DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
08/20/2015 |
Paid |
$150,711.36 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
08/20/2015 |
Paid |
$195.36 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
08/20/2015 |
Paid |
$31,008.96 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
08/20/2015 |
Paid |
$23,762.88 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
08/20/2015 |
Paid |
$15,326.88 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
08/20/2015 |
Paid |
$53,688.48 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
08/20/2015 |
Paid |
$10,052.16 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
08/20/2015 |
Paid |
$88.80 |
DO 5800 15081118571 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
08/20/2015 |
Paid |
$6,233.76 |