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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
9383304228
Risuklang M Nongsiej
Patient Loss
Approved
Megalaya
Approved
Approved
28/11/23, 4:58 am
28/11/23, 11:27 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8466896165
Srinivasulu
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 4:59 am
28/11/23, 11:25 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9406288993
Suresh Kumar Nag
Patient Loss
Approved
Chhattisgarh
Approved
Approved
28/11/23, 5:00 am
28/11/23, 11:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9491738186
Subbarao V
Patient Loss
Approved
Andhra Pradesh
Approved
Approved
28/11/23, 5:02 am
28/11/23, 7:05 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9567576588
Girija
Patient Loss
Approved
Kerala
Approved
Approved
28/11/23, 5:03 am
28/11/23, 11:30 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9693645797
Geeta Samanta
Patient Loss
Approved
Jharkhand
Approved
Approved
28/11/23, 5:04 am
28/11/23, 11:56 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8460541472
Masumaben Hirani
Patient Loss
Approved
Gujarat
Approved
Approved
28/11/23, 5:05 am
28/11/23, 7:17 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9539275136
Fathimabi
Patient Loss
Approved
Kerala
Approved
Approved
28/11/23, 5:05 am
28/11/23, 6:52 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8086021643
Jayalalitha
Patient Loss
Approved
Kerala
Approved
Approved
28/11/23, 5:06 am
28/11/23, 7:02 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9797620459
Jyoti Gurung
Patient Loss
Approved
J&K
Approved
Approved
28/11/23, 5:07 am
28/11/23, 11:38 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9366758508
Mangonlin
Patient Loss
Approved
Manipur
Approved
Approved
28/11/23, 5:12 am
28/11/23, 7:06 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9205023063
Sachin Bharadwaj
Patient Loss
Approved
Uttarakhand
Approved
Approved
28/11/23, 5:53 am
28/11/23, 6:58 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8459095618
Gokuldas Lokhande
Patient Loss
Approved
Maharashtra
Approved
Approved
28/11/23, 5:55 am
28/11/23, 6:59 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8347757190
Priyanshu Avdheshbhai Pal
Patient Loss
Approved
Gujarat
Approved
Approved
28/11/23, 5:57 am
28/11/23, 7:11 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9824011319
Shardaben Patel
Patient Loss
Approved
Gujarat
Approved
Approved
28/11/23, 5:58 am
28/11/23, 9:06 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8888622907
Ankush Giri
Patient Loss
Approved
Maharashtra
Approved
Approved
28/11/23, 5:59 am
28/11/23, 7:17 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8788547854
Bhaisaheb Pawse
Patient Loss
Approved
Maharashtra
Approved
Approved
28/11/23, 6:00 am
28/11/23, 7:20 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9676337669
Uma Devi
Patient Loss
Approved
Telangana
Approved
Approved
28/11/23, 6:21 am
28/11/23, 11:40 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7338640555
Ranganayaki
Patient Loss
Approved
Karnataka
Approved
Approved
28/11/23, 6:22 am
28/11/23, 8:37 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8894678940
Kashmir Singh
Patient Loss
Approved
Himachal Pradesh
Approved
Approved
28/11/23, 6:25 am
28/11/23, 9:09 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8131916389
Hijam Premila
Patient Loss
Approved
Manipur
Approved
Approved
28/11/23, 6:26 am
28/11/23, 8:37 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7488114427
Malti Devi
Patient Loss
Approved
Jharkhand
Approved
Approved
28/11/23, 6:27 am
28/11/23, 11:39 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
9793480524
Lalita Yadav
Patient Loss
Approved
Uttar Pradesh
Approved
Approved
28/11/23, 6:28 am
28/11/23, 8:40 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
7456875299
Pinki
Patient Loss
Approved
Uttarakhand
Approved
Approved
28/11/23, 6:28 am
28/11/23, 9:05 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
He
8825848655
Susmitha
Patient Loss
Approved
Tamil Nadu
Approved
Approved
28/11/23, 6:29 am
28/11/23, 11:48 am
He
ACM has to fill TLC,DLC Report
Pending
Pending
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