Claim Check Register Report

Effective

Policy effective date.

Policyholder

Policy holder name.

Policy No

Policy number.

Coverage

Coverage type.

Reimbursement

Reimbursement type.

Claimant

Claimant the reimbursement applies toward.

Requested

When the reimbursement was requested.

Amount

Reimbursement amount.

Status

Reimbursement status.

Held

Whether or not the reimbursement is on hold.

Check No

Check number that paid the reimbursement.

Check Date

When the reimbursement check was issued.

ACH

Whether or not the reimbursement was made via ACH (automated clearing house).

Payee

Who the reimbursement was paid to.