Case No Patient Name Claim Status

PreAuth Apprv Date Category

CCM
MAHANANDA PUNDALIK Rejected(R
CASE/2783/4566698 KAROLE epudiated) 25/01/2022 11:51:56 Surgical Oncology

CCM
Rejected(R
CASE/2783/4625344 ATISH KADU SURUWADE epudiated) 19/02/2022 17:32:22 Neurology

CCM
PARSHANT ASHOK Rejected(R
CASE/2783/4653406 PHAURKAR epudiated) 2/3/2022 17:03 SUR

CCM
Rejected(R
CASE/2783/4594017 RAFIK YUSUF GAWALI epudiated) 4/2/2022 17:42 ENT

CCM
QUARESHI MO. IMRAN Rejected(R
CASE/2783/4637445 MO. SULTAN epudiated) 24/02/2022 01:34:30 ENT

CCM
Rejected(R
CASE/2783/4577275 ABA GANPAT NIKAM epudiated) 29/01/2022 12:26:59 Cardiology

CCM
Rejected(R
CASE/2783/4590572 RAJESH KISAN PARDESHI epudiated) 5/2/2022 12:12 Plastic Surgery

CCM
LAXMAN TANAKU Rejected(R
CASE/2783/4574412 GAVAHLE epudiated) 27/01/2022 17:49:21 Pulmonology

CCM
Rejected(R
CASE/2783/4763948 BHIKAN OMKAR MISTRI epudiated) 19/04/2022 21:15:27 General Surgery

CCM
Rejected(R
CASE/2783/4921216 SAI.SHAUKAT SAI.ABBAS epudiated) 20/06/2022 17:40:36 Neurosurgery

CCM
SHAIKH NAJIR SHAIKH Rejected(R
CASE/2783/4920585 BHIKAN epudiated) 20/06/2022 20:10:35 Surgical Oncology

CCM
SUBHASH RAMLAL Rejected(R
CASE/2783/4762903 BHAGAT epudiated) 17/04/2022 19:37:29 Polytrauma

CCM
ACHIRANAND MAHITRAO Rejected(R
CASE/2783/4854515 BHANTE epudiated) 24/05/2022 18:26:07 Plastic Surgery
 CCM
ABU HURERA FIROZ Rejected(R
CASE/2783/4941314 MANYAR epudiated) 29/06/2022 19:38:08 Pediatric Surgery

CCM
MANDABAI KESHARSING Rejected(R
CASE/2783/4897987 DABERAO epudiated) 11/6/2022 0:40 Neurosurgery

CCM
RAGHUNATH RATAN Rejected(R
CASE/2783/4917455 SHINDE epudiated) 19/06/2022 13:50:05 Neurosurgery

CCM Cardiac And

SANGAMNATHJI GURU Rejected(R Cardiothoracic
CASE/2783/4783253 VILASNATHAJI YOGI epudiated) 26/04/2022 20:16:32 Surgery

CCM
MANGALA PITAMBAR Rejected(R Surgical
CASE/2783/4925665 PATIL epudiated) 22/06/2022 19:32:00 Gastroenterology

CCM
Rejected(R
CASE/2783/4845772 HAJJAN MUMTAJ MOMIN epudiated) 20/05/2022 22:21:17 Endocrinology

CCM
REHANA KHAN YUSUF Rejected(R
CASE/2783/4905052 KHAN epudiated) 14/06/2022 16:43:32 Nephrology

CCM
Rejected(R
CASE/2783/4886526 PINTU JAGAN BHIL epudiated) 8/6/2022 0:05 Neurosurgery

CCM
RIYAJ KHAN SIKANDAR Rejected(R
CASE/2783/4932646 KHAN PATHAN epudiated) 24/06/2022 18:37:50 Neurosurgery

CCM
RAMESH BALIRAM Rejected(R
CASE/2783/4772328 JADHAV epudiated) 22/04/2022 17:59:21 Urology

CCM
MANOJ MADHUKAR Rejected(R
CASE/2783/4810823 BHALERAO epudiated) 6/5/2022 16:46 Pulmonology

CCM
Rejected(R
CASE/2783/4745722 VIJAYA SUNIL PATIL epudiated) 9/4/2022 16:08 Neurosurgery

CCM
Rejected(R
CASE/2783/4748289 SUNIL JAGAN BHALERAV epudiated) 11/4/2022 15:35 Neurosurgery

CCM
Rejected(R
CASE/2783/4833224 PRALHAD UKHA WAGH epudiated) 16/05/2022 19:34:52 Neurosurgery

CCM
Rejected(R
CASE/2783/4799324 RAJU BAJIRAO DHANGAR epudiated) 2/5/2022 23:05 Nephrology
 CCM
MOHANDAS HANSRAJ Rejected(R
CASE/2783/4837272 BANJARA epudiated) 17/05/2022 23:33:42 Plastic Surgery

CCM
SANIYA KAUSAR Rejected(R
CASE/2783/4928754 ZAMEERUDDIN FARUKI epudiated) 23/06/2022 16:49:20 ENT

CCM
ZAHEDA BEGAM AAGA Rejected(R Ophthalmology
CASE/2783/4930585 MIYA KHAN PATHAN epudiated) 24/06/2022 22:28:59 Surgery

CCM
Rejected(R Orthopedic Surgery
CASE/2783/4898465 DEVIDAS DHANAGAR epudiated) 11/6/2022 15:47 And Procedures

CCM
BABY OF MILIND Rejected(R
CASE/2783/4839662 SAPKALE epudiated) 18/05/2022 22:22:16 Neurology

CCM
Rejected(R
CASE/2783/4937387 ANUJA RAVI SURWADE epudiated) 27/06/2022 16:57:38 Neurology

CCM
SHANKAR LALCHAND Rejected(R
CASE/2783/4732432 PAWAR epudiated) 5/4/2022 11:40 Nephrology

CCM
MADHUKAR TRYMBAK Rejected(R
CASE/2783/4730076 PAYAGAON epudiated) 4/4/2022 13:30 Nephrology

CCM
Rejected(R
CASE/2783/4878514 SH. ISRAIL SH. ISMAIL epudiated) 3/6/2022 11:13 Neurosurgery

CCM
Rejected(R
CASE/2783/4751076 OM RAMESH SATHE epudiated) 15/04/2022 11:50:49 Neurosurgery

CCM
NITIN DNYANESHWAR Rejected(R
CASE/2783/4859397 CHAUDHARI epudiated) 26/05/2022 14:27:17 Polytrauma

CCM
NITIN DNYANESHWAR Rejected(R Orthopedic Surgery
CASE/2783/4859440 CHAUDHARI epudiated) 26/05/2022 19:22:10 And Procedures

CCM
RAJARAM KISAN Rejected(R Orthopedic Surgery
CASE/2783/4742555 CHANDANKAR epudiated) 8/4/2022 19:59 And Procedures

CCM
Rejected(R
CASE/2783/4799171 GULNAJ BI RAHIM SHAIKH epudiated) 2/5/2022 23:06 Nephrology

CCM
AMBADASD SANDU Rejected(R Orthopedic Surgery
CASE/2783/4923378 SHIMARE epudiated) 22/06/2022 12:44:20 And Procedures
 CCM
Rejected(R Orthopedic Surgery
CASE/2783/4898399 RONIT RAJENDRA BARI epudiated) 10/6/2022 20:52 And Procedures

CCM
VAISHALI PRADIP Rejected(R
CASE/2783/4867975 VANJARI epudiated) 30/05/2022 22:07:57 Nephrology

CCM
SUBHEDAR NAMDAR Rejected(R
CASE/2783/4742641 TADAVI epudiated) 11/4/2022 18:19 Nephrology

CCM
DATTATRAYA NIMBAJI Rejected(R
CASE/2783/4836133 NHAVI epudiated) 17/05/2022 18:59:41 Neurosurgery

CCM
BHAGWAN SHIVHARI Rejected(R Ophthalmology
CASE/2783/4810258 RAJMANE epudiated) 6/5/2022 15:39 Surgery

CCM
RAJARAM KISAN Rejected(R Orthopedic Surgery
CASE/2783/4744362 CHANDANKAR epudiated) 8/4/2022 20:09 And Procedures

CCM
BABY OF ISHAQUE Rejected(R
CASE/2783/4774540 TADAVI epudiated) 22/04/2022 17:40:26 Pediatric Surgery

CCM
PADMABAI JITENDRA Rejected(R
CASE/2783/4755100 RAJPUT epudiated) 15/04/2022 15:29:06 Nephrology

CCM
Rejected(R
CASE/2783/4769375 SOFIYA BI BHIKAN KHAN epudiated) 20/04/2022 17:29:46 Endocrinology

CCM
SHRIKRUSHAN RAMDAS Rejected(R
CASE/2783/4779433 GHULE epudiated) 24/04/2022 10:02:21 General Medicine

CCM
SUMANBAI MADAN Rejected(R
CASE/2783/4828206 KURHADE epudiated) 13/05/2022 16:51:42 Cardiology

CCM Neonatal and

BABY OF RAVINDRA Rejected(R Pediatric Medical
CASE/2783/4754252 PATIL epudiated) 14/04/2022 11:50:37 Management

CCM
Rejected(R
CASE/2783/4813912 PUNDALIK AMBAR AHIRE epudiated) 8/5/2022 16:13 General Surgery

CCM
HEMANT SITARAM Rejected(R
CASE/2783/4851398 DEVKAR epudiated) 25/05/2022 14:18:18 General Surgery

CCM
Rejected(R
CASE/2783/4759047 SURESH PARBAT BHIL epudiated) 16/04/2022 01:47:56 Surgical Oncology
 CCM
NITIN DNYANESHWAR Rejected(R
CASE/2783/4860437 CHAUDHARI epudiated) 26/05/2022 21:09:26 Polytrauma

CCM
JITENDRA HIRAMAN Rejected(R
CASE/2783/5042834 KUMBHAR epudiated) 9/8/2022 17:28 Nephrology

CCM
Rejected(R
CASE/2783/5060196 ANANT VAMAN MAHAJAN epudiated) 17/08/2022 20:05:32 Neurosurgery

CCM
RATAN DNYANDEV Rejected(R
CASE/2783/5150584 DOKHALE epudiated) 21/09/2022 20:50:54 Nephrology

CCM
RAJKUMAR PUNDLIK Rejected(R
CASE/2783/5049458 NALE epudiated) 12/8/2022 15:09 Surgical Oncology

CCM
Rejected(R
CASE/2783/5073088 KAMLABAI VIJAY SHARMA epudiated) 22/08/2022 17:52:09 Pulmonology

CCM
Rejected(R
CASE/2783/4976943 MANIHSA BHIMRAO PATIL epudiated) 13/07/2022 17:42:05 Pulmonology

CCM
Rejected(R
CASE/2783/5150166 BALU RAGHO DHONE epudiated) 21/09/2022 22:13:28 Pulmonology

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5019972 BABY OF RAHUL PATIL epudiated) 1/8/2022 15:43 Management

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/4973690 BABY OF AKIL SHAIKH epudiated) 12/7/2022 22:50 Management

CCM Neonatal and

BABY OF MUSTAKIM Rejected(R Pediatric Medical
CASE/2783/5079339 KHAN epudiated) 25/08/2022 00:01:40 Management

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5025663 BABY OF GANESH WAGH epudiated) 4/8/2022 0:24 Management

CCM Neonatal and

BABY OF SUNIL Rejected(R Pediatric Medical
CASE/2783/5021237 SONAWANE epudiated) 2/8/2022 14:49 Management

CCM Neonatal and

GIRISH RAHUL Rejected(R Pediatric Medical
CASE/2783/4967783 MONDHALE epudiated) 9/7/2022 17:24 Management

CCM
Rejected(R
CASE/2783/5040068 BABY OF PRAVIN PATIL epudiated) 9/8/2022 17:46 Pediatric Surgery
 CCM
BABY OF SHAIKH AKIL Rejected(R
CASE/2783/4984707 QURESHI epudiated) 16/07/2022 19:41:03 Pediatric Surgery

CCM
NARAYAN BHASKAR Rejected(R
CASE/2783/5099003 DHOBI epudiated) 2/9/2022 20:13 Neurosurgery

CCM
RAJKUMAR PUNDLIK Rejected(R
CASE/2783/4984127 NALE epudiated) 16/07/2022 16:23:25 Surgical Oncology

CCM
AJIJKHAN KULEKHA Rejected(R
CASE/2783/5053377 PATHAN epudiated) 16/08/2022 12:20:41 Cardiology

CCM
SHOBHABAI SOPAN Rejected(R
CASE/2783/4976865 NARKHEDE epudiated) 13/07/2022 17:22:41 Neurology

CCM
Rejected(R
CASE/2783/4975901 ARJUN VAMAN SHIMPI epudiated) 13/07/2022 17:19:51 Neurology

CCM
PRAMILABAI KAILAS Rejected(R
CASE/2783/5032495 VISAPUTE epudiated) 6/8/2022 17:21 Neurology

CCM
Rejected(R
CASE/2783/5082395 VIJAY VAMAN KHAJURE epudiated) 26/08/2022 10:01:28 Neurology

CCM
Rejected(R
CASE/2783/5015352 RANVIR NITIN JANJALE epudiated) 31/07/2022 17:05:15 Polytrauma

CCM
BABY OF ARIF MANJUR Rejected(R
CASE/2783/5168219 PATEL epudiated) 28/09/2022 21:51:06 General Medicine

CCM
KOKILABAI BHIMRAO Rejected(R
CASE/2783/5143960 PATIL epudiated) 19/09/2022 19:16:34 Cardiology

CCM
SURYAKANT KISAN Rejected(R
CASE/2783/5039369 KOLAMBE epudiated) 8/8/2022 16:49 Cardiology

CCM
KOKILABAI BHIMRAO Rejected(R
CASE/2783/5144207 PATIL epudiated) 19/09/2022 19:17:27 Cardiology

CCM
Rejected(R
CASE/2783/5079035 GOPAL KITKUL CHAVAN epudiated) 24/08/2022 17:10:42 Cardiology

CCM
Rejected(R
CASE/2783/5167827 VANABAI RAMA GAVHALE epudiated) 28/09/2022 17:11:33 Cardiology
 CCM
Rejected(R
CASE/2783/5169474 VANABAI RAMA GAVHALE epudiated) 29/09/2022 16:48:41 Cardiology

CCM
Rejected(R
CASE/2783/5167820 VANABAI RAMA GAVHALE epudiated) 28/09/2022 17:10:16 Cardiology

CCM
PRAMILABAI KAILAS Rejected(R
CASE/2783/4981970 VISAPUTE epudiated) 15/07/2022 16:55:28 Endocrinology

CCM
Rejected(R
CASE/2783/5071939 JITESH HASIRAM JAMARA epudiated) 22/08/2022 18:58:34 Urology

CCM
PRAVIN CHHAGAN Rejected(R
CASE/2783/5160414 CHAUDHARI epudiated) 26/09/2022 22:42:55 Neurology

CCM
USHABAI MAHADEV Rejected(R
CASE/2783/5000050 BHOSALE epudiated) 24/07/2022 23:06:47 Nephrology

CCM
Rejected(R
CASE/2783/5166776 VASANT HILAL PATIL epudiated) 28/09/2022 20:11:46 Nephrology

CCM
Rejected(R
CASE/2783/5023690 GULNAJ BI RAHIM SHAIKH epudiated) 2/8/2022 16:21 Nephrology

CCM
Rejected(R
CASE/2783/5149460 SONALI AJAY GATTELLU epudiated) 22/09/2022 17:50:22 Nephrology

CCM
Rejected(R
CASE/2783/4995147 PAPPU VITTHAL PATIL epudiated) 24/07/2022 20:21:23 Nephrology

CCM
DEVIDAS KISAN Rejected(R
CASE/2783/5079360 AWAKALE epudiated) 26/08/2022 18:30:16 Urology

CCM
Rejected(R
CASE/2783/5001543 AKASH NARAYAN GHULE epudiated) 26/07/2022 16:10:32 General Surgery

CCM
SHARAD PANDURANG Rejected(R
CASE/2783/5027578 CHAUDHARI epudiated) 4/8/2022 12:59 General Medicine

CCM
Rejected(R
CASE/2783/4966509 DIPALI PUNDLIK BHIL epudiated) 8/7/2022 17:46 General Medicine

CCM
Rejected(R
CASE/2783/5001305 MIRABAI SANDU RATHOD epudiated) 23/07/2022 17:12:39 General Medicine
 CCM
Rejected(R
CASE/2783/4964937 SALIM JAHABAZ TADAVI epudiated) 8/7/2022 16:33 General Medicine

CCM
URMILA MAHENDRA Rejected(R
CASE/2783/4991144 WANI epudiated) 20/07/2022 11:35:12 General Medicine

CCM
Rejected(R
CASE/2783/4988895 SARUBAI SHANKAR MORE epudiated) 19/07/2022 17:23:24 General Medicine

CCM
LAXMIBAI PANDURANG Rejected(R
CASE/2783/4980060 AHIRE epudiated) 15/07/2022 00:13:17 General Medicine

CCM
Rejected(R
CASE/2783/4978989 SUNANDA ASHOK KOLHE epudiated) 14/07/2022 23:00:24 General Medicine

CCM
SHABANABI SHAIKH Rejected(R
CASE/2783/5009389 SALIM epudiated) 27/07/2022 15:28:34 General Medicine

CCM
Rejected(R Medical
CASE/2783/5150295 RAJANI BHAGWAT PATIL epudiated) 22/09/2022 16:16:17 Gastroenterology

CCM
Rejected(R Medical
CASE/2783/5041458 RANGRAO DAULAT PATIL epudiated) 9/8/2022 21:09 Gastroenterology

CCM
GAJANAN RAMKRUSHA Rejected(R Medical
CASE/2783/5057868 NIMBOLKAR epudiated) 16/08/2022 21:38:57 Gastroenterology

CCM
Rejected(R Medical
CASE/2783/5054888 SUBHASH NATTHU KOLI epudiated) 16/08/2022 20:11:31 Gastroenterology

CCM
TRAMBAK MADHAVRAO Rejected(R Medical
CASE/2783/5064139 DABHADE epudiated) 18/08/2022 22:17:53 Gastroenterology

CCM
GHANSHYAM KASHINATH Rejected(R Medical
CASE/2783/5078386 SAPKALE epudiated) 24/08/2022 17:29:12 Gastroenterology

CCM
PRAFULL NARENDRA Rejected(R Medical
CASE/2783/5052638 PATIL epudiated) 17/08/2022 22:32:19 Gastroenterology

CCM
ARCHANA GAUTAM Rejected(R Medical
CASE/2783/5091283 SAPAKALE epudiated) 30/08/2022 10:18:02 Gastroenterology

CCM
Rejected(R Medical
CASE/2783/5164643 GANESH RAJU KUMAVAT epudiated) 29/09/2022 14:05:28 Gastroenterology
 CCM
Rejected(R Medical
CASE/2783/4993318 UTTAM BHIVSAN GOPAL epudiated) 20/07/2022 17:44:12 Gastroenterology

CCM
Rejected(R Medical
CASE/2783/4998463 VIKAS PRAKASH KOLI epudiated) 23/07/2022 17:04:55 Gastroenterology

CCM
Rejected(R
CASE/2783/5163418 NADRABAI PANDIT SAKAT epudiated) 3/10/2022 17:45 Endocrinology

CCM
Rejected(R
CASE/2783/5138731 SWATI VIKAS LOHAR epudiated) 20/09/2022 23:45:58 Endocrinology

CCM
Rejected(R
CASE/2783/5152681 SONALI AJAY GATTELLU epudiated) 22/09/2022 17:14:54 General Medicine

CCM
SALAMA MUBARAK Rejected(R
CASE/2783/5007338 TADAVI epudiated) 26/07/2022 19:14:56 Nephrology

CCM
Rejected(R
CASE/2783/5119653 POOJA NILESH PATIL epudiated) 17/09/2022 23:48:14 Nephrology

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/4987322 BABY OF MUKESH KOLI epudiated) 18/07/2022 23:02:28 Management

CCM
SANDIP RAMESH Rejected(R
CASE/2783/4968780 NANNAVRE epudiated) 11/7/2022 21:40 Pulmonology

CCM
Rejected(R
CASE/2783/5136743 NASIR PINJARI epudiated) 16/09/2022 23:48:18 Pulmonology

CCM
DEVIDAS NARAYAN Rejected(R
CASE/2783/5104109 CHAUDHARI epudiated) 3/9/2022 23:05 Pulmonology

CCM
DNYANESHWAR VASANT Rejected(R
CASE/2783/5079258 PATIL epudiated) 24/08/2022 15:16:17 Polytrauma

CCM Neonatal and

BABY OF GANESH Rejected(R Pediatric Medical
CASE/2783/4971756 SONAWANE epudiated) 11/7/2022 22:34 Management

CCM Neonatal and

BABY OF SHAIKH IMRAN Rejected(R Pediatric Medical
CASE/2783/5001241 SHAIKH KALIM epudiated) 24/07/2022 22:57:42 Management

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/4982323 BABY OF DILIP MORE epudiated) 15/07/2022 23:34:22 Management
 CCM Neonatal and
Rejected(R Pediatric Medical
CASE/2783/4970222 NAJMIN BI SALIM TADAVI epudiated) 12/7/2022 22:19 Management

SECOND BABY OF MO CCM Neonatal and

SAEED MO MUSHTAK Rejected(R Pediatric Medical
CASE/2783/5027891 BAGWAN epudiated) 4/8/2022 15:27 Management

CCM Neonatal and

BABY OF SHREENATH Rejected(R Pediatric Medical
CASE/2783/5042178 BEHERE epudiated) 10/8/2022 15:48 Management

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5023924 BABY OF SALIM TADAVI epudiated) 2/8/2022 16:38 Management

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5137142 BABY OF LILADHAR KOLI epudiated) 16/09/2022 22:06:26 Management

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5103752 BABY OF AMOL PATIL epudiated) 3/9/2022 18:32 Management

CCM
Rejected(R Orthopedic Surgery
CASE/2783/5119592 RAHUL NANA PATIL epudiated) 11/9/2022 19:05 And Procedures

CCM
DEEPIKA VIJAY Rejected(R Orthopedic Surgery
CASE/2783/5063528 VAGHMARE epudiated) 18/08/2022 20:51:21 And Procedures

CCM
Rejected(R
CASE/2783/5100930 VIJAY VAMAN KHAJURE epudiated) 2/9/2022 20:19 Neurosurgery

CCM
RAMESH GULAB Rejected(R
CASE/2783/5088872 PATHARWATH epudiated) 29/08/2022 11:49:17 Neurosurgery

CCM
Rejected(R
CASE/2783/5101656 ASHABAI MOSHA TADAVI epudiated) 2/9/2022 20:24 Neurosurgery

CCM
Rejected(R
CASE/2783/5112535 SHARAD ATMARAM PATIL epudiated) 7/9/2022 19:51 Neurosurgery

CCM
Rejected(R
CASE/2783/5044861 NANAK ARJUNDAS BAJAJ epudiated) 10/8/2022 18:13 Neurosurgery

CCM
SAYYED SHAKIR SAYYED Rejected(R
CASE/2783/5033559 MOHAMMAD epudiated) 7/8/2022 16:37 Neurosurgery

CCM
BABY OF YASMINBANO Rejected(R
CASE/2783/5032744 BAGWAN epudiated) 5/8/2022 17:54 Neurology
 CCM
HIRKANBAI BHIMRAO Rejected(R
CASE/2783/5016923 BORSE epudiated) 29/07/2022 22:15:43 Neurology

CCM
ANANDA AMRUT Rejected(R
CASE/2783/5040157 SONAWANE epudiated) 9/8/2022 16:21 Neurology

CCM
Rejected(R
CASE/2783/5033150 RAJESH DILIP BHALERAO epudiated) 5/8/2022 17:54 Neurology

CCM
OM RAGHUNATH Rejected(R
CASE/2783/5063625 BHALERAV epudiated) 19/08/2022 15:23:04 Neurology

CCM
Rejected(R
CASE/2783/5007964 MAHEMOOD KUTUB ALI epudiated) 26/07/2022 17:20:31 Neurology

CCM
ANITA SURESH Rejected(R
CASE/2783/4986804 SALUNKHE epudiated) 18/07/2022 17:29:09 Neurology

CCM
SUMANBAI SHANTARAM Rejected(R
CASE/2783/5115843 PATIL epudiated) 8/9/2022 21:51 Neurology

CCM
Rejected(R
CASE/2783/5160323 VIDYA RATILAL BHIL epudiated) 26/09/2022 22:43:44 Neurology

CCM
RAHIBAI MAHADU Rejected(R
CASE/2783/5024126 GAVARE epudiated) 2/8/2022 17:07 Nephrology

CCM
Rejected(R
CASE/2783/5042287 MIRABAI TUKARAM PATIL epudiated) 10/8/2022 19:06 Burns

CCM
MANGALABAI SOMA Rejected(R
CASE/2783/5056097 PATIL epudiated) 16/08/2022 21:24:29 Burns

CCM
SHUBHAM MAHENDRA Rejected(R
CASE/2783/5065855 SAPAKALE epudiated) 19/08/2022 17:37:07 ENT

CCM
AFSARUNNISA SHAIKH Rejected(R
CASE/2783/4994781 RASHID epudiated) 22/07/2022 13:38:05 ENT

CCM
Rejected(R Medical
CASE/2783/4982028 ALKA KISHOR KARVALE epudiated) 15/07/2022 16:59:39 Gastroenterology

CCM
Rejected(R
CASE/2783/5136810 MADHUKAR GABA BAGUL epudiated) 16/09/2022 20:18:26 Nephrology
 CCM
Rejected(R
CASE/2783/5076073 IRFAN YUSUF TADAVI epudiated) 23/08/2022 17:09:56 ENT

CCM
Rejected(R
CASE/2783/4948423 MEENA KAILASH MOCHI epudiated) 2/7/2022 11:54 General Surgery

CCM
REKHABAI BABURAO Rejected(R
CASE/2783/5062489 DIPAKE epudiated) 18/08/2022 17:39:38 Pulmonology

CCM
Rejected(R
CASE/2783/5150849 DIPAK SHARAD KHADKE epudiated) 22/09/2022 17:45:46 Polytrauma

CCM
Rejected(R
CASE/2783/5106460 ARATI RAJENDRA JADHAV epudiated) 5/9/2022 17:46 Neurology

CCM
JAYESH SAGAR Rejected(R
CASE/2783/5071046 SONAWANE epudiated) 22/08/2022 15:06:35 Neurology

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5022210 BABY OF RIZWAN SHAIKH epudiated) 1/8/2022 21:05 Management

CCM
Rejected(R
CASE/2783/5166307 MANISHA JITENDRA PATIL epudiated) 28/09/2022 12:58:07 ENT

CCM Neonatal and

BABY OF SHAIKH FARUQ Rejected(R Pediatric Medical
CASE/2783/4993963 SHAIKH SHAFI epudiated) 21/07/2022 16:45:56 Management

CCM
NATTHU NAMDEV Rejected(R
CASE/2783/5121146 BHANGALE epudiated) 10/9/2022 20:36 Nephrology

CCM
ANAND SUDHAKAR Rejected(R
CASE/2783/5064310 KANDEKAR epudiated) 18/08/2022 17:42:11 ENT

CCM
Rejected(R
CASE/2783/4967551 AJAY RAMPRASAD JATALE epudiated) 9/7/2022 14:49 Polytrauma

CCM
Rejected(R
CASE/2783/5220335 AKHTAR SALIM PATEL epudiated) 19/10/2022 19:23:53 Nephrology

CCM
SANDIBHAN ASHRUBA Rejected(R
CASE/2783/5381663 BAHIRE epudiated) 23/12/2022 04:51:43 Plastic Surgery

CCM
SUKALAL GOVINDA Rejected(R
CASE/2783/5308403 PANCHAL epudiated) 24/11/2022 18:53:31 Neurosurgery
 CCM
NARMADABAI VAMAN Rejected(R
CASE/2783/5229131 JAVRE epudiated) 23/10/2022 22:23:00 Pulmonology

CCM
GULSHAN BI YUSUF Rejected(R
CASE/2783/5220360 SHAIKH epudiated) 19/10/2022 17:40:57 Pulmonology

CCM
Rejected(R
CASE/2783/5326126 VASUDEV VYANKAT PATIL epudiated) 2/12/2022 18:01 Pulmonology

CCM Neonatal and

BABY OF SHAIKH SHOEB Rejected(R Pediatric Medical
CASE/2783/5352906 SHAIKH YUSUF epudiated) 13/12/2022 16:39:47 Management

CCM
BHARAT JAGANNATH Rejected(R
CASE/2783/5252860 PATHARE epudiated) 3/11/2022 19:14 Neurosurgery

CCM Neonatal and

BABY OF PRASHANT Rejected(R Pediatric Medical
CASE/2783/5371551 SAVARNE epudiated) 19/12/2022 22:13:10 Management

CCM
SAMADHAN JAGAN Rejected(R
CASE/2783/5375485 SONAWANE epudiated) 20/12/2022 19:29:22 Surgical Oncology

CCM
Rejected(R
CASE/2783/5255095 ASHVINI VINOD KOLI epudiated) 4/11/2022 17:11 Neurology

CCM
SHOBHABAI VISHVANATH Rejected(R
CASE/2783/5339236 BELDAR epudiated) 6/12/2022 19:28 ENT

CCM
Rejected(R Medical
CASE/2783/5302087 NAVAL SHIVALAL KOLI epudiated) 22/11/2022 22:04:55 Gastroenterology

CCM
Rejected(R
CASE/2783/5292527 GOPAL RAMU GHATE epudiated) 19/11/2022 10:16:48 Nephrology

CCM
Rejected(R
CASE/2783/5208615 RENUKA SANJAY PATIL epudiated) 14/10/2022 18:09:06 General Surgery

CCM
Rejected(R
CASE/2783/5195346 SANDIP RAMU JADHAV epudiated) 10/10/2022 18:10 General Surgery

CCM
Rejected(R
CASE/2783/5251609 ROHIT VILAS MAHAJAN epudiated) 3/11/2022 18:39 General Surgery

CCM
KISHOR BHAIYALAL Rejected(R
CASE/2783/5286365 MEHRA epudiated) 16/11/2022 23:22:12 General Medicine
 CCM
Rejected(R Medical
CASE/2783/5245305 ISHWAR NARAYAN PATIL epudiated) 1/11/2022 17:38 Gastroenterology

CCM
KISHOR BHASKAR Rejected(R Medical
CASE/2783/5237023 JADHAV epudiated) 28/10/2022 17:18:05 Gastroenterology

CCM
DHARMENDRA SUKDEV Rejected(R Medical
CASE/2783/5241035 PATIL epudiated) 30/10/2022 21:00:17 Gastroenterology

CCM
RAHUL SIDDHARTH Rejected(R Medical
CASE/2783/5231760 PATOLE epudiated) 26/10/2022 12:29:35 Gastroenterology

CCM
Rejected(R
CASE/2783/5206336 KALABAI JULAL DHOBI epudiated) 13/10/2022 18:09:49 ENT

CCM
KALPANA SANTOSH Rejected(R
CASE/2783/5213164 MAHALE epudiated) 17/10/2022 17:21:11 Endocrinology

CCM
KAILAS RAMBHAU Rejected(R
CASE/2783/5393908 TELANG epudiated) 27/12/2022 17:16:41 Cardiology

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5282522 MCH OF JUBER KURESHI epudiated) 16/11/2022 21:30:27 Management

CCM
Rejected(R
CASE/2783/5248724 PRAVIN SURYKANT PATIL epudiated) 2/11/2022 14:49 Polytrauma

CCM
Rejected(R
CASE/2783/5248660 PRAVIN SURYKANT PATIL epudiated) 2/11/2022 14:49 Polytrauma

CCM Neonatal and

FIRST BABY OF MANOJ Rejected(R Pediatric Medical
CASE/2783/5202649 KOLI epudiated) 12/10/2022 21:25 Management

CCM
DNYNESHWAR UKHARDU Rejected(R Orthopedic Surgery
CASE/2783/5237271 PAWAR epudiated) 28/10/2022 19:56:38 And Procedures

CCM
VIPUL RAJENDRA Rejected(R
CASE/2783/5222356 CHAUDHARI epudiated) 20/10/2022 17:35:12 Polytrauma

CCM
VIPUL RAJENDRA Rejected(R
CASE/2783/5222265 CHAUDHARI epudiated) 20/10/2022 17:31:52 Polytrauma

CCM
SUDHAKAR SHANTARAM Rejected(R
CASE/2783/5220905 CHAVAN epudiated) 20/10/2022 11:47:06 Polytrauma
 CCM
SUDHAKAR SHANTARAM Rejected(R
CASE/2783/5221079 CHAVAN epudiated) 20/10/2022 11:48:35 Polytrauma

CCM
SUDHAKAR SHANTARAM Rejected(R
CASE/2783/5221020 CHAVAN epudiated) 20/10/2022 11:44:38 Polytrauma

CCM Neonatal and

BABY OF NANDAKISHOR Rejected(R Pediatric Medical
CASE/2783/5177492 CHAMBHARE epudiated) 2/10/2022 17:25 Management

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5195417 BABY OF AAKASH PAWAR epudiated) 10/10/2022 23:28 Management

CCM
SAPANA GANESH Rejected(R
CASE/2783/5181531 SONAWANE epudiated) 4/10/2022 16:19 Pediatric Surgery

CCM
Rejected(R Ophthalmology
CASE/2783/5368167 ANITA NIVRUTTI VICHAVE epudiated) 17/12/2022 18:59:22 Surgery

CCM
Rejected(R
CASE/2783/5281801 HIRAMAN RAGHO PATIL epudiated) 15/11/2022 18:43:59 Neurosurgery

CCM
Rejected(R
CASE/2783/5240892 JIJABAI HIMMAT MALI epudiated) 31/10/2022 13:28:45 Neurosurgery

CCM
TULSHI RAVINDRA Rejected(R
CASE/2783/5214725 BHARMBE epudiated) 17/10/2022 19:01:48 Neurosurgery

CCM Neonatal and

SECOND BABY OF MANOJ Rejected(R Pediatric Medical
CASE/2783/5204685 KOLI epudiated) 13/10/2022 15:49:37 Management

CCM
NAVAL TARACHAND Rejected(R Orthopedic Surgery
CASE/2783/5220631 SHINDE epudiated) 19/10/2022 19:56:41 And Procedures

CCM
Rejected(R
CASE/2783/5193077 SAGAR YUVRAJ GAWALI epudiated) 9/10/2022 22:59 General Medicine

CCM
Rejected(R
CASE/2783/5202937 ASHISH BHIMRAO INGALE epudiated) 12/10/2022 18:14 General Surgery

CCM
RAJANI SUDHAKAR Rejected(R Gynaecology And
CASE/2783/5264825 NARKHEDE epudiated) 9/11/2022 12:29 Obstetrics Surgery

CCM Neonatal and

Rejected(R Pediatric Medical
CASE/2783/5369993 BABY OF DIPAK MALI epudiated) 18/12/2022 22:30:49 Management
 CCM
JANABAI NARAYAN Rejected(R
CASE/2783/5176765 SONAWANE epudiated) 1/10/2022 19:26 Polytrauma
Remark AMOUNT

Post OP HP report shows no evidence of malignancy, hence rejected. 40000

Treatment given is different from package taken, hence rejected. 20000

Claim cannot be approved as treatment not given, hence rejected. 15000

Intra op photo from case 4579020 has been attached, hence rejected. 75000

Rejected as Mandatory documents are not attached 15000

Rejected as Mandatory documents are not attached 10000

Rejected as Mandatory documents are not attached 25000

Rejected as Mandatory documents are not attached. 40000

 as per OT notes appendectomy done ...DEVIATION FROM PACKAGE.Rejected 30000

Rejected as Form no 4A attached. 28000

Rejected as discrepancy noted in form no 4. 60000

Rejected as discrepancy noted in form no 4. 7000

Rejected as Intra op photos or post op scar photo with visible face not 25000
Rejected for superimposed Data. 30000

Rejected as same X-ray with two different dates attached. intra op pho 50000

Rejected as Surgery done after 4 days of ETI taken . Intra op photos an 40000

Rejected as discrepancy noted in form no 4 and intra op photos not at 150000

Rejected as form no 4A attached. 80000

Case rejected as TAT for submission of document exceeded 20000

Case rejected as TAT for submission of document exceeded

13200

Rejected as per CCM decision . 20000

Rejected as Mandatory documents are not attached. 60000

Rejected as Mandatory documents are not attached. 10000

Rejected for data is superimposed. 40000

Rejected for data is superimposed. 60000

Rejected as Mandatory documents are not attached. 20000

Rejected as Mandatory documents are not attached. 20000

Rejected for data is superimposed. 0

Rejected as Mandatory documents are not attached. 25000

Rejected as Mandatory documents are not attached. 7500

Rejected as Mandatory documents are not attached.

10000

Rejected as per Verification report. 20000

Rejected as machine generated EEG not attached. 10000

Rejected as machine generated EEG not attached.

10000

Rejected as per Verification report 15000

Rejected as attached photos are superimposed 13200

Rejected as Intra op photos with visible face not attached 60000

Rejected as per Verification report

28000

Rejected as Mandatory documents are not attached 20000

Rejected as Mandatory documents are not attached 20000

Rejected as proper arthroscopic not attached 25000

Rejected as attached Photos are superimposed 13200

Rejected as appropriated video not attached.

25000
Rejected as appropriated video not attached. 30000

Rejected as per verification report. 20000

Rejected as Mandatory documents are not attached 13200

Rejected as Surgery done before ETI and 40000

Rejected as post procedure evidence not provided. 10000

Rejected as Proper arthroscopic video not attached 25000

Rejected as Baby can not be identified as per discharge photo and intr 45000

Rejected for Superimposed Photo.

13200

Rejected as per verification report. 25000

Rejected as per verification report.

4000

Rejected as only one stent used. 20000

Rejected as Mandatory documents are not attached. 25000

Rejected as Mandatory documents are not attached. 60000

Rejected as Mandatory documents are not attached. 30000

Rejected as per verification report. 25000

Rejected as per verification report.
5000

Case rejected as TAT for submission of document exceeded

13200

Rejected as Form no 4A attached.

40000

Rejected as HD chart with sign stamp and biochemistry screenshot not provided.
13200

Rejected as Mandatory documents are not attached.

25000

Rejected as discrepancy noted in form no 4.

40000

Rejected as machine generated ABG and CBC slip, biochemistry screen 40000

Rejected as discrepancy noted in form no 4. 40000

Rejected as discrepancy noted in form no 4.

85000

Rejected as discrepancy noted in form no 4. 25000

Rejected as discrepancy noted in form no 4. 85000

Rejected as machine generated CBC slip and biochemistry screenshots not attached.
30000

Rejected as discrepancy noted in NWH remark and attached document 25000

Rejected as machine generated CBC slip not attached.

25000

Rejected as discrepancy noted in form no 4 and intra op photos not attached.

60000
Rejected as discrepancy noted in form no 4. 50000

Rejected as Two different OT notes attached. Intra op photos and post op scar photo
with visible face not attached. provided endoscopic image without patient data.
65000

Rejected as ot notes with surgeon's sign stamp not attached. 60000

Procedure done before approval.Rejected.

20000

Rejected as machine generated CBC slip and biochemistry screenshots not attached.
20000

Rejected as form no 4 and form no 4A attached.

25000

Rejected as form no 4A attached.

25000

Rejected as form no 4A attached.

20000

Rejected as PM acknowledgement or document of death cause not attached.

75000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached.

20000

Rejected as Mandatory documents are not attached. 20000

Rejected as Mandatory documents are not attached.

60000

Rejected as Mandatory documents are not attached.

80000

Rejected as Mandatory documents are not attached.

15000
Rejected as Mandatory documents are not attached.
60000

Rejected as Mandatory documents are not attached. 10000

Rejected as per guidelines 20000

Rejected as Mandatory documents are not attached. 25000

Rejected as Mandatory documents are not attached. 25000

Rejected as Mandatory documents are not attached.

20000

Rejected for superimposed Data. 15000

Rejected as discrepancy noted.

13200

Rejected as Mandatory documents are not attached.

20000

Approved as per the RFT and field verification, Pt is on invasive ventilat 20000

Rejected as Mandatory documents are not attached. 20000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached. 40000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached.

4000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached.

50000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached.

30000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached.

30000
Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached.

40000

Rejected as Mandatory documents are not attached. 20000

Case rejected as TAT for submission of document exceeded 4000

Case rejected as TAT for submission of document exceeded 13200

Case rejected as TAT for submission of document exceeded

13200

Rejected as discrepancy noted in form no 4 80000

Rejected as Mandatory documents are not attached. 20000

Rejected as Mandatory documents are not attached. 40000

Rejected as Mandatory documents are not attached. 40000

Rejected as Mandatory documents are not attached.

15000

Rejected as biochemistry screenshots and appropriated LP Video are n 85000

Rejected as biochemistry screenshots are not attached. 25000

Rejected as Mandatory documents are not attached. 85000

Rejected as machine generated CBC and ABG slip and biochemistry scr 30000

Rejected as machine generated CBC slip and biochemistry screenshots 25000

Rejected as machine generated CBC slip and biochemistry screenshots 25000

Rejected asbiochemistry screenshots not attached..

25000

Rejected as Mandatory documents are not attached. 80000

Rejected as Mandatory documents are not attached. 80000

Rejected as Mandatory documents are not attached.

20000

Rejected as Mandatory documents are not attached. 20000

Rejected as Mandatory documents are not attached. 50000

Rejected as Mandatory documents are not attached. 100000

Rejected as Mandatory documents are not attached. 50000

Rejected as Mandatory documents are not attached. 60000

Rejected as Mandatory documents are not attached. 40000

Rejected as Mandatory documents are not attached. 60000

Rejected as machine generated EEG or post treatment CT Brain are not 10000
Rejected as Post treatment DSA images, and biochemistry screenshots 20000

Rejected as Post treatment DSA images, machine generated CBC slip a 20000

Rejected as Post treatment DSA images, machine generated CBC slip a 25000

Rejected as post treatment CT images, machine generated CBC slip and biochemistry
screenshots not attached..
10000

Rejected as Post treatment DSA images, machine generated CBC slip a 10000

Rejected as as per CCM decision . 25000

Rejected as Mandatory documents are not attached. 25000

Rejected as CT film, biochemistry screenshots are not attached.

10000

Rejected as biochemistry screenshots not attached. Photos are repeated from case
number 4905162.
13200

Rejected as Mandatory documents are not attached.

30000

Rejected as post treatment biochemistry screenshot and CBC slip not 35000

Rejected as Mandatory documents are not attached.

7500

Rejected as Mandatory documents are not attached. 7500

Rejected as Mandatory documents are not attached. 30000

Rejected for data is superimposed.

15000
Rejected as Mandatory documents are not attached. 7500

Rejected as Mandatory documents are not attached. 7000

Rejected as attached documents are superimposed . 20000

Rejected as Mandatory documents are not attached.

15000

Rejected as machine generated EEG not attached. 20000

Rejected as machine generated EEG not attached.

10000

Rejected as Mandatory documents are not attached 85000

Rejected as Mandatory documents are not attached 7500

Rejected as Mandatory documents are not attached. 25000

Rejected as Mandatory documents are not attached. 20000

Rejected as Mandatory documents are not attached.

7500

Rejected as Mandatory documents are not attached. 20000

Case rejected as TAT for submission of document exceeded 13200

Rejected as Intra op photos with visible face not attached. 25000

Rejected as Form no 4A attached.

40000
Rejected as biochemistry screenshots not attached. 20000

Rejected as discrepancy noted in pre and post treatment X-ray. 20000

Rejected as discrepancy noted in pre and post treatment X-ray. 20000

Rejected as biochemistry screenshot of all investigations not provided 80000

Rejected as implant stickers are not attached. 45000

Rejected as form no 4A attached . 85000

Rejected as Post HPE is not suggestive of malignancy. No chemotherapy 60000

Rejected as Eeg / Ct-Brain, biochemistry screenshots not attached. 10000

Rejected as Form no 4A attached. 15000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 13200

Rejected as Mandatory documents are not attached.

7000

Rejected as Mandatory documents are not attached. 7000

Rejected as Mandatory documents are not attached. 7000

Rejected as Mandatory documents are not attached. 4000

Rejected as Mandatory documents are not attached.
30000

Rejected as Mandatory documents are not attached.

30000

Rejected as Mandatory documents are not attached.

30000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 7500

Rejected as Mandatory documents are not attached. 25000

Rejected for superimposed Data. 60000

Case rejected as TAT for submission of document exceeded 25000

Rejected as Mandatory documents are not attached 20000

Rejected as Mandatory documents are not attached 20000

Rejected as discrepancy noted in form no 4 80000

Rejected as Mandatory documents are not attached

20000

Rejected as per Guidelines.

15000

Rejected as per Guidelines 15000

Rejected as per Guidelines. 15000

Rejected as per Guidelines. 15000

Rejected as per Guidelines. 15000

Rejected as machine generated CBC slip and biochemistry screenshots 25000

Rejected as machine generated CBC slip and biochemistry

screenshots not attached.
25000

Rejected as per CCM decision . 40000

Rejected as Detailed/step wise OT notes not attached.

30000

Rejected as discrepancy noted . 50000

Rejected as Mandatory documents are not attached. 30000

Rejected as Mandatory documents are not attached. 70000

Rejected as Mandatory documents are not attached. 85000

Rejected for adjustment of previous case. 4000

Rejected as Mandatory documents are not attached. 4000

Rejected as Intra op photos with visible face not attached 7000

Rejected as Mandatory documents are not attached 15000

Rejected as Mandatory documents are not attached. 35000

Rejected as Mandatory documents are not attached. 20000
IPD

31275

34275

1418

33525

35350

3224

32229

32186

1803

11051

10877

1418

6898
12393

8560

10892

1255

11661

6950

77280

12167

2738

4988

1081

41377

6327

13200
 4646

11490

11686

9520

6659

12364

532

1610

6991

6991

41205

11225
 7696

6335

4972

14205

2780

2551

2488

5146

1256

4714

7320

39569
 6991

19351

18679

20203

14655

23148

17014

14386

20547

17668

17350

14047

18178
14386

21624

14979

18788

14381

14550

17842

20706

16860

25273

23914

18294

23914

20322

25447
25447

25447

14889

19474

24902

15814

25187

24211

15708

19841

16012

17317

14048

15834
13736

15690

15352

14722

14721

16672

24086

18354

19309

19241

19464

20056

18752

21160

25080
15618

16018

24884

23775

24211

15361

14010

23598

21856

20483

14057

16026

14556
14379

17566

18352

17352

23594

21696

22521

19139

20706

21118

21321

22024

18498

17901

18041
17005

18056

17904

19551

16499

15224

22519

24883

18467

19332

19728

15818

14559

22804
124646

12646

19506

23919

22053

19999

17203

25220

15700

22515

19353

13726

35745

32749
28524

28024

23747

34905

29042

35893

34538

29742

33680

32260

27344

26444

29459

31640
29445

29005

29248

28762

27387

27701

36994

31458

29092

29092

26697

28810

27717

27717

27830
27830

27830

25829

26530

25831

35946

31509

28930

27753

26678

27896

23936

27079

29915

35945
25856