DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
08/20/2015 |
Paid |
$31,223.34 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
08/20/2015 |
Paid |
$12,699.18 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
08/20/2015 |
Paid |
$180.90 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
08/20/2015 |
Paid |
$20,477.88 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
08/20/2015 |
Paid |
$109,372.14 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
08/20/2015 |
Paid |
$48,408.84 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
08/20/2015 |
Paid |
$63,170.28 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
08/20/2015 |
Paid |
$307,023.48 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
08/20/2015 |
Paid |
$397.98 |