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  • Claim Summary: S. No - Claim Type Claim Date Attachmen T Amount Claimed

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    Vikas Mahor
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    This claim summary contains 10 items relating to a patient's medical treatment. Items 1-3 are for pre-hospitalization consultations and tests. Item 4 indicates the patient was admitted to the hospital and provided an insurance notification ID. Items 5-7 are for blood investigations conducted during the hospital stay. Items 8-9 cover the hospitalization period and discharge. Item 10 is for post-hospitalization medical expenses.

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    reimbursment

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    This claim summary contains 10 items relating to a patient's medical treatment. Items 1-3 are for pre-hospitalization consultations and tests. Item 4 indicates the patient was admitted to the hospital and provided an insurance notification ID. Items 5-7 are for blood investigations conducted during the hospital stay. Items 8-9 cover the hospitalization period and discharge. Item 10 is for post-hospitalization medical expenses.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    5 views1 page

    Claim Summary: S. No - Claim Type Claim Date Attachmen T Amount Claimed

    Uploaded by

    Vikas Mahor
    This claim summary contains 10 items relating to a patient's medical treatment. Items 1-3 are for pre-hospitalization consultations and tests. Item 4 indicates the patient was admitted to the hospital and provided an insurance notification ID. Items 5-7 are for blood investigations conducted during the hospital stay. Items 8-9 cover the hospitalization period and discharge. Item 10 is for post-hospitalization medical expenses.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 1

    Claim Summary

    S. Claim Type Claim Date Attachmen Amount


    No t Claimed
    .
    1. Pre- Blood Test - Lever 01/11/2020 Reports
    Hospitalizatio Function Test (Self) with Bill
    2. n Pediatric Doctor 02/11/2020 Prescriptio
    Consultation n with Bill
    (Dr. Pratibha Dhir)
    3. Hospitalizatio Senior Pediatric Doctor 04/11/2020 Prescriptio
    n Consultation n with Bill
    (Dr. R. K. Mehra)
    4. Admitted to hospital – 04/11/2020 -
    Informed to Star Allied
    Health Insurance with
    Intimation ID –
    CLI/2021/161130/206133
    3
    5. Blood Investigations 04/11/2020 Reports
    Conducted at hospital with Bill
    (CRP, LFT, MPFM)
    6. Blood Investigations 06/11/2020 Reports
    Conducted at hospital with Bill
    7. Blood Investigations 09/11/2020 Reports
    Conducted at hospital with Bill
    8. Pharmacist Bill having 04/11/2020 Bill
    medical expenses at -
    hospital 09/11/2020
    9. Discharge From Hospital 09/11/2020 Discharge
    Certificate
    with
    Hospital Bill
    10. Post- Pharmacist Bill having 09/11/2020 Bill
    Hospitalizatio medical expenses after
    n discharge from hospital

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