22d10475-0f97-4ea3-a530-593c011aa6b3 |
medical |
1 |
L240043 |
MOKXA_TEST_QICLINK_DIST_APRIL24_01 |
ÿÿÿÿ |
202404 |
999999 |
1X |
Claim Fund Pln1 |
L240043 |
L240043 |
ÿÿÿÿ |
1X |
L240043 |
999999 |
100.00 |
|
p |
|
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
2 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
c2 |
Dnt Comms P2 |
G0219334 |
L990039 |
ÿÿÿÿ |
c2 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
8de8ce65-c8d4-49e5-9759-1fb102fcd480 |
medical |
1 |
L240047 |
Mokxa_Welcome_Email_5-10 |
ÿÿÿÿ |
202209 |
999999 |
1A |
Claim Fund Pln1 |
L100 |
L240047 |
ÿÿÿÿ |
1A |
L100 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
8de8ce65-c8d4-49e5-9759-1fb102fcd480 |
medical |
1 |
L240047 |
Mokxa_Welcome_Email_5-10 |
ÿÿÿÿ |
202209 |
999999 |
1X |
Claim Fund Pln1 |
L100 |
L240047 |
ÿÿÿÿ |
1X |
L100 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
vision |
2 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
e2 |
Vis Comms P2 |
G0219334 |
L990039 |
ÿÿÿÿ |
e2 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
vision |
5 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
e5 |
Vis Comms P5 |
G0219334 |
L990039 |
ÿÿÿÿ |
e5 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
22d10475-0f97-4ea3-a530-593c011aa6b3 |
medical |
2 |
L240043 |
MOKXA_TEST_QICLINK_DIST_APRIL24_01 |
ÿÿÿÿ |
202404 |
999999 |
2A |
Claim Fund Pln2 |
L240043 |
L240043 |
ÿÿÿÿ |
2A |
L240043 |
999999 |
100.00 |
|
p |
|
|
000 |
22d10475-0f97-4ea3-a530-593c011aa6b3 |
medical |
2 |
L240043 |
MOKXA_TEST_QICLINK_DIST_APRIL24_01 |
ÿÿÿÿ |
202404 |
999999 |
2X |
Claim Fund Pln2 |
L240043 |
L240043 |
ÿÿÿÿ |
2X |
L240043 |
999999 |
100.00 |
|
p |
|
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
vision |
4 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
4V |
V Claim Fund P4 |
L990039 |
L990039 |
ÿÿÿÿ |
4V |
L990039 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
5 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
b5 |
Comm Pln 5 - sp |
G0219334 |
L990039 |
ÿÿÿÿ |
b5 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |