Pending payment Cases

\ Pending payment Cases

Pending Payment Cases

Reference Number	Case Inception Date	Case Age	Patient Name	Patient Phone	Complainant Name	Manager Name	CP Name	Company	Claim Number	Claim Amount	Completion Type	Status	Cutomer Payment Date	Settlement Amount	CF Amount	Part Payment Received	Amount Pending	Action	Action	Action	Action	Action

Case Report

Case Number: [Case Number]

Case Handler: [Case Handler]

Initial Case Date: [Initial Case Date]

Patient Name: [Case status]

Patient Contact: [Remarks]

Complainant Name: [Initial Case Date]

Complainant Contact: [Case status]

Manager: [Remarks]

Channel Partner: [Initial Case Date]

Insurance company: [Case status]

Claim Number: [Remarks]

Claim Amount: [Remarks]

Case Rejection Reason : [Remarks]

Manual Gist : [Remarks]

Remarks : [Remarks]

Consultation Charge : [Remarks]

Processing Fees : [Remarks]

Cheque Amount : [Remarks]

Cheque Number : [Remarks]

Bank Name : [Remarks]

Operation Officer : [None]

Medical Officer : [None]

Claim Type : [None]

Policy Number : [None]

Policy Inception : [None]

Hospital Name : [None]

Admission Date : [None]

Discharge Date : [None]

Diagnosis : [None]

Patient Complain : [None]

Rejection Reason : [None]

Rejection Date : [None]

Draft :

[None]

Lokpal Draft :

[None]

Case Email : [None]

Email Password : [None]

Escalation Date : [None]

Online BHP Number : [None]

Lokpal Registration Date : [None]

Annexure 5 : [None]

Annexure 5 Reply Date : [None]

Annexure 6 : [None]

Annexure 6 Reply Date : [None]

Lokpal Hearing Date : [None]

Completion Type : [None]

Case Result : [None]

Settlement Amount : [None]

Amount received by customer: [None]

Customer Payment Date : [None]

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