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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
9837529440
Sateshwar Purohit
Patient Loss
Approved
Uttarakhand
Approved
Approved
4/1/24, 5:23 am
4/1/24, 5:24 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8309761950
B.Mahendra
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
4/1/24, 5:34 am
4/1/24, 9:20 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9951413010
B. Kamala singh
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
4/1/24, 8:00 am
4/1/24, 10:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9160292441
Saraswati
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
4/1/24, 9:44 am
5/1/24, 6:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9848664160
Hanumanth Rao
Patient Loss
Approved
Telangana
Approved
Approved
4/1/24, 10:01 am
5/1/24, 6:27 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9160656894
Lal singh chapul
Patient Loss
Approved
Maharashtra
Approved
Approved
5/1/24, 4:26 am
6/1/24, 9:22 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8603257611
Kishore Karmali
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:21 am
5/1/24, 10:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8877505027
Didar Singh
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:22 am
5/1/24, 10:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6203815362
Poulish Murmu
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:22 am
5/1/24, 10:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8730833992
Chone Bakla
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:23 am
5/1/24, 10:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9934104307
Nawami Devi
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:25 am
5/1/24, 10:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9122502223
Ravindra Singh
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:25 am
5/1/24, 10:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8939394079
Bishnu Priya
Patient Loss
Approved
Odisha
Approved
Approved
5/1/24, 10:26 am
5/1/24, 10:47 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7667704019
Arun Kumar Nag
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:27 am
5/1/24, 10:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8340423990
Jagnaryan Pandey
Patient Loss
Approved
Jharkhand
Approved
Approved
5/1/24, 10:28 am
5/1/24, 10:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9000268820
Saidulu
Patient Loss
Approved
Telangana
Approved
Approved
5/1/24, 10:36 am
5/1/24, 12:36 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8501975711
Baby Hudal Fathima
Patient Loss
Approved
Telangana
Approved
Approved
5/1/24, 10:37 am
5/1/24, 12:40 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9533000473
Pruthvi Raj.T
Patient Loss
Approved
Telangana
Approved
Approved
5/1/24, 10:39 am
5/1/24, 12:38 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9030730226
Gnana Vedha
Patient Loss
Approved
Telangana
Approved
Approved
5/1/24, 10:40 am
5/1/24, 12:38 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9949554711
Abdul Nabee
Patient Loss
Approved
Telangana
Approved
Approved
5/1/24, 10:42 am
5/1/24, 12:39 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7628964564
Joychandra
Patient Loss
Approved
Manipur
Approved
Approved
5/1/24, 11:23 am
5/1/24, 12:39 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9948413749
Bagyalakshmi
Patient Loss
Approved
Telangana
Approved
Approved
5/1/24, 11:24 am
5/1/24, 12:36 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6294862554
Jasuda Chhetri
Patient Loss
Approved
West Bengal
Approved
Approved
5/1/24, 11:26 am
5/1/24, 12:40 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9705139913
Lakshmi J
Patient Loss
Approved
Telangana
Approved
Approved
5/1/24, 11:26 am
5/1/24, 12:40 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9832012435
Azibul Haque Choudhury
Patient Loss
Approved
West Bengal
Approved
Approved
5/1/24, 11:26 am
5/1/24, 12:39 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
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