HomeMy WebLinkAbout316291 9/26/2017 9,,,C�M4
*� CITY OF CARMEL, INDIANA VENDOR: 370269
ONE CIVIC SQUARE ZIRMED CHECK AMOUNT: $*******224.45*
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CARMEL, INDIANA 46032 1311 SOLUTIONS CENTER CHECK NUMBER: 316291
MiroN- CHICAGO IL 60677-1311 CHECK DATE: 09/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4355200 614633 224.45 SUBSCRIPTIONS
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INVOICE Date 9/13/2017
I
R NED Invoice# 614633
Account# 125191
www.ZINMEO.com For overnight or Due Date 10/13/2017
correspondence ONLY: Customer PO#
Invoice questions?Please call(877)494-7633
option 4 ZirMed, Inc.
Attn: Accounting Dept
Email:billinginquiry@zirmed.com 888 W.Market St., Ste 400
Louisville, KY 40202 Amount Paid
Customer Support or Sales:(877)494-7633
Bill To PLEASE REMIT ONLY PAYMENTS
City of Carmel Fire Department TO THE FOLLOWING:
2 Civic Square ZirMed Inc.
Carmel IN 46032 1311 Solutions Center
Chicago, IL 60677-1311
. . : .. Will
125191 f Zirmed 614633 9/13/2017; 10/13/2017
Monthly Professional Claims Management Fee 1 99.00 i 99.00
Paper Professional Claims Filed Previous Month 1 0.45 0.45
Monthly Eligibility System Access Fee 1 100.00 100.00
Monthly Remittance Advice Access Fee 1 25.00 ! 25.00 j
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Invoice Total i $224.45 f
j 224.45 0.00 0.00 0.00 _ e: 0.00 I $224.45
Would you like your invoice via email? Please email billinginquiry@zirmed.com