DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
111 |
09/21/2018 |
Paid |
$396,682.88 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1110 |
09/21/2018 |
Paid |
$32,245.76 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
09/21/2018 |
Paid |
$85,588.48 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
09/21/2018 |
Paid |
$82,372.48 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
119 |
09/21/2018 |
Paid |
$18,781.44 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1116 |
09/21/2018 |
Paid |
$687.45 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
113 |
09/21/2018 |
Paid |
$83,187.20 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1113 |
09/21/2018 |
Paid |
$63,830.29 |
DO 5800 18091315914 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1115 |
09/21/2018 |
Paid |
$2,154.01 |