| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| CHINA CONSTRUCTION MIDLAND (CAMBODIA) CO., LTD | CHC/PPI/C-1079 |
Full Payment | CL/CHC/PPI/21125 | CL/CHC/PPI/21125-01 |
OUT-PATIENT | THONGJI CLINIC | 104.00 |
| Account Code | Account Name | Debit | Credit |
|---|---|---|---|
111013 |
Claim Paid-Medical Exp. | 104.00 | 0.00 |
660020 |
Amount due from/(TO)Reinsuranc | 31.20 | 0.00 |
115513 |
Claim Rec.Cam.Re- Medical Exp | 0.00 | 31.20 |
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 | 104.00 |