Transaction Grid
Description
The transaction grid lists all transactions that are being disputed in the claim as well as the amount being disputed for each transaction.
Content
Date Description Amount Disputed Amount <Date> <Descriptor> <Amount> <Dispute Amount>
Sample 1
Date Description Amount Disputed Amount 06/22/2024 WWW.CAREMARK.COM 888-892-7227 IL $200.00 $200.00 06/23/2024 AMAZON.COM AMZN.COM/BILL107 $197.00 $197.00
Sample 2
Date Description Amount Disputed Amount 06/25/2024 WWW.CAREMARK.COM 888-892-7227 IL $397.00 $397.00
Sample 3
Date | Individual Name | Individual ID | Trace ID | Company Name | Company ID | SEC | Amount |
06/22/2024 | Steve Rogers | 9976544 | 12345678 | Stark Enterprises | 123456 | PPD | $397.00 |
Sample 4
Date | Description | Amount | Disputed Amount |
06/25/2024 | Zelle Transfer to Natalia Romanoff | $397.00 | $397.00 |
Sample 5
Date | Description | Amount | Disputed Amount |
06/25/2024 | Wire Transfer STARK INDUSTRIES | $397.00 | $397.00 |
Sample 6
Date | Description | Amount | Disputed Amount |
04/25/2021 | http://WWW.CAREMARK.COM 888-892-7227 IL | $397.00 | $397.00 |
Sample 7
Date | Description | Amount | Original Dispute Amount | New Dispute Amount |
06/22/2024 | http://WWW.CAREMARK.COM 888-892-7227 IL | $200.00 | $200.00 | $50.00 |
06/23/2024 | http://AMAZON.COM AMZN.COM/BILL107 | $197.00 | $197.00 | $97.00 |
Sample 8
Sample 9 Advanced Intake Deflection
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