711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
1 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
1X |
Claim Fund Pln1 |
Claim Funding |
0 |
999 |
195.59 |
625.87 |
469.40 |
371.61 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
vision |
6 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
6V |
V Claim Fund P6 |
Claim Funding |
0 |
999 |
8.46 |
27.07 |
20.30 |
16.07 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
6 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
b6 |
Comm Pln 6 - sp |
Commission Dollars to Agent(s) |
0 |
999 |
28.86 |
92.34 |
69.25 |
54.83 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
6 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
6D |
D Claim Fund P6 |
Claim Funding |
0 |
999 |
27.91 |
89.30 |
66.98 |
53.02 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
3 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
c3 |
Dnt Comms P3 |
Commission Dollars to Agent(s) |
0 |
999 |
3.55 |
11.35 |
8.51 |
6.74 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
2 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
2D |
D Claim Fund P2 |
Claim Funding |
0 |
999 |
27.91 |
89.30 |
66.98 |
53.02 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
medical |
1 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
A |
ADM/RSK PLN1 |
Admin, Sales and General Expenses |
0 |
999 |
171.82 |
549.81 |
412.36 |
326.45 |
n |
000 |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
711b148a-6ddc-48b6-a9ac-34c766877dcb |
dental |
1 |
L990039 |
10-20-ENDTOEND-AOR-CHANGE EVENT |
202209 |
999999 |
c1 |
Dnt Comms P1 |
Commission Dollars to Agent(s) |
0 |
999 |
3.55 |
11.35 |
8.51 |
6.74 |
n |
000 |
22d10475-0f97-4ea3-a530-593c011aa6b3 |
22d10475-0f97-4ea3-a530-593c011aa6b3 |
medical |
1 |
L240043 |
MOKXA_TEST_QICLINK_DIST_APRIL24_01 |
202404 |
999999 |
1A |
Claim Fund Pln1 |
Claim Funding |
0 |
999 |
143.99 |
547.15 |
431.97 |
359.97 |
n |
000 |
22d10475-0f97-4ea3-a530-593c011aa6b3 |
22d10475-0f97-4ea3-a530-593c011aa6b3 |
medical |
1 |
L240043 |
MOKXA_TEST_QICLINK_DIST_APRIL24_01 |
202404 |
999999 |
1X |
Claim Fund Pln1 |
Claim Funding |
0 |
999 |
143.99 |
547.15 |
431.97 |
359.97 |
n |
000 |