DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
10/20/2016 |
Paid |
$40,707.67 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
10/20/2016 |
Paid |
$20,134.48 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
10/20/2016 |
Paid |
$115.45 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
10/20/2016 |
Paid |
$277.08 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
10/20/2016 |
Paid |
$196,565.17 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
10/20/2016 |
Paid |
$34,865.90 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
10/20/2016 |
Paid |
$18,241.10 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
10/20/2016 |
Paid |
$65,806.50 |
DO 5800 16101100971 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
10/20/2016 |
Paid |
$13,623.10 |