075-000 TASHAY WHITE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330409 5506-01-620117239-000 LAURA-LEE SEALES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 8 of 17 Rep 004 -R2


7260 20181127 0330410 5506-01-620089363-000 TAGET FRAZER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330411 5953-01-406103-000 TERRY-ANN HUNTER OFFVISIT 2,000.00 200.00 1,800.00 31.50 5.20 1,763.30 null

7260 20181127 0330412 5506-01-620088885-000 PETURA PARCHMENT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330413 5506-01-620101396-000 DANIELLE PALMER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330414 5506-01-620101396-000 DANIELLE PALMER LAB 300.00 0.00 300.00 5.25 0.87 293.88 null

7260 20181127 0330415 5506-01-620115699-000 CHRISTOPHER STEWART PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330416 5985-292-10019380-000 NICKESHA LEVENE PSY_INIT 1,000.00 0.00 1,000.00 17.50 2.89 979.61 null

7260 20181127 0330417 5506-01-620120058-000 TENESHA SIMPSON-WILSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330418 5506-01-620118149-000 PHILLIP LLEWELLYN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330419 5506-01-620091474-000 ROBYN EDWARDS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330420 5506-01-620102000-000 JADENE SMITH OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330421 5506-01-620112038-000 ISHENA CAMPBELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330422 5506-01-620106563-000 VENESSA HALLIDAY PSY_INIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330423 5985-088-10034892-001 JORDON WRIGHT-BAKER OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330424 5985-250-10016063-000 STACEY GREEN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330425 5985-250-10016063-001 SHAHID GIVANS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330426 5953-01-406103-000 TERRY-ANN HUNTER MEDICAL 700.00 140.00 560.00 9.80 1.62 548.58 null

7260 20181127 0330427 5985-252-10033618-000 ANTOINETTE PRYCE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181127 0330428 5506-01-620118340-000 MOYA GRAHAM OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330429 5506-01-620109542-000 YASHIKA GRAHAM PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181127 0330430 5506-01-620121236-000 IYHANA MATTIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330432 5506-01-620100119-000 ALECIA CLARKE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330435 5506-01-620085672-000 KARLENE GRAY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330436 5506-01-620121236-000 IYHANA MATTIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 9 of 17 Rep 004 -R2


7260 20181127 0330437 5506-01-620088385-000 NICKAY ALLEN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181127 0330438 5506-01-620081171-000 DEAN NANTON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330441 5985-090-10019852-002 ANYA WEDDERBURN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330442 5506-01-620097973-000 SHIREKE TYNDALE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330445 5506-01-620085575-000 KAYANN FULLER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330446 5506-01-620097427-000 SARA WIGGAN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330449 5985-900-10012571-001 ALWYN WELLINGSTON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330450 5985-900-10012571-001 ALWYN WELLINGSTON LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181128 0330451 5985-900-10015005-000 LINFORD LEE MINSURGERY 400.00 80.00 320.00 5.60 0.92 313.48 null

7260 20181128 0330452 5985-047-10011917-000 MARJORIE BOLERO- OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330453 5506-01-620012732-000 MARTINA MCDERMOTT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330454 5506-01-620117466-000 ANNA-LISA TAYLOR OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330455 5506-01-620109780-000 ONEILIA PARKER PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330456 5506-01-620086640-000 SHANIQUE MULLINGS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330457 5506-01-620110229-000 PETRIENA VIDAL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330458 5506-01-620109745-000 KADIAN EDWARDS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330459 5506-01-620102738-000 SHIE-ANN LAWRENCE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330460 5506-01-620102738-000 SHIE-ANN LAWRENCE LAB 300.00 0.00 300.00 5.25 0.87 293.88 null

7260 20181128 0330461 5985-175-10012797-000 ANDREA BROWN-DENNIS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330462 5985-111-10033636-000 BARRINGTON DAVIS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330463 5985-252-10010304-000 YVONNE BAILEY OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330464 5985-111-10033636-000 BARRINGTON DAVIS LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181128 0330465 5985-042-10035468-000 SHELDON RHODEN MINSURGERY 1,200.00 240.00 960.00 16.80 2.77 940.43 null

7260 20181128 0330466 5506-01-620114311-000 CHRISTIAN HARRISON PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

Page 10 of 17 Rep 004 -R2


7260 20181128 0330467 5506-01-620039761-000 CHRISTINE BROADBELT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330469 5506-01-620111418-000 MIA JORDAN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330470 5506-01-620089482-000 JANISE BAUGH OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330471 5506-01-620091305-000 KIMBERLEY THOMPSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330472 5506-01-620089920-000 TANATSWA MUSHONGA PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330473 5985-189-10013394-000 MONICA WINT OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330474 5506-01-2026706-000 TRISHANA GREEN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330475 5506-01-620090106-000 JUVANNA DANIEL PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330477 5506-01-620110330-000 SASHA-KAY LEVY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330480 5506-01-620087349-000 CHIVANNA TAYLOR OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330481 5985-900-10014239-000 OUIDA LEWIS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330483 5506-01-620096709-000 DELANO ELLIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330484 5506-01-620043748-000 ANDRIENA CAMPBELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330485 5506-01-620067356-000 JOEY LOUNDS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330486 5985-125-10030562-000 ANGELLA SCOTT OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330487 5506-01-620070284-000 SHELLIAN COWAN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330488 5506-01-620114173-000 RENEE STODDARD OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330489 5985-088-10007279-000 BARRINGTON JACKSON MINSURGERY 400.00 80.00 320.00 5.60 0.92 313.48 null

7260 20181128 0330490 5506-01-620107416-000 DANEILLE DAVIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330491 5985-900-10012276-000 GWENDOLYN MCLARTY LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181128 0330492 5506-01-620118383-000 TASHIEKA HART OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330494 5985-042-10035468-000 SHELDON RHODEN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330495 5985-900-10018498-000 GIDDELTINE SCOTT OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330496 5985-900-10018498-000 GIDDELTINE SCOTT LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

Page 11 of 17 Rep 004 -R2


7260 20181128 0330497 5506-01-620093741-000 BRANDON SULLIVAN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330498 5985-252-10019368-000 SIMONE HARRISON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330499 5506-01-620116460-000 VALENTINA-PAT OBIAHU OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330500 5506-01-620103738-000 MAKAYLIA SPENCE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330501 5506-01-620089821-000 ROSHELLE PALMER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330502 5985-900-10006169-000 WINSTON GARVEY OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330503 5506-01-620121057-000 MICHAELA MCLAGGON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330504 5506-01-620109707-000 SHANTAL RANDON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330505 5506-01-620056148-000 SHANESE ROWE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330506 5506-01-620105909-000 RICKCARDO MITCHELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330507 5985-131-10018742-000 JOVAUGHN NEIL OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330508 5506-01-620082491-000 CHEYENNE SAMUDA OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330510 5506-01-620089518-000 EMMARIE WALDRON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330512 5506-01-620089848-000 CHANTAE GARTH OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330513 5506-01-620106451-000 SHANICE MORRISON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330514 5506-01-620117755-000 AUNDRE HAYNES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330515 5506-01-620119964-000 JENELL JAMES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330516 5506-01-620110728-000 SHEMAR THOMPSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330517 5506-01-620106306-000 ZIDANE THOMAS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330518 5506-01-620086888-000 JHENELLE LEVEL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330519 5506-04-220017093-000 ROCHELLE HAYNES PSY_INIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181128 0330521 5506-01-620107668-000 PETASHAY HARVEY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330523 5506-01-620119977-000 OSSANI BROOKS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330524 5506-01-620089252-000 KHADEGRAH WILLIAMS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 12 of 17 Rep 004 -R2


7260 20181128 0330525 5506-01-620089252-000 KHADEGRAH WILLIAMS MEDICAL 700.00 140.00 560.00 9.80 1.62 548.58 null

7260 20181128 0330526 5506-04-220018152-000 ASHLEY SINCLAIR OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330527 5506-01-620091484-000 ALECIA SPENCE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330528 5506-01-607005216-000 ELTON WALKER PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330529 5506-01-4075966-000 LAURENE WARD PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330530 5506-01-620110899-000 BRANDON PLUMMER PSY_FU 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330531 5506-01-620076998-000 TAMICKA SILEY PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330532 5506-01-620096400-000 ANTONEIL DINNALL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330533 5506-01-620096400-000 ANTONEIL DINNALL MEDICAL 600.00 120.00 480.00 8.40 1.39 470.21 null

7260 20181128 0330534 5506-01-620104431-000 MARVIN JENNINGS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181128 0330535 5506-01-620107143-000 RUTH-ANN ROBERTS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330537 5985-245-10017232-000 DENESE FRANCIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181128 0330538 5506-01-620100646-000 DANIELLE DAVIS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330541 5985-014-10010251-000 SANDRA COLE- RICHARDS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330542 5985-014-10010251-000 SANDRA COLE- RICHARDS LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181129 0330543 5985-180-10012816-000 CHRISTINE MOSELEY- OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330544 5985-900-10005458-000 CYRIL WILLIAMS MINSURGERY 400.00 80.00 320.00 5.60 0.92 313.48 null

7260 20181129 0330545 5506-01-620037737-000 VICKESHA ALLEN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330546 5506-01-620111878-000 ASHLEY WEDDERBURN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330547 5985-219-10017569-000 MARLENE DUNCAN-MORANT OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330548 5985-283-10011569-000 NORENE CLEMETSON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330549 5985-032-10018002-000 MARYLYN WRIGHT OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330550 5985-900-10013894-000 MICHAEL SMITH OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330551 5506-01-620102794-000 KRISTONNIA STUBBS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 13 of 17 Rep 004 -R2


7260 20181129 0330553 5985-152-10017644-000 ANDREA LEVY OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330554 5506-01-620081562-000 TAJNIC HIGGINS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330555 5985-102-10030929-000 KEVROY LINDO OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330556 5985-066-10017291-000 PAMELLA BLACKWOOD OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330557 5506-01-620035941-000 LAVONNE HARRIS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330558 5506-01-620100149-000 ABIGAIL HARLEY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330559 5985-327-10030096-000 JAMEEL GREGORY OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330560 5985-900-10003941-000 KATHLEEN THOMAS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330562 5985-033-10013319-000 CLIVE RUSSELL OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330563 5985-900-10009155-000 OLGA THOMAS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330564 5985-900-10009155-000 OLGA THOMAS LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181129 0330565 5506-01-620070084-000 DANIELLE ALLEN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330566 5985-220-10030742-000 ANTOINETTE SPENCER OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330567 5985-219-10030761-000 CLYDE MILLER OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330568 5506-01-620100119-000 ALECIA CLARKE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330569 5506-01-620119663-000 AMOYA EDWARDS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330570 5985-900-10008559-000 KENUTE RUSSIE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330571 5985-900-10008559-000 KENUTE RUSSIE LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181129 0330575 5985-220-10030742-000 ANTOINETTE SPENCER MEDICAL 600.00 120.00 480.00 8.40 1.39 470.21 null

7260 20181129 0330576 5506-01-620112029-000 TORREAN SHIELDS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330577 5506-01-620068364-000 LOQUCHER PARKES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330581 5985-331-10005939-000 ARTHUR MCBEAN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330582 5506-01-620111878-000 ASHLEY WEDDERBURN OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330583 5985-060-10014337-000 CHRISTINE MONTAGUE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

Page 14 of 17 Rep 004 -R2


7260 20181129 0330584 5985-114-10036208-000 MARSHA-GAYE WRIGHT OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330585 5985-900-10010781-000 AINSLEY MOHORN OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330586 5506-01-620099606-000 KRISTOFF ADAMS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330587 5506-01-620122739-000 LOREAL WILSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330588 5506-01-620105963-000 SHANIQUE POWELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330588 5506-01-620105963-000 SHANIQUE POWELL OFFVISIT -350.00 0.00 -350.00 -6.13 -1.01 -342.86 CLAIM REVERSED

7260 20181129 0330589 5506-01-620108564-000 CASHEDA MILLER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330591 5506-01-620053749-000 TASHANIQUE WILSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330592 5506-01-620118455-000 OLIVENA THOMAS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330593 5506-01-620105963-000 SHANIQUE POWELL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330594 5506-01-620091484-000 ALECIA SPENCE PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330595 5506-01-620110307-000 KEVAR HALSTEAD OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330596 5506-01-620063549-000 ANDRE WYNTER PSY_INIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330597 5985-090-10012792-000 PAULINE WILLIAMS MENNS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330599 5985-283-10009783-000 RHONA ROOKWOOD OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330602 5506-01-620073608-000 ELONDE CLARKE PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330603 5506-01-620107143-000 RUTH-ANN ROBERTS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330604 5506-01-620082674-000 ABIGAIL JONES PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330605 5985-175-10036435-000 HEATHER SILVERA PSY_INIT 1,000.00 0.00 1,000.00 17.50 2.89 979.61 null

7260 20181129 0330606 5985-072-10016814-000 FIONA PORTER LAB 300.00 60.00 240.00 4.20 0.69 235.11 null

7260 20181129 0330608 5506-01-620101901-000 OLIVIA HEDGE PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330609 5506-01-620118047-000 SACHIA THOMAS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330610 5506-01-620098147-000 CELINE STEWART OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330612 5985-350-10003666-001 LOIS KIRTON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

Page 15 of 17 Rep 004 -R2


7260 20181129 0330613 5985-103-10018500-000 LATOYA SAUNDS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330614 5506-01-620110742-000 BRITTANEY BAILEY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330615 5506-01-620087345-000 KEDESHA JAMES OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330616 5506-01-620098256-000 AKEEM SAUNDERS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330617 5506-01-620108238-000 TASSAN STEWART OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330618 5506-01-620041677-000 SHANNAY YOUNG OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330619 5985-319-10036843-000 NICOLA DAVIS OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330620 5506-01-620087579-000 ABIGAY WILSON OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330621 5506-01-620076173-000 DEVASYA JARRETT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330622 5985-053-10015481-000 SINCLAIR VENAIR OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330623 5506-01-620086850-000 SHANDAY DAVIS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330624 5506-01-620108564-000 CASHEDA MILLER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330625 5506-01-620092467-000 SASHAWNNA BENNETT OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330626 5506-01-620118008-000 SHANILLE MILLER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330627 5506-01-620080191-000 SHENICE MILLER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330628 5506-01-620106072-000 SABRINA DALEY OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330629 5506-01-620113122-000 TICHELLE MORRIS PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330631 5506-01-620112377-000 SHANEICE GRANT PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330632 5506-01-620108539-000 YONEITA WHYTE OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330633 5506-01-620064964-000 KANDYCE BROWN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330634 5506-04-220018403-000 DELORES YARNALL OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330635 5506-01-6002845-000 JANIQUE BALDWIN PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330636 5506-01-620121801-000 GILDA CHARLES PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

7260 20181129 0330637 5506-01-620119817-000 DAVELLE PHILLIPS OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

Page 16 of 17 Rep 004 -R2


7260 20181129 0330638 5506-01-620086312-000 KEMAR MCGROWDER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330639 5985-325-10014167-000 ANDREA RHULE OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330640 5506-01-620099992-000 TANGENI TURNER OFFVISIT 350.00 0.00 350.00 6.13 1.01 342.86 null

7260 20181129 0330642 5985-325-10037700-000 SATHIONA FERGUSON OFFVISIT 1,500.00 0.00 1,500.00 26.25 4.33 1,469.42 null

7260 20181129 0330643 5506-01-620110264-000 INKATEEN TOMLINSON PSY_INIT 500.00 0.00 500.00 8.75 1.44 489.81 null

Totals for Cheque number: E1450554 249,450.00 2,620.00 246,830.00 4,320.53 712.31 241,797.16

Totals for: UWI HEALTH CENTRE 249,450.00 2,620.00 246,830.00 4,320.53 712.31 241,797.16

Received By:

Name :

Signature :

Page 17 of 17 Rep 004 -R2