Submission Details

SUB-2024-1126-002

Recipient

Pfizer

Manufacturer

Total Claims

189

Total Value

$67,340

Flagged

0

Created

Nov 26, 2024

8:15 AM

Status

Ready

Claims in this Submission

Claim ID Contract Customer Amount Flag Status
CLM-2024-89246 SPA-JJ-2024-001 City Medical Center $2,567.89 - Approved
CLM-2024-89247 VOL-JJ-2024-003 Regional Health $890.00 - Approved
CLM-2024-89248 SPA-JJ-2024-002 Downtown Clinic $1,456.00 - Approved
CLM-2024-89249 SPA-JJ-2024-001 Westside Pharmacy $3,210.50 - Approved
CLM-2024-89250 VOL-JJ-2024-002 County General Hospital $7,890.25 - Approved

Showing 1-5 of 189 claims

All claims approved - ready to submit