DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
02/19/2013 |
Paid |
$8,460.55 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
02/19/2013 |
Paid |
$9,931.95 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
02/19/2013 |
Paid |
$83,344.30 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
02/19/2013 |
Paid |
$34,504.33 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
02/19/2013 |
Paid |
$16,647.84 |
DO 5800 13021108587 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
02/19/2013 |
Paid |
$6,327.02 |