Claim Payment Vouchers

Voucher Details

Record ID

CPV No

Created By

Settle Date

Paid Amount

Payment For

Claims No (Transaction)

Amount in Words USD Thirty One and Twenty Five Cents Only

Claim Payment Information

Insured Name	Policy No	Payment Status	Claim No	Transaction No	In Payment Of	Payee Name	Summary Amount
ROOM TO READ CAMBODIA	`CHC/PPI/C-1050`	Full Payment	CL/CHC/PPI/21178	`CL/CHC/PPI/21178-01`	OUT-PATIENT	CHHAM SREYNICH	31.25

Voucher Settings

Payment Mode

Bank Selection

Account Codes

Account Code	Account Name	Debit	Credit
`111013`	Claim Paid-Medical Exp.	31.25	0.00
`660020`	Amount due from/(TO)Reinsuranc	9.38	0.00
`115513`	Claim Rec.Cam.Re- Medical Exp	0.00	9.38
`113413`	Claim Rec.Out FAC-Medical	0.00	0.00
`114013`	Claim Rec.Q.T Share-Medical	0.00	0.00
`660216`	ABA - Collection Acct	0.00	31.25