DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
03/16/2017 |
Paid |
$15,100.06 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
03/16/2017 |
Paid |
$22,845.22 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
03/16/2017 |
Paid |
$29,179.44 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
03/16/2017 |
Paid |
$180.12 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
03/16/2017 |
Paid |
$69,706.44 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
03/16/2017 |
Paid |
$600.40 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
03/16/2017 |
Paid |
$271,140.64 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
03/16/2017 |
Paid |
$56,197.44 |
DO 5800 17030908304 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
03/16/2017 |
Paid |
$50,103.38 |