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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
7083650530
Ram Rati Devi
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
28/11/23, 4:11 am
28/11/23, 6:53 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7793901039
Ishaq Shareef
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 4:12 am
28/11/23, 8:56 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7898124340
Kishanlal Dewangan
Patient Loss
Approved
Chhattisgarh
Approved
Approved
28/11/23, 4:14 am
28/11/23, 9:03 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9669437535
Nemsingh Sahu
Patient Loss
Approved
Chhattisgarh
Approved
Approved
28/11/23, 4:21 am
28/11/23, 9:06 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7636907515
Sabita gogoi
Patient Loss
Approved
Assam
Approved
Approved
28/11/23, 4:22 am
28/11/23, 12:02 pm
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6309577200
saritha
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 4:22 am
28/11/23, 11:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9393930085
Marisetty Raju
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
28/11/23, 4:23 am
28/11/23, 7:11 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9948360653
Venkamma.B
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
28/11/23, 4:38 am
28/11/23, 6:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6395188014
Balveer Singh Rana
Patient Loss
Approved
Uttarakhand
Approved
Approved
28/11/23, 4:39 am
28/11/23, 11:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9865914405
Mumtaz
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:40 am
28/11/23, 11:49 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8277037050
Anthony Samy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:41 am
28/11/23, 6:50 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8431868337
Bhagwan Singh Chauhan
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
28/11/23, 4:43 am
28/11/23, 11:55 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9842180543
Sathyamoorthy
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:43 am
28/11/23, 11:36 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9750005152
Tamilselvi
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:45 am
28/11/23, 11:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9952917457
Padmanabhan
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:46 am
28/11/23, 11:46 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9952684814
Kalyani
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:47 am
28/11/23, 11:24 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9085092565
Radhe Shyam Sinha
Patient Loss
Approved
Assam
Approved
Approved
28/11/23, 4:48 am
28/11/23, 11:56 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9385724288
Sahul Hameed
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 4:49 am
28/11/23, 7:24 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9744649590
Balakrishnan
Patient Loss
Approved
Kerala
Approved
Approved
28/11/23, 4:50 am
28/11/23, 11:53 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
6302245076
K.Ramalingaiah
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
28/11/23, 4:51 am
28/11/23, 7:21 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7356644733
Muhammed Koyahassan
Patient Loss
Approved
Kerala
Approved
Approved
28/11/23, 4:52 am
28/11/23, 7:12 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9048249240
Vellayi
Patient Loss
Approved
Kerala
Approved
Approved
28/11/23, 4:53 am
28/11/23, 11:45 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9912433224
Buchi Rajam. V
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 4:54 am
28/11/23, 9:00 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9925098072
Manjulaben Patel
Patient Loss
Approved
Gujarat
Approved
Approved
28/11/23, 4:56 am
28/11/23, 11:56 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8970557348
Sandra john
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 4:56 am
28/11/23, 7:10 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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