| 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/3897 | CL/PA/PPI/3897-01 |
ACCIDENTAL MEDICAL EXPENSE | Vanna Dary/Mao Ravuth | 126.10 |
| Account Code | Account Name | Debit | Credit |
|---|---|---|---|
111006 |
Claim Paid - PA | 126.10 | 0.00 |
660020 |
Amount due from/(TO)Reinsuranc | 100.88 | 0.00 |
115506 |
Claim Rec.Cam.Re- P.A | 0.00 | 25.22 |
114006 |
Claim Rec.Q.T Share- P.A | 0.00 | 75.66 |
660215 |
FTB-Claims Acc. | 0.00 | 126.10 |