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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
8148687544
Devi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:09 am
4/1/24, 3:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9710096902
Velmurugan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:09 am
4/1/24, 3:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7305439375
Babu
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:12 am
4/1/24, 3:57 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8754238175
Sanjay Raj
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:12 am
4/1/24, 3:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8939662797
Sulochana
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:13 am
4/1/24, 3:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9952039376
Ravi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:14 am
4/1/24, 3:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9787366115
Arumugam
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:15 am
4/1/24, 3:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8072469745
John Bosco
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:15 am
4/1/24, 3:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9080658358
Sheik Sultan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:16 am
4/1/24, 4:00 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6381063412
Kathir Raghav
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:16 am
4/1/24, 3:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9361032452
boopalan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:16 am
4/1/24, 3:57 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9585359777
Vennila
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:17 am
4/1/24, 4:02 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9443826309
Sasi vardhini
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:17 am
4/1/24, 3:57 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7708629361
Ganesan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:18 am
4/1/24, 3:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8056335224
Elumalai
Patient Loss
Approved
Tamil Nadu
Approved
Approved
2/1/24, 9:18 am
4/1/24, 3:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8119944303
Koknang
Patient Loss
Approved
Manipur
Approved
Approved
2/1/24, 11:39 am
3/1/24, 5:21 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7005632330
Memcha
Patient Loss
Approved
Manipur
Approved
Approved
2/1/24, 12:01 pm
3/1/24, 5:21 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9064658519
Minati Sarkar
Patient Loss
Approved
West Bengal
Approved
Approved
2/1/24, 12:43 pm
3/1/24, 5:21 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9712147749
Mihir Kumar Gupta
Patient Loss
Approved
West Bengal
Approved
Approved
2/1/24, 12:44 pm
3/1/24, 4:11 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8072508452
Chandrasekaran
Patient Loss
Approved
Tamil Nadu
Approved
Approved
3/1/24, 5:02 am
4/1/24, 3:53 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7011908129
Raj Singh
Patient Loss
Approved
New Delhi
Approved
Approved
3/1/24, 7:42 am
3/1/24, 11:08 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8700849074
Rama Devi Mishra
Patient Loss
Approved
Madhya Pradesh
Approved
Approved
4/1/24, 4:22 am
6/1/24, 9:22 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7865955761
Indubai Phadtare
Patient Loss
Approved
Maharashtra
Approved
Approved
4/1/24, 4:25 am
6/1/24, 9:22 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9840084212
Jesy Adaikalam
Patient Loss
Approved
Tamil Nadu
Approved
Approved
4/1/24, 4:52 am
4/1/24, 10:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7397304109
Thirunavukarasu
Patient Loss
Approved
Tamil Nadu
Approved
Approved
4/1/24, 4:52 am
4/1/24, 10:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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