03/29/2007 |
MD Example PLLC |
|
MD Example PLLC / Xeni Financial |
Claims Submission: |
||||||||||||
|
Claim ID |
Date |
Billed |
Fee |
Expected |
Loan |
Activity |
Reserve |
MW |
Debits |
Credits |
Balance |
CIGNA |
||||||||||||
|
38474A |
2/16/2007 |
2,970.00 |
972.69 |
972.69 |
0.00 |
0.00 |
0.00 |
48.63 |
0.00 |
0.00 |
-48.63 |
|
||||||||||||
Sub-Totals: |
2,970.00 |
972.69 |
972.69 |
0.00 |
0.00 |
0.00 |
48.63 |
0.00 |
0.00 |
-48.63 |
||
Claims Payment: |
||||||||||||
|
Claim ID |
Date |
Submission |
Billed |
Expected |
Paydown |
Payment |
Reserve |
Int |
Debits |
Credits |
Balance |
Blue Cross Blue Shield of TX |
||||||||||||
|
57915A |
2/20/2007 |
1/12/2007 |
2,351.00 |
770.55 |
0.00 |
869.12 |
0.00 |
0.00 |
0.00 |
869.12 |
869.12 |
|
||||||||||||
Sub-Totals: |
2,351.00 |
770.55 |
0.00 |
869.12 |
0.00 |
0.00 |
0.00 |
869.12 |
869.12 |
|||
Interest Paid: |
|||||||||||
Activity |
|
Date |
Amount |
Loan |
Activity |
|
|
|
Debits |
Credits |
Balance |
Accrued |
|
02/03/2007 |
6.92 |
2,136.56 |
6.92 |
|
|
|
6.92 |
|
-6.92 |
Sub-Totals: |
6.92 |
|
6.92 |
|
|
|
6.92 |
|
-6.92 |
||
Credits/Debits: |
|||||
|
Transaction Type |
Transaction |
Transaction |
Comments |
Transaction |
No Credit or Debit Transactions this period for MD Example PLLC / Xeni Financial |
|||||
Unrecognized Claim Checks: |
|||||
|
Claim Id |
Check |
Post Date |
Check Date |
Amount |
No Unrecognized Claim Checks this period for MD Example PLLC / Xeni Financial |
|||||
*** End of Report *** |