| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| UM TOCH | PA/PPI/C-48823 |
Full Payment | CL/PA/PPI/3964 | CL/PA/PPI/3964-01 |
ACCIDENTAL MEDICAL EXPENSE | Chhoem Chaya | 52.50 |
| Account Code | Account Name | Debit | Credit |
|---|---|---|---|
111006 |
Claim Paid - PA | 52.50 | 0.00 |
660020 |
Amount due from/(TO)Reinsuranc | 15.75 | 0.00 |
115506 |
Claim Rec.Cam.Re- P.A | 0.00 | 15.75 |
114006 |
Claim Rec.Q.T Share- P.A | 0.00 | 0.00 |
660215 |
FTB-Claims Acc. | 0.00 | 52.50 |