DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
07/20/2016 |
Paid |
$16,809.52 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
07/20/2016 |
Paid |
$66,199.03 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
07/20/2016 |
Paid |
$20,249.93 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
07/20/2016 |
Paid |
$196,080.28 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
07/20/2016 |
Paid |
$13,484.56 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
07/20/2016 |
Paid |
$40,892.39 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
07/20/2016 |
Paid |
$33,803.76 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
07/20/2016 |
Paid |
$277.08 |
DO 5800 16071316223 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
07/20/2016 |
Paid |
$115.45 |