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