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Combined RCM Approval Form
-
#
Patient ID
Patient Name
Approval for
ACM
State
Load1.gif
Created Date
Updated Date
Infection Date
Days
Action
He
9444258937
Babu
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:37 am
2/1/24, 7:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6381518649
Kaliyammal
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:38 am
2/1/24, 7:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9943609326
Vasanthi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:38 am
2/1/24, 7:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9790568259
Ravi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:38 am
2/1/24, 7:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9176671377
Prabhakaran
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:39 am
2/1/24, 7:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7358202495
Arun Dinesh
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:39 am
2/1/24, 7:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6383810611
Gangadharan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:40 am
2/1/24, 7:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8610510714
Latha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:40 am
2/1/24, 7:41 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9095699883
Rajesh Sundhar Singh
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:40 am
2/1/24, 7:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8508013005
Mahadevan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:41 am
2/1/24, 7:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9962579766
Poomathi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:42 am
2/1/24, 7:48 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9941992004
Prabavathy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:42 am
2/1/24, 7:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9677947315
Nandhini
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:42 am
2/1/24, 7:44 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9786064238
Ganesan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:43 am
2/1/24, 7:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9094354515
Mosesselvaraj
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:43 am
2/1/24, 7:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9003774797
Pandian
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:43 am
2/1/24, 7:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6380448784
Raj Kumar
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:44 am
2/1/24, 7:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9789020606
Shanmugavel
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:44 am
2/1/24, 7:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9677296352
Radhika
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:44 am
2/1/24, 7:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9150679587
Prasadh
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:45 am
2/1/24, 7:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9962832442
Mahendhiran
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:45 am
2/1/24, 7:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9789866442
Faridha Banu
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:45 am
2/1/24, 7:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9047552819
Karunakaran
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:46 am
2/1/24, 7:41 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9498359030
Meenakshi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:46 am
2/1/24, 7:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9445609179
Reavathi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:46 am
2/1/24, 7:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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