| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| HONG SOPHARY | CHC/PPI/CR2-1009 |
Full Payment | CL/CHC/PPI/20685 | CL/CHC/PPI/20685-01 |
IN-PATIENT | Leang Theary | 496.50 |
| Account Code | Account Name | Debit | Credit |
|---|---|---|---|
111013 |
Claim Paid-Medical Exp. | 496.50 | 0.00 |
660020 |
Amount due from/(TO)Reinsuranc | 148.95 | 0.00 |
115513 |
Claim Rec.Cam.Re- Medical Exp | 0.00 | 148.95 |
113413 |
Claim Rec.Out FAC-Medical | 0.00 | 0.00 |
114013 |
Claim Rec.Q.T Share-Medical | 0.00 | 0.00 |
660215 |
FTB-Claims Acc. | 0.00 | 496.50 |