DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
09/17/2015 |
Paid |
$23,798.40 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
09/17/2015 |
Paid |
$151,315.20 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
09/17/2015 |
Paid |
$10,105.44 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
09/17/2015 |
Paid |
$6,446.88 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
09/17/2015 |
Paid |
$31,133.28 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
09/17/2015 |
Paid |
$88.80 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
09/17/2015 |
Paid |
$15,362.40 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
09/17/2015 |
Paid |
$53,422.08 |
DO 5800 15091020296 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
09/17/2015 |
Paid |
$195.36 |