Laserfiche WebLink
WtrHIN6TON MEOICAID AND WASHINGTON BENEFIT PTANS FORTHE UNINSUREO BEHAMORAL HEAITH PROFISSIONAI. REIMBUNSEMENTSCHEOUTE <br />lakohorand/or <br />Dqktoke, <br />lNbbr <br />Mohcsn6 <br />l{-br <br />so hs sedN6 <br />l.!oblMG <br />hssmG 156,62 <br />lnoHMchssmrc <br />156.62 <br />lNrhl <br />rwo hs sfli€156,62 <br />lakohdandior <br />Dru8ktorc 15662 <br />lAkohdaid/o' <br />DrussNk6 15662 <br />Iaa@turA.d/o.D-sstok6 <br />1S661 <br />lakohdAnd/orDrucktoird <br />lAkohoraid/or <br />Drus!ruKB 1t662 <br />lAkddtud/o' <br />D-ck*"* <br />lN-h',wGhrsdc6 <br />fkdda'doeuk*k6 <br />19,29 <br />lNohr.we <br />h3sst- <br />19,29 <br />lAkddA"d/o.Drus$to(6 <br />rhban4o,D'q*frk, <br />t9.29 <br />lAkdd <br />and/o,orus*ermr <br />19.29 19.29 <br />H@0 lrobr.wGhBscdi(6 <br />79.29 19,r9 19,29 <br />@21 7,9L <br />112.96 <br />H@13 <br />112.96 r12,95 <br />112,95 <br />112,95 <br />I ^L^r^r .-rlD n- - r,-""1r <br />HH hkohol and/d o'us Prdentr <br />l^hhda"d/o D"-p,-.nn <br />n <br />lalmhol And/e tus Prd.nil <br />hL"h"r a"d/d D"- r,*"nr <br />-TffidGt.m-- <br />lrL^ri d^r/d ^--D..".ilr <br />37,5 <br />lAl@hol and/or D'rr Hodin. <br />lAlohol and/or D'uB Hodin. <br />IG lalohor And/or p'us Hodinc <br />lM."Dr!.irhr*.*-."r e N"*thdkbn <br />191.11 191.11 <br />031 191.11 191,11 191.11 <br />191.11 <br />m,12 <br />lMenhl H.aXh Sedc Phn D.Flopnent ry tron'Physkbn <br />loi Mddh.. admhlttbn DLatdieMton <br />ldiMdn,d""!/-i"*krb" D <br />I6 lNnhe. <br />-.,hbi. <br />lor <br />rhd,sus Add*dbtr Dtr*r obwrion <br />lcr <br />MdkilM adnmdE,b". DiR, dseMdon <br />lMedhiMrhhhsA.ds'ep.d, <br />p- r5 Mhd6 <br />9,32 <br />lMdkilbnrrd4Ad$Ded. <br />k s Mhdg <br />9.42 9,32