3

Claim Checks on Hold Report

Effective

Policy effective date.

Policyholder

Policy holder name.

Coverage

Coverage type.

Reimb

Reimbursement type.

Claimant

Claimant the reimbursement applies toward.

Requested

When the reimbursement was requested.

Amount

Reimbursement amount.

Status

Reimbursement status.

Held

What's being held.