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Member Policy Details

The document contains details about a beneficiary with a ration card number and personal information including name, gender, and address. It outlines the policy sum assured, total claims, and approved amounts for medical treatments. Additionally, it lists member details and status of claims submitted to various hospitals.

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thanshiammu
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51 views2 pages

Member Policy Details

The document contains details about a beneficiary with a ration card number and personal information including name, gender, and address. It outlines the policy sum assured, total claims, and approved amounts for medical treatments. Additionally, it lists member details and status of claims submitted to various hospitals.

Uploaded by

thanshiammu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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URN 01330302001719300

Ration Card Number 333638660251


Number

Beneficiary Detail

Card

Holder
0133030200171930003482 Generate e-card
URN

Number

Card

Holder

Ration 333638660251

Card

Number

PMJAY

Beneficiary

Card
M ARAVALLI
Holder
M ஆரவல் லி
Name

Gender Female

Enrolled
11/18/2016
Date

37-1(3) கிழக்குத் தெரு

Address காந்தி நகர்

மதுராந்தகம்

Policy Sum
500000
Assured

Total

Claims
12000
Approved

Amount

Total

Preauth
12000
Approved

Amount

Remaining 488000 * LT-ET-Ramya font should be installed

Sum
Assured

Member Details Preauth Claims

Member Name in English Member Name in Tamil Age Gender Relation

Yogaraj M M யோகராஜ் 32 Male Other Relations

App.
Ref Id Patient Hospital Status Submit Time Process Time
Amt.

Chengalpattu Medical College,Dental 07/20/2024 07/20/2024


13H_1952663274503 VIJAY 0 DENIED
Surgeon,TN. 12:27:50 14:54:39

B/O GOMATHY B/O Chengalpattu Medical College, 06/22/2024 06/22/2024


13H_2571462649331 12000 APPROVED
YOGARAJ Neonatology ,TN. 12:44:30 15:21:54

Bill App. Submit Process


Ref ID Patient Hospital Status
Amt. Amt. Time Time

B/O GOMATHY B/O Chengalpattu Medical College, APPROVED- 03/07/2024 06/07/2024


13H_2571462649331 12000 12000.00
YOGARAJ Neonatology ,TN. CLAIMS HEAD 4:08PM 10:49PM

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