| Financial Report | Insurance Company Name | Issue Date | Check Number | Amount | CO-PAYS | ||||
| Jan 2005 | $0.00 | ||||||||
| Last Year A/R | $0.00 | $0.00 | Check Number | Amount | |||||
| Year to date Charge | $0.00 | $0.00 | |||||||
| Year to date Deletion | $0.00 | Total | $0.00 | $0.00 | |||||
| Year to date Payment | $0.00 | $0.00 | |||||||
| Year to date Adjustment | $0.00 | $0.00 | |||||||
| Last Month A/R | $0.00 | $0.00 | |||||||
| Month to date Charge | $0.00 | $0.00 | |||||||
| Month to date Deletion | $0.00 | $0.00 | |||||||
| Month to date Payment | $0.00 | $0.00 | |||||||
| Month to date Adjustment | $0.00 | ||||||||
| Total Accounts Receivable | $0.00 | TOTAL | $0.00 | ||||||