Infinity Resources, Inc.
Carrier Name - Changes to Billing
04/2002
Location(s):
All
Division(s):
All
Subtotaled by:
Plan
HMO
Policy Number 89343
Name
SSN
Division
Location
Action
Effective Date
Edwards, Andrew
123-456-789
Marketing
Quebec
New Enrollment
04/15/2002
Gallagher, Susan
987-456-123
Marketing
Montreal
Termination
04/15/2002
Jackson, Melissa
234-567-890
Sales
Montreal
Dependent Addition
04/15/2002
HMO Total Changes
3
PPO
Policy Number 32343
Name
SSN
Division
Location
Action
Effective Date
Edwards, Andrew
123-456-789
Marketing
Quebec
New Enrollment
04/15/2002
Gallagher, Susan
987-456-123
Marketing
Montreal
Termination
04/15/2002
Jackson, Melissa
234-567-890
Sales
Montreal
Dependent Addition
04/15/2002
PPO Total Changes
3
Total
6
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