| Insured Name | Policy No | Payment Status | Claim No | Transaction No | In Payment Of | Payee Name | Summary Amount |
|---|---|---|---|---|---|---|---|
| SOK PANNHA (POTATO CORNER CAMBODIA) | PA/PPI/C-48748 |
Full Payment | CL/PA/PPI/3971 | CL/PA/PPI/3971-01 |
ACCIDENTAL MEDICAL EXPENSE | SREYNICH RIN | 173.24 |
| Account Code | Account Name | Debit | Credit |
|---|---|---|---|
111006 |
Claim Paid - PA | 173.24 | 0.00 |
660020 |
Amount due from/(TO)Reinsuranc | 69.30 | 0.00 |
115506 |
Claim Rec.Cam.Re- P.A | 0.00 | 34.65 |
114006 |
Claim Rec.Q.T Share- P.A | 0.00 | 34.65 |
660216 |
ABA - Collection Acct | 0.00 | 173.24 |