OI~tliLR hd0. c:1 ~3t~ C: L A :t t~1 t~ i-J t~J I~ A C: t: i:i l.1 I~ -t t:~ (:]n this the `3tlr d~t~~ 01- i'1:~rc~~ 1y"3.~, came on ti7 tie ci]nsidert~d the varia~_~s C;~.dlCllti and Acco~_~r~ts af3~:~in~>t I;k~r,r~ Co~_~r~,ty and the rario~_is tr~mmissi~n~~~,s' f"'reciri~ts, ~~~hicti claims ~in~~ acco~_ints approved for-• pcrymerrt o~_rt of General fic;r ~>.JJ,>~4:~'.~_j1, J~_try for ~1, 41k'~. ~'~k7, goad rand 1=jr,id~e I~c~p~zr,tment (~ddition~~l Regi ~tration ~= e e for ~1+L, ~3u~. J.'l, f--i re f'r~ot ec•t i on f or~ ~#~E+, ~~~8. 4?~~, Rot~d ancJ Eiridge for ~1E~, 176,::;x, tyo~_~nty i._.caw 1...il:rr-ar'y ~ro•r` ~~F7c.~7, p'~_tdlic Library for J;17, ~~~E+. ~`~, .J~_~veni le .:irate Aid F~_rnd for ~1`~£3. c, I~raftice `safety F~_~nd for ~4tS~+.:_,:_,, J•~_~venili= Intensive F'royram restate Aid t=~_irrd far ~~', 4~:~:. ~C~l'~, Indigent tJE~~:~ltti C:ar~e for X811. =+~, ;'1 Sc_hr,einer RoacJ -~r~_ist r'or ~=tc~Zi.4'_~k~, t~E-- 5t ate t=~_~nded - ~16tt-~ District F'r-•ahatiorr For ~1,~11~.6~i, ar~d ~i~7 State h=~_inded t~omm~..rnity Correct-ion<_; 1'c:,r` ~'r,:.~~k~;~. i~iG Un motion made by Commissioner Lai.~key, secondt,~:J by C:ammissior~er- Oehier, ti-~e Go~_~r-•t unanimously approved by a vote of 4-0-~~ to pay said C:laim_~ ar-tid Ac_c_o~_tnts, anti to inc:l~_~dc tree indigent Health Gare Pills for' •~>"i, 4:~£i. 7y and 9>1, 71~. ~i4. ~ DATE:02l05/93 DA T. P. A.. INC. ILY CHECK REGISTER BY FRIDAY FEBRUARY 5. 1993 REGISTER NUN$ER 246 GROUP PAGE: 4 r ~' CHECK NUM$ER CHECK DATE CLAIM NO SOC SEC N0 EMPLOYEE CLAIMANT PAY TO CHECK AMCUNT ^iiiiitiiiNiiiiYiiii/iiiiii^iitii YiiiitihiNWN/t//i/piiii0iiitU/YMiitipi/tiififitiitigiiigtUiti\\iii pi/iiiiiiiitii FUND: TPX-0024 6ROUPs TP1f-0024 KERR COUNTY , ~ 2030 02/05/93 NANUAI OTHER VOID .00 2032 2033 02/05/93 02/OS/93 VOUCHER PAYMENT VOUCHER PAYMENT st Y 0 C H K ~s ALAMO PHYSICIANS SERVICE 51D PETERSON MEM HOSPITAL .00 2$3.24 4.945.92 i ~, 5.,438.79 „i '~ :a ,~ ha h. I ,~ 'I ..i n ._ ~~~, •J ?~~~(( lr ~~ L .®m® Ry-Ron Inc. -~- THIRD PARTV ADMINISTRATOR T. P. A., INC. DATE 02/05/93 PROVIDER UOUpiER LISTING PAGE 1 lPV003} FOR PROUIQER: 74-2452361 AlAMO PHYSICIANS SERVICE FOR GROfJP: TPK-0024 KERB COIRiT~t SEQUENCE NO: 1 PATIENT CLAIM INCtRiRED COVERED TOTAL CLAIMANT DEP. N0. NO. FROM TO CHARGE PAID N BRANDON E 40188669110 9300188101 03/16/92 D3/16/92 80.0D 59.39 D DANZ E Q4201646/2 9300061210 11!08!92 11/08/92 58.OD 35.20 R KING E 00201800/2 9300069301 11/12/92 11/12!92 90.04 47.57 L KOLACEK E 00181212A0 9300188301 10/22/91 10122/91 82.OD b9.60 R RODRIGQEI E 0018968280 9300188201 44/05/92 04/05/92 130.OD 71.98 GROUP TOTAL: 440.OD 283.24 PROUIMER TOTAL: 440.OD 283.29 .~m® Ry-Ron Inc. -~ THIRD PARTY ADMINISTRATOR i. P. A., INC. DATE 02/03/93 PROVIDER UOUCNER LISTIM6 PAGE 1 (PU003~ FOR PROVIDER: 14-2557820 SID PETERSON MEfl NOSPITAL FOR iPK-QQ24 KERR COINtTY SEQUENCE NO: 2 PATIENT CLAIM INCURRED COVERED TOTAL C1.RIIIART - DEP. NO. ti0. FR011 TO CNAR6E PAID 6 CARTER E 237341 9300178103 12/01/92 13/13192 2939. b4 2939.b4 J MCCARRELL E 237897 9300114205 12/12/92 12/19/92 4852.35 ZQOb.28 6R0~ TOTAL: 7791.99 494S.9Z PROVIDER TOTAL: 1791.99 4945.92 _®m~ Ry-Ron Inc. THIRD PARTY ADMINISTRATOR T. P. A., INC. DATE 02/05/91 PROVIDER UOUClIER LISTIMC PAGE 1 iPU003) FOR PROVIDER: 4b5-42-4163 KEY ND, JtNiiN C FOR CROUP: TPK-0024 KERB COUNTY SEQUENCE N0: 3 PATIENT CLAId INCURRED COVERED TOTAL CLAIftANT DEP. N0. NO. FR011 TO CBARCE PAID =aor-assee~n-.azeeseesxzasa:=--~=---z----e--eae_--e---a:a~_ e.s..oe.e-.e-..se..oe-aa- L CLARK E 2b3390 9306104306 10l28/9Z t0/Z8/92 Sb.OD 41.57 J JEFFFRS E 262680 930DO66S08 t0l11l42 10lZ1l92 Sb.OD 47.57 A ONTIUEROS E 263960 930018b706 1tl03/92 t1/03l9Z 56.06 47.57 C IIALIKY E Zb2t10 9300075315 10/14!92 10!21/92 82.00 6b.9Z CROUP TOTAL: 130. DD 209.63 PROVIDER TOTAL: 250.Q4 209.63 ,_ ; y _ r>,1.,-r --~~.I.~F.r. . (v, F'~~'~~~ .IIM ''44V 4NEC~ CHECK NU~rSt~ i7A7E CtAtr; kQ; s ac ae GR+lUP NO 50~ SE N4 NP JYcF A xANT r T' CntC~ ~,.. .. __a aeaaer.axcxc caaeuee uea aaeaeaaaeeaeee eaveeer¢eaec eee_u...s ~"_:~ ~i~UU~ U74 K'ek'r Q;UNTY ¢r.eav sear aaac: ca es asa ¢aax as scar: rar:~-e^ze as ¢e ex e_ .¢¢z s=zacc__ 1035 fl211414~'i X336 02/19/43 Li~i6 UP T?z-aQ2+~' ~ ~ HA~a~AL oTN~k ' v~IC * - .04 j 1437 J2ilYl93 103t U7/1v193 70?~ G2119l93 ~~ l 4~ 3 TPr-002A 7PX-DD24 TPM-OD24 T~z-062g VOi, h a rfr'~,T 1'Cu hFk uAY~E'vT YCU.rE~ ~~aY ,~i _ YO~ChEP s'AY~ENF ~~ SL8TCIALS 5'C w °F~;; rFAn ^^u. ~ ! An T" ~_(. PSS,CiaTcS SIU ~6TfR5GN MeM ri~SP[7AL i ~ KS ,,~,la ~ 47,~c °'7 ~~~ I 1.~43.i@ j 715 k4 I' ~~ i~ < i ~ ~~ d ~~ ~i Di ~~ ~~ ++,, ~~r ~1 ~.i - "~ . "I I~b {{ ,.1 „~ .~~ I .,i ,. ~ --- ~,~. ~„, I,d ~"~ i,~' i~l ~ ,i ~„ -. `V 1~ ®m® Ry-Ron Inc. THIRD PART1 AD'~11`1STRATOR I.P.A. DATE 02/i9/93 PROVIDER VOUCHER LISTING PAGE t (PU003t FOR PROVIDER: 74-7174129 SPECI{ MD, FRED FOR GROUP: TPX-0024 I(ERR COUNTS SEQUENCE NO: 1 PATIENT CLAIM INCURRED COVERED TOTAL CLAIMANT DEP. N0. N0. FROM TO CNAR6F PAID 6 FLORA f 9300068913 12/29/92 12/29/92 70.00 42.19 GROUP TOTAL: 70.OD 42.19 PRWIDER TOTAL: 70.00 92.19 ~m~ Ry-Ron Inc. -- THIRD P.ARTI ~~D'~II\iSTRATOR T.P.A. DATE 02/i9/93 PROVIDER VOUCHER LISTING PAGE 1 tP0003? FOR PROVIDER: J4-1768500 NEANS MD, N A FOR GROUP: TPX-0029 NERR BOUNTY SEgl1ENCE M0: 2 PATIENT CLAMS INCURRED COVERED TOTAL CLAIMANT DEP. NO. N0. FRO1! TO CHARGE PAID R PIEPER E 9300002311 12/03/92 12/03/92 50.00 42.19 6R0(!P TOTAL: 50.00 42.19 PROiSIDER TOTAL: 50.00 9?.19 ®m® Ry-Ron Inc. THIRD PART1 ADM1i1NiSTRATOR T.P.A. DATE 02/19193 PROVIDER V4t1CNER LISTING PAGE i tPU043) fOR PROVIDER: 79-2018288 ANESTHESIA ASSOCIATES FOR GROUP: TPX-0024 f(ERR COUNTY SEQUENCE tiO: 3 PATIEKT GLAI11 INCURRED COVERED TOTAL CLAINAHT DEP. NO. N0. FROi{ TO CNARSE PAID E ORTE6S E 009918 9300119007 06/27/92 Ob/Z7/92 990.00 137.88 GROUP TOTAL: 990.00 137.88 PROVIDER TOTAL: 490.04 137.88 ~ © © Ry-Ron Inc. --- THIRD PARTI ADM1IINISTRATOR T.P.A. DATE 02/19/93 PROVIDER VOUCHER LISTING PAGE i tpp003} FOR PROVIDER= 74-2551820 SID PETERSON 8FM HOSPITAL FOR GROtD': TPX-0024 KERR COUNT4 SEQUENCE H0: 4 PATIENT CLAIM INCURRED COVERED TOTAL CLAIMANT DEP. HO. N0. FROM TO CHARGE PAID E ORTEGS E 336444 9300114008 06!21/92 09/08/92 1498.34 1443.58 6R~1P TOTAI: 149$.34 1493.58 PROVIDER TOTAL: 1498.34 1493.58