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Combined RCM Approval Form
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#
Patient ID
Patient Name
Approval for
ACM
State
Created Date
Updated Date
Infection Date
Days
Action
He
9852851027
Gita Devi
Patient Loss
Approved
Jharkhand
Approved
Approved
8/1/24, 7:59 am
8/1/24, 9:26 am
He
ACM has to fill TLC,DLC Report
He
9474227153
Anup vishwakarma
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:00 am
8/1/24, 9:38 am
He
ACM has to fill TLC,DLC Report
He
9594737774
Bharati Desai
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:00 am
8/1/24, 9:16 am
He
ACM has to fill TLC,DLC Report
He
9892066796
Jitu Pasi
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:01 am
8/1/24, 9:36 am
He
ACM has to fill TLC,DLC Report
He
9819220898
Uttam Magar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:02 am
8/1/24, 9:17 am
He
ACM has to fill TLC,DLC Report
He
9370835630
Satappa Devekar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:03 am
8/1/24, 9:12 am
He
ACM has to fill TLC,DLC Report
He
7020067970
Arun Shinde
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:03 am
8/1/24, 9:22 am
He
ACM has to fill TLC,DLC Report
He
9869900685
Meena Pardeshi
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:04 am
8/1/24, 9:37 am
He
ACM has to fill TLC,DLC Report
He
7498476379
Shail Pandey
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:05 am
8/1/24, 9:36 am
He
ACM has to fill TLC,DLC Report
He
9309157363
Santosh Lariya
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:07 am
8/1/24, 9:39 am
He
ACM has to fill TLC,DLC Report
He
7745025957
Nirmala Pathak
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:07 am
8/1/24, 9:39 am
He
ACM has to fill TLC,DLC Report
He
7666656693
Vijay Singh
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:08 am
8/1/24, 9:37 am
He
ACM has to fill TLC,DLC Report
He
9633678881
PM Chacko
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:09 am
8/1/24, 9:16 am
He
ACM has to fill TLC,DLC Report
He
9004278442
Anil pawar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:09 am
8/1/24, 9:38 am
He
ACM has to fill TLC,DLC Report
He
8446101599
Pravina paritor
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:10 am
8/1/24, 9:11 am
He
ACM has to fill TLC,DLC Report
He
9060102698
Rita Devi
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:11 am
8/1/24, 9:17 am
He
ACM has to fill TLC,DLC Report
He
8999293171
Santosh todkar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:11 am
8/1/24, 9:19 am
He
ACM has to fill TLC,DLC Report
He
9892621610
Aruna Prabhu
Patient Loss
Approved
Jharkhand
Approved
Approved
8/1/24, 8:12 am
8/1/24, 8:33 am
He
ACM has to fill TLC,DLC Report
He
8018844146
Niku Seneya
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:13 am
8/1/24, 8:33 am
He
ACM has to fill TLC,DLC Report
He
7498256194
Jayshree Ambare
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 8:14 am
8/1/24, 9:22 am
He
ACM has to fill TLC,DLC Report
He
9978903347
Suresh Chand
Patient Loss
Approved
Gujarat
Approved
Approved
8/1/24, 10:42 am
8/1/24, 10:44 am
He
ACM has to fill TLC,DLC Report
He
9820721032
Bollana kashetty
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 10:43 am
8/1/24, 10:46 am
He
ACM has to fill TLC,DLC Report
He
8936845798
Kalavati devi
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 10:43 am
8/1/24, 10:47 am
He
ACM has to fill TLC,DLC Report
He
9167797376
Jayashri Warang
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 10:50 am
8/1/24, 10:52 am
He
ACM has to fill TLC,DLC Report
He
8552998593
Kamal Pawar
Patient Loss
Approved
Maharashtra
Approved
Approved
8/1/24, 10:51 am
8/1/24, 10:54 am
He
ACM has to fill TLC,DLC Report
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