top of page
Combined RCM Approval Form
-
#
Patient ID
Patient Name
Approval for
ACM
State
Load1.gif
Created Date
Updated Date
Infection Date
Days
Action
He
8303107816
Neelam Kalyan
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:56 pm
28/12/23, 5:19 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8376982848
Sangita Yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:57 pm
28/12/23, 5:20 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9628324457
RK Sharma
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:57 pm
28/12/23, 5:23 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9005230285
Daya Shankar
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:57 pm
28/12/23, 5:19 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9339258918
Gulab Prasad Yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:58 pm
28/12/23, 5:22 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7607359156
SK Kheban
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
26/12/23, 1:59 pm
28/12/23, 5:22 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9336654593
Saroj Yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 2:46 am
28/12/23, 5:19 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7380891076
Arti Yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 2:50 am
28/12/23, 5:31 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8707082938
Dev Narayan Tripathi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 2:51 am
28/12/23, 5:19 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9918436907
Raj Rakhan Singh
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 2:52 am
28/12/23, 5:24 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8924868287
Harish Chandra
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 5:56 am
28/12/23, 5:21 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7388453556
Geeta singh
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 5:58 am
28/12/23, 5:20 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9161931406
Janki Devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 6:05 am
28/12/23, 5:31 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9682502873
Kuldeep Singh
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
27/12/23, 6:09 am
28/12/23, 5:20 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9707014594
Savitri Devi Harlalka
Patient Loss
Approved
Assam
Approved
Approved
27/12/23, 8:47 am
31/1/24, 5:10 am
He
23/12/23, 6:30 pm
ACM has to fill TLC,DLC Report
Pending
He
9500210284
Muthiya s
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:25 am
30/12/23, 4:03 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8940530313
Marimuthu
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:27 am
28/12/23, 10:39 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9994441356
Venkatalakshmi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:27 am
30/12/23, 4:01 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6369763056
Murugan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:29 am
30/12/23, 4:03 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8098800218
Murugan.P
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:29 am
30/12/23, 3:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9385917322
Rajam
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:30 am
30/12/23, 4:05 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7100228855
Elangovan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:31 am
28/12/23, 10:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8489337484
SanjeevGandhi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:32 am
30/12/23, 4:08 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8754099189
Eismathnisha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:32 am
30/12/23, 4:05 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6385667004
Kaliappan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
27/12/23, 9:33 am
30/12/23, 4:06 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
bottom of page