Premium billing channel:... B housed agency:...... DK bank account transfer month:..... 10 transfer day:....... .. H028 / 10/14 claim tape number:..... day of treatment delivery date transfer receipt date payment day
Insurance claim B 2:912 channel.Housing agency about 0.5 DK portulacastrumBank transfer the moon at about 10 portulacastrumTransfer day about about 0.5 H 2:912 028 / 10 / 14Request for the tape numbers about portulacastrumDay day day delivery receipt processing transfer payment date