DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
12/22/2015 |
Paid |
$14,182.56 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
12/22/2015 |
Paid |
$306,770.22 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
12/22/2015 |
Paid |
$180.90 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
12/22/2015 |
Paid |
$49,711.32 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
12/22/2015 |
Paid |
$20,405.52 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
12/22/2015 |
Paid |
$62,699.94 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
12/22/2015 |
Paid |
$31,512.78 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
12/22/2015 |
Paid |
$108,142.02 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
12/22/2015 |
Paid |
$434.16 |