| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| CEVA AIR & OCEAN (CAMBODIA) CO.,LTD | CHC/PPI/CR4-1048 |
Full Payment | CL/CHC/PPI/21131 | CL/CHC/PPI/21131-01 |
OUT-PATIENT | TOUCH EARCHHUNG | 23.00 |
| Account Code | Account Name | Debit | Credit |
|---|---|---|---|
111013 |
Claim Paid-Medical Exp. | 23.00 | 0.00 |
660020 |
Amount due from/(TO)Reinsuranc | 6.90 | 0.00 |
115513 |
Claim Rec.Cam.Re- Medical Exp | 0.00 | 6.90 |
113413 |
Claim Rec.Out FAC-Medical | 0.00 | 0.00 |
114013 |
Claim Rec.Q.T Share-Medical | 0.00 | 0.00 |
660216 |
ABA - Collection Acct | 0.00 | 23.00 |