Date(s) of Service Member Name Type Submitted Charges Claim Submiss
10/26/2010 KAVYA MEDICAL $11.92 AUTO
10/5/2010 APARNA PHARMACY $5.00 AUTO 9/24/2010 HANMANTH MEDICAL $8.54 AUTO 09/05/10to09/24/10 KAVYA MEDICAL $48.09 PAPER 09/04/10to09/05/10 KAVYA MEDICAL $208.40 AUTO 08/26/10to09/04/10 APARNA MEDICAL $640.28 PAPER 06/10/10to08/19/10 APARNA MEDICAL $587.88 PAPER 04/16/10to09/24/10 HANMANTH MEDICAL $575.99 PAPER 4/14/2010 CHAITRA MEDICAL $107.26 PAPER 02/18/10to06/02/10 APARNA MEDICAL $262.21 PAPER 02/18/10to08/29/10 APARNA MEDICAL $355.51 PAPER 2/18/2010 APARNA MEDICAL $312.00 AUTO 2/18/2010 APARNA MEDICAL $42.37 AUTO 2/18/2010 APARNA MEDICAL $130.60 AUTO 2/2/2010 APARNA PHARMACY $9.31 AUTO 2/1/2010 APARNA MEDICAL $59.59 AUTO 1/22/2010 APARNA MEDICAL $6.46 AUTO 1/22/2010 APARNA MEDICAL $19.37 AUTO 1/22/2010 APARNA MEDICAL $121.83 AUTO 1/22/2010 APARNA MEDICAL $38.40 AUTO 1/22/2010 APARNA MEDICAL $70.40 AUTO 1/22/2010 APARNA MEDICAL $187.12 AUTO 1/15/2010 CHAITRA MEDICAL $110.66 AUTO 1/15/2010 CHAITRA MEDICAL $22.26 AUTO 1/15/2010 CHAITRA MEDICAL $58.08 AUTO 1/12/2010 APARNA PHARMACY $14.97 AUTO 1/7/2010 APARNA MEDICAL $59.59 AUTO 1/7/2010 APARNA MEDICAL $15.00 AUTO Amount Waiting PaymenPaid Amount $0.00 $11.92 $0.00 $5.00 $0.00 $8.54 $48.09 $0.00 $0.00 $208.40 $640.28 $0.00 $587.88 $0.00 $575.99 $0.00 $107.26 $0.00 $262.21 $0.00 $355.51 $0.00 $0.00 $178.79 $0.00 $24.37 $0.00 $130.60 $0.00 $9.31 $0.00 $59.59 $0.00 $6.46 $0.00 $19.37 $0.00 $121.83 $0.00 $0.00 $0.00 $0.00 $0.00 $169.12 $0.00 $110.66 $0.00 $22.26 $0.00 $58.08 $0.00 $14.97 $0.00 $59.59 $0.00 $15.00