DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
06/23/2015 |
Paid |
$15,309.12 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
06/23/2015 |
Paid |
$71.04 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
06/23/2015 |
Paid |
$213.12 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
06/23/2015 |
Paid |
$23,372.16 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
06/23/2015 |
Paid |
$150,622.56 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
06/23/2015 |
Paid |
$5,789.76 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
06/23/2015 |
Paid |
$10,087.68 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
06/23/2015 |
Paid |
$30,955.68 |
DO 5800 15061115184 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
06/23/2015 |
Paid |
$53,883.84 |