Claim Payment Vouchers

Voucher Details

Record ID

CPV No

Created By

Settle Date

Paid Amount

Payment For

Claims No (Transaction)

Amount in Words USD Sixty Nine and Thirty Cents Only

Claim Payment Information

Insured Name	Policy No	Payment Status	Claim No	Transaction No	In Payment Of	Payee Name	Summary Amount
MENGLY J. QUACH EDUCATION PLC.	`PA/PPI/C-48471`	Partial Payment	CL/PA/PPI/3962	`CL/PA/PPI/3962-01`	ACCIDENTAL MEDICAL EXPENSE	ORIENDA INTERNATIONAL HOSPITAL CO.,LTD.	69.30

Voucher Settings

Payment Mode

Bank Selection

Account Codes

Account Code	Account Name	Debit	Credit
`111006`	Claim Paid - PA	69.30	0.00
`660020`	Amount due from/(TO)Reinsuranc	55.44	0.00
`115506`	Claim Rec.Cam.Re- P.A	0.00	13.86
`114006`	Claim Rec.Q.T Share- P.A	0.00	41.58
`660215`	FTB-Claims Acc.	0.00	69.30