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    Inova Health System: 8110 Gatehouse Road, Ste 400w Falls Church, VA 22042 (703) 208-5985

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    Rammohan Pushadapu
    This document contains two check stubs issued by Inova Health System. The first is for $45,678,901.65 payable to Aetna. The second is for $193.89 payable to Anthem BC of Virginia. Both checks were issued on October 1, 2020 and include the check number, payment amount, and payee information.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Inova Health System: 8110 Gatehouse Road, Ste 400w Falls Church, VA 22042 (703) 208-5985

    Uploaded by

    Rammohan Pushadapu
    50 views2 pages
    This document contains two check stubs issued by Inova Health System. The first is for $45,678,901.65 payable to Aetna. The second is for $193.89 payable to Anthem BC of Virginia. Both checks were issued on October 1, 2020 and include the check number, payment amount, and payee information.

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    317318.pdf

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    This document contains two check stubs issued by Inova Health System. The first is for $45,678,901.65 payable to Aetna. The second is for $193.89 payable to Anthem BC of Virginia. Both checks were issued on October 1, 2020 and include the check number, payment amount, and payee information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    50 views2 pages

    Inova Health System: 8110 Gatehouse Road, Ste 400w Falls Church, VA 22042 (703) 208-5985

    Uploaded by

    Rammohan Pushadapu
    This document contains two check stubs issued by Inova Health System. The first is for $45,678,901.65 payable to Aetna. The second is for $193.89 payable to Anthem BC of Virginia. Both checks were issued on October 1, 2020 and include the check number, payment amount, and payee information.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    PAGE CHECK NO.

    CHECK DATE
    INOVA HEALTH SYSTEM
    Page 1 of 1 5021 10/01/2020
    8110 Gatehouse Road, Ste 400w
    Falls Church, VA 22042 VENDOR NAME
    (703) 208-5985 107842 - AETNA

    INVOICE NUMBER DESCRIPTION DATE P.O. NUMBER INVOICE AMOUNT DISCOUNT AMOUNT NET AMOUNT
    SGA PSV INS2 Test 09/30/20 $45,678,901.65 $0.00 $45,678,901.65

    Total $45,678,901.65

    BB&T 5021
    FALLS CHURCH, VIRGINIA 68-42
    514
    INOVA HEALTH SYSTEM
    8110 Gatehouse Road, Ste 400 W CHECK DATE CHECK NUMBER PAY THIS AMOUNT
    Falls Church, VA 22042 10/01/2020 5021 $***45,678,901.65
    (703) 208-5985

    FORTY-FIVE MILLION SIX HUNDRED SEVENTY-EIGHT THOUSAND NINE HUNDRED ONE DOLLARS AND
    PAY SIXTY-FIVE CENTS*****
    TO THE AETNA
    ORDER PO BOX 981543
    OF EL PASO, TX 79981 Authorized Signature

    C0000005021C A051404260A 5139313846C

    INOVA HEALTH SYSTEM


    8110 Gatehouse Road, Ste 400w
    Falls Church, VA 22042
    (703) 208-5985

    AETNA
    PO BOX 981543
    EL PASO, TX 79981

    Ref.No. 0000005021
    PAGE CHECK NO. CHECK DATE
    INOVA HEALTH SYSTEM
    Page 1 of 1 5022 10/01/2020
    8110 Gatehouse Road, Ste 400w
    Falls Church, VA 22042 VENDOR NAME
    (703) 208-5985 125339 - ANTHEM BC OF VIRGINIA

    INVOICE NUMBER DESCRIPTION DATE P.O. NUMBER INVOICE AMOUNT DISCOUNT AMOUNT NET AMOUNT
    176627223-6/24/2020 EPBT176627223 05/25/20 $193.89 $0.00 $193.89

    Total $193.89

    BB&T 5022
    FALLS CHURCH, VIRGINIA 68-42
    514
    INOVA HEALTH SYSTEM
    8110 Gatehouse Road, Ste 400 W CHECK DATE CHECK NUMBER PAY THIS AMOUNT
    Falls Church, VA 22042 10/01/2020 5022 $***193.89
    (703) 208-5985

    ONE HUNDRED NINETY-THREE DOLLARS AND EIGHTY-NINE CENTS*****


    PAY
    TO THE ANTHEM BC OF VIRGINIA
    ORDER 2015 STAPLES MILL ROAD
    OF PO BOX 27401 Authorized Signature
    RICHMOND, VA 23279

    C0000005022C A051404260A 5139313846C

    INOVA HEALTH SYSTEM


    8110 Gatehouse Road, Ste 400w
    Falls Church, VA 22042
    (703) 208-5985

    ANTHEM BC OF VIRGINIA
    2015 STAPLES MILL ROAD
    PO BOX 27401
    RICHMOND, VA 23279

    Ref.No. 0000005022

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