DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1111 |
11/21/2017 |
Paid |
$14,709.80 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1112 |
11/21/2017 |
Paid |
$23,235.48 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
116 |
11/21/2017 |
Paid |
$52,985.30 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
118 |
11/21/2017 |
Paid |
$68,025.32 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1117 |
11/21/2017 |
Paid |
$690.46 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
115 |
11/21/2017 |
Paid |
$56,917.92 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
112 |
11/21/2017 |
Paid |
$272,671.66 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1118 |
11/21/2017 |
Paid |
$180.12 |
DO 5800 17110802603 |
n/a
|
Health/Hospitalization (Including Dental and Vision) |
1114 |
11/21/2017 |
Paid |
$36,144.08 |