2 / 2                                 
STD Claim Status
As of: mm/dd/yyyy
Admin Unit: MEMP - Status: DENIED
Member
SSN Claim Number		 Benefits
Start		 Approved
Through		 Status Reason
JOE BROWN
xxx-00-1111 / 00010001		   mm/dd/yyyy PROOF OF LOSS
SAM DAVIES
xxx-00-2222 / 00020002		   mm/dd/yyyy INCORRECT CLAIM SET-UP
Admin Unit: MEMP - Status: NOT COMPLETE
Member
SSN Claim Number		 Benefits
Start		 Approved
Through		 Status Reason
LINDA GREGORY
xxx-00-1111 / 00010001		     ANTICIPATORY CLAIM