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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
8610266273
Vignesh
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:49 am
2/1/24, 7:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8778220694
Kavitha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:51 am
2/1/24, 7:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9698739117
Jeeva kovil pillai
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:52 am
2/1/24, 7:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9367679651
Preetha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:52 am
2/1/24, 7:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8825966610
Radha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:52 am
2/1/24, 7:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7639919738
Kowsalya
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:53 am
2/1/24, 7:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7338754800
Pavithra
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:53 am
2/1/24, 7:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9047106761
Chenchaiah
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:54 am
2/1/24, 7:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8098135861
Mary Theresa selvi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:54 am
2/1/24, 7:51 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7338846763
Sudhagar
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:54 am
2/1/24, 7:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8248537045
Gayathri
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:55 am
2/1/24, 7:44 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9710128702
Sendhil
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:55 am
2/1/24, 7:41 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9003381866
Vanitha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:56 am
2/1/24, 7:41 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6381109227
Haseemfawaz
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 5:56 am
2/1/24, 7:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8428301238
Venkatesan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 6:11 am
2/1/24, 7:44 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9344759655
Godhandapani
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 6:11 am
2/1/24, 7:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6385134024
Balaji
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 6:13 am
2/1/24, 7:42 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9841317496
Arul selvam
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 6:14 am
2/1/24, 7:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7339370378
Srinivasan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 6:14 am
2/1/24, 7:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8056040741
Abdul rasak
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 6:15 am
2/1/24, 7:43 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7695956084
Sheik dawood
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 6:16 am
2/1/24, 7:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7379277252
Ritu Singh
Patient Loss
Approved
Maharashtra
Approved
Approved
2/1/24, 8:06 am
4/1/24, 4:00 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8152017609
Mangal Patil
Patient Loss
Approved
Maharashtra
Approved
Approved
2/1/24, 8:07 am
4/1/24, 4:01 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6374975819
Arif Hussain
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:07 am
4/1/24, 3:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7373428639
Saravanan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:08 am
4/1/24, 3:57 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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