That would be itemized, I expect. Suppose Doug and SWMBO have 5 medications between them that have to be ordered on a monthly basis, that's already 360 claims. And then, if Mexico is anything like the US in billing, you don't get "a" bill for an office visit, you get a bill from the doctor, a bill from the office, a bill from the lab, a bill from the radiologist, etc. So a single visit can explode into multiple claims quite easily.