22d10475-0f97-4ea3-a530-593c011aa6b3 |
medical |
1 |
L240043 |
MOKXA_TEST_QICLINK_DIST_APRIL24_01 |
ÿÿÿÿ |
202404 |
999999 |
A |
ADM/RSK PLN1 |
AHF001 |
L240043 |
ÿÿÿÿ |
A |
AHF001 |
999999 |
100.00 |
|
p |
|
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
2 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
E2 |
Dnt Admin P2 |
AHF001 |
L990039 |
ÿÿÿÿ |
E2 |
AHF001 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
22d10475-0f97-4ea3-a530-593c011aa6b3 |
medical |
2 |
L240043 |
MOKXA_TEST_QICLINK_DIST_APRIL24_01 |
ÿÿÿÿ |
202404 |
999999 |
A2 |
ADM/RSK PLN2 |
AHF001 |
L240043 |
ÿÿÿÿ |
A2 |
AHF001 |
999999 |
100.00 |
|
p |
|
|
000 |
8de8ce65-c8d4-49e5-9759-1fb102fcd480 |
medical |
2 |
L240047 |
Mokxa_Welcome_Email_5-10 |
ÿÿÿÿ |
202209 |
999999 |
b2 |
Comm Pln 2 - sp |
G0211795 |
L240047 |
ÿÿÿÿ |
b2 |
G0211795 |
999999 |
50.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
4 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
4D |
D Claim Fund P4 |
L990039 |
L990039 |
ÿÿÿÿ |
4D |
L990039 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
1 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
c1 |
Dnt Comms P1 |
G0219334 |
L990039 |
ÿÿÿÿ |
c1 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
6 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
c6 |
Dnt Comms P6 |
G0219334 |
L990039 |
ÿÿÿÿ |
c6 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
6 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
b6 |
Comm Pln 6 - sp |
G0219334 |
L990039 |
ÿÿÿÿ |
b6 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
1 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
1D |
D Claim Fund P1 |
L990039 |
L990039 |
ÿÿÿÿ |
1D |
L990039 |
999999 |
100.00 |
|
p |
999999 |
|
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
vision |
6 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
ÿÿÿÿ |
202209 |
999999 |
e6 |
Vis Comms P6 |
G0219334 |
L990039 |
ÿÿÿÿ |
e6 |
G0219334 |
999999 |
100.00 |
|
p |
999999 |
|
000 |