DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
08/28/2013 |
Paid |
$6,400.59 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
08/28/2013 |
Paid |
$8,544.63 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
08/28/2013 |
Paid |
$10,541.53 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
08/28/2013 |
Paid |
$84,489.89 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
114 |
08/28/2013 |
Paid |
$34,483.31 |
DO 5800 13081419322 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
117 |
08/28/2013 |
Paid |
$16,794.98 |