DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
03/23/2015 |
Paid |
$31,078.62 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
03/23/2015 |
Paid |
$62,012.52 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
03/23/2015 |
Paid |
$10,492.20 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
03/23/2015 |
Paid |
$110,312.82 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
03/23/2015 |
Paid |
$361.80 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
03/23/2015 |
Paid |
$307,168.20 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
03/23/2015 |
Paid |
$20,152.26 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
03/23/2015 |
Paid |
$46,599.84 |
DO 5800 15031210075 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
03/23/2015 |
Paid |
$144.72 |