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  • Cashless Intimation: Sr. No. Claim No. Policy NO Insured Name Member Name SEX AGE Relatio N SUM Insured

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    SJAIN12
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    1. The document provides details of cashless insurance claims for 3 policy holders including their names, ages, policy numbers, sum insured amounts, dates of admission and expected discharge from hospitals. 2. One claim is for a 17-year old female employee named Yuvasandhi for Rs. 100,000 who was admitted on November 20th for a fractured hand and the claim was approved for Rs. 1,000. 3. Another claim is for a 54-year old male named Dilip Agar for Rs. 300,000 who was admitted on November 19th and the claim is still pending. 4. The third claim is for a 59-year old male named Manoj Solanki

    Original Description:

    reporting cases

    Original Title

    Daily Investigation 21-11-13

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    1. The document provides details of cashless insurance claims for 3 policy holders including their names, ages, policy numbers, sum insured amounts, dates of admission and expected discharge from hospitals. 2. One claim is for a 17-year old female employee named Yuvasandhi for Rs. 100,000 who was admitted on November 20th for a fractured hand and the claim was approved for Rs. 1,000. 3. Another claim is for a 54-year old male named Dilip Agar for Rs. 300,000 who was admitted on November 19th and the claim is still pending. 4. The third claim is for a 59-year old male named Manoj Solanki

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    6 views3 pages

    Cashless Intimation: Sr. No. Claim No. Policy NO Insured Name Member Name SEX AGE Relatio N SUM Insured

    Uploaded by

    SJAIN12
    1. The document provides details of cashless insurance claims for 3 policy holders including their names, ages, policy numbers, sum insured amounts, dates of admission and expected discharge from hospitals. 2. One claim is for a 17-year old female employee named Yuvasandhi for Rs. 100,000 who was admitted on November 20th for a fractured hand and the claim was approved for Rs. 1,000. 3. Another claim is for a 54-year old male named Dilip Agar for Rs. 300,000 who was admitted on November 19th and the claim is still pending. 4. The third claim is for a 59-year old male named Manoj Solanki

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 3

    21-Nov-13

    CASHLESS INTIMATION

    Sr. No.

    Claim No. Policy NO

    INSURED MEMBER
    NAME
    NAME

    M/s THE
    DIRECTO
    20131120 190103/48 R
    B006C2A /13/05/000 YUVASA
    1 2832
    00601
    NDHI

    SEX

    AGE

    RAJESH
    WARI
    KUSHAR
    AM
    Female

    RELATIO
    SUM
    N
    INSURED

    17 Employee

    100000

    GENRAL INTIMATION

    Sr. No.

    Claim No. Policy NO

    INSURED MEMBER
    NAME
    NAME

    SEX

    AGE

    RELATIO
    SUM
    N
    INSURED

    20131120 190402/48
    B006R2A /12/97/000 MR. DILIP DILIP
    1 2839
    01095
    AGAR
    AGAR

    Male

    54 Self

    300000

    20131120 190402/48
    B006R2A /13/06/000 ASHISH
    2 2833
    00536
    VYAS

    Male

    35 Self

    100000

    20131120 190402/48
    B006R2A /13/14/000 MANOJ
    MANOJ
    3 2830
    00062
    SOLANKI SOLANKY Male

    59 Self

    500000

    ASHISH
    VYAS

    Period of Period of
    Insured
    insuranc insuranc
    address
    e - from
    e - to

    Insured
    contact
    no

    76-78,
    SAMTA
    31/12/201 PARISAR
    1/1/2013 3
    ,RATLAM
    455-ASECTOR
    27
    NIGADI
    9/10/2013 8/10/2014 ,RATLAM
    319
    KASTUR
    BA
    NAGAR
    GALI NO
    19/04/201 18/04/201 3
    3
    4
    ,RATLAM

    Hospital
    Address ICD code
    & Phone

    30 MIG,
    MLA
    QTRS.,
    OPP. DR.
    KATJU
    HOSPITA
    L,
    BHADBH
    ADA
    ROAD,
    BHOPAL,
    JASDEEP Ph: 0755 HOSPITA 2779878,
    0L
    2779110 S62.0

    M.P.
    STATE
    SPORT
    ACADEM
    Y,
    SPORTS
    AND
    YOUTH
    WELFAR
    22/07/201 21/07/201 E
    3
    4
    ,BHOPAL

    Period of Period of
    Insured
    insuranc insuranc
    address
    e - from
    e - to

    Hospital
    Name

    Insured
    contact
    no

    Hospital
    Name

    Hospital
    Remarks
    address

    Cashless
    request
    Disease
    received Date

    Fracture
    of
    navicular
    [scaphoid]
    bone of
    20/11/201
    hand
    3

    Date Of
    Disease Admissio
    n

    CHL JAIN
    DIWAKAR
    HOSPITA
    L
    0 RATLAM ,

    20/11/201
    3

    NIRAMAY
    A HOSP.
    PUNE
    ,

    19/11/201
    3

    CHL
    APPOLO
    INDORE ,

    19/11/201
    3

    Cashless
    Date Of
    Expected
    request
    Approve
    Claim Approved
    Admissio
    discharg
    STATUS
    received Date
    Amount Amount
    n
    e date
    Time

    21/11/201 20/11/201
    12:50:56 3
    3

    Expected
    Claim
    discharg
    Amount
    e date

    1000

    1000

    1000

    60000

    20000 Approved

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