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Combined RCM Approval Form
-
#
Patient ID
Patient Name
Approval for
ACM
State
Created Date
Updated Date
Infection Date
Days
Action
He
7264000799
Deorao Gaikwad
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:19 am
8/1/24, 9:12 am
He
ACM has to fill TLC,DLC Report
He
9407477320
Sanjivani bhongre
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:20 am
8/1/24, 9:15 am
He
ACM has to fill TLC,DLC Report
He
9731975267
Hari Patil
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:20 am
8/1/24, 9:21 am
He
ACM has to fill TLC,DLC Report
He
8830812081
Mirabai prkash more
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:21 am
8/1/24, 9:14 am
He
ACM has to fill TLC,DLC Report
He
8805661699
Radhabai Chorat
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:21 am
8/1/24, 8:34 am
He
ACM has to fill TLC,DLC Report
He
8087528508
Tulsiram Dhawale
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:22 am
8/1/24, 9:36 am
He
ACM has to fill TLC,DLC Report
He
8169091155
Kantabai Pawar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:22 am
8/1/24, 8:33 am
He
ACM has to fill TLC,DLC Report
He
9822091734
Sangita Patil
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:22 am
8/1/24, 9:13 am
He
ACM has to fill TLC,DLC Report
He
9308895338
Baban pimple
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:23 am
8/1/24, 9:21 am
He
ACM has to fill TLC,DLC Report
He
8975530025
Chaya Wagh
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:23 am
8/1/24, 9:19 am
He
ACM has to fill TLC,DLC Report
He
7087149964
Fuldevi Kashyap
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:24 am
8/1/24, 9:21 am
He
ACM has to fill TLC,DLC Report
He
8888191882
Ganga Aware
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:37 am
8/1/24, 9:19 am
He
ACM has to fill TLC,DLC Report
He
9766619622
Jayant Walwalkar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:37 am
8/1/24, 9:20 am
He
ACM has to fill TLC,DLC Report
He
9977427477
Shakuntala Devi
Patient Loss
Approved
Madhya Pradesh
Approved
Approved
8/1/24, 7:38 am
8/1/24, 9:21 am
He
ACM has to fill TLC,DLC Report
He
9600794015
Jaswinder kaur
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:38 am
8/1/24, 9:35 am
He
ACM has to fill TLC,DLC Report
He
9975189281
Shreedhran
Patient Loss
Approved
Jharkhand
Approved
Approved
8/1/24, 7:39 am
8/1/24, 9:11 am
He
ACM has to fill TLC,DLC Report
He
9561105570
Indubai Wagh
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:39 am
8/1/24, 9:18 am
He
ACM has to fill TLC,DLC Report
He
9819414298
Pramila jaiswar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:40 am
8/1/24, 9:17 am
He
ACM has to fill TLC,DLC Report
He
9869583517
Aasha Mishra
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:40 am
8/1/24, 9:16 am
He
ACM has to fill TLC,DLC Report
He
9440032450
Lakshmidevamma
Patient Loss
Approved
Telangana
Approved
Approved
8/1/24, 7:51 am
16/3/24, 4:16 am
He
6/1/24, 6:30 pm
ACM has to fill TLC,DLC Report
He
8057599564
Minakshi Sayana
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:56 am
8/1/24, 9:13 am
He
ACM has to fill TLC,DLC Report
He
9074736694
Suresh yadav
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:57 am
8/1/24, 9:13 am
He
ACM has to fill TLC,DLC Report
He
7507733582
Gopal Gangoda
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:58 am
8/1/24, 9:18 am
He
ACM has to fill TLC,DLC Report
He
7057556656
Seema Nayak
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:58 am
8/1/24, 8:32 am
He
ACM has to fill TLC,DLC Report
He
9821279832
Ram Pyare Lal
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 7:58 am
8/1/24, 9:14 am
He
ACM has to fill TLC,DLC Report
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