DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
06/20/2013 |
Paid |
$6,390.08 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
06/20/2013 |
Paid |
$8,492.08 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
06/20/2013 |
Paid |
$16,784.47 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
06/20/2013 |
Paid |
$34,556.88 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
06/20/2013 |
Paid |
$83,743.68 |
DO 5800 13061015485 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
06/20/2013 |
Paid |
$10,341.84 |