ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
1D |
D Claim Fund P1 |
Y230071 |
Y230071 |
ÿÿÿÿ |
1D |
Y230071 |
100.00 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
a |
Agent 3 || Agent 3 % |
G0000001 |
Y230071 |
ÿÿÿÿ |
a |
G0000001 |
54.55 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
c1 |
Dnt Comms P1 |
W0000081 |
Y230071 |
ÿÿÿÿ |
c1 |
W0000081 |
45.45 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
a |
Agent 3 || Agent 3 % |
W0000081 |
Y230071 |
ÿÿÿÿ |
a |
W0000081 |
45.45 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
A |
ADM/RSK PLN1 |
OPT002 |
Y230071 |
ÿÿÿÿ |
A |
OPT002 |
100.00 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
c1 |
Dnt Comms P1 |
G0000001 |
Y230071 |
ÿÿÿÿ |
c1 |
G0000001 |
54.55 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Medical |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
sp |
Stoploss Pln 1 |
OPT001 |
Y230071 |
ÿÿÿÿ |
sp |
OPT001 |
100.00 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Vision |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
V1 |
Vis Stoploss P1 |
OPT001 |
Y230071 |
ÿÿÿÿ |
V1 |
OPT001 |
100.00 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
E1 |
Dnt Admin P1 |
OPT002 |
Y230071 |
ÿÿÿÿ |
E1 |
OPT002 |
100.00 |
|
p |
|
000 |
ca87407e-be8f-403c-8f42-fe6454132fb2 |
Dental |
1 |
Y230071 |
Mokxa-Skip-Fullfillment |
ÿÿÿÿ |
202301 |
999999 |
D1 |
Dnt Stoploss P1 |
OPT001 |
Y230071 |
ÿÿÿÿ |
D1 |
OPT001 |
100.00 |
|
p |
|
000 |