DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
07/26/2017 |
Paid |
$22,815.20 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
07/26/2017 |
Paid |
$33,232.14 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
07/26/2017 |
Paid |
$15,010.00 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
07/26/2017 |
Paid |
$51,334.20 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
07/26/2017 |
Paid |
$69,015.98 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
07/26/2017 |
Paid |
$630.42 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
07/26/2017 |
Paid |
$273,242.04 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
07/26/2017 |
Paid |
$180.12 |
DO 5800 17071113402 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
07/26/2017 |
Paid |
$56,737.80 |