DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
12/22/2015 |
Paid |
$30,778.08 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
12/22/2015 |
Paid |
$88.80 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
12/22/2015 |
Paid |
$24,402.24 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
12/22/2015 |
Paid |
$15,468.96 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
12/22/2015 |
Paid |
$53,084.64 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
12/22/2015 |
Paid |
$6,961.92 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
12/22/2015 |
Paid |
$150,587.04 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
12/22/2015 |
Paid |
$10,016.64 |
DO 5800 15121404774 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
12/22/2015 |
Paid |
$213.12 |