4
Lasered Individuals Specific Reserves
Effective
When the policy became effective.
Policyholder
Name of the policy holder.
St
Policyholder state.
Claimant
Who is making the claim.
Diagnosis
Patient diagnosis.
C/B
Policy contract basis.
Ntc
Whether the claim contains a notice.
TPA Paid Claims
Claim amount paid by the third-party administrator.
Lasered Deductible
Deductible for the lasered individual.
Contract Deductible
Deductible for the contract.
Split Funding
Split funding amount.
Adjustments
Adjustment amounts.
Reimburse
Reimbursement amount.
Pending Reimburse
Amount pending reimbursement.
Outstanding
Reimbursement amount still outstanding.
Reserves
Current reserve amount.