sipf.rajasthan.gov.insipf.rajasthan.gov.in/mediclaim/med gis.xls · xls file · web view ·...

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S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Modified On Amount To Be Paid 1 JODHPUR CITY RJJO200525009897 MAHENDRA SINGH BHATI The Gujarat Research & Medical Institute Reimbursement 01/08/2016 24/08/2016 MED-006113 18402 Approved 2 AJMER RJAJ201101008442 VINOD TECKCHANDANI Gheesibai Memorial Mittal Hospital & Research Reimbursement 01/08/2016 05/09/2016 MED-006114 8280 Approved 3 BARMER RJBM201205043401 MOHAN LAL BIJARNIYA S.M.S Medical College & Hospital Reimbursement 01/08/2016 29/09/2016 MED-006116 39000 Approved 4 KOTA RJKO201327026601 KAUSHAL KISHOR RATHORE Sudha Hospital & Medical Research Centre Reimbursement 01/08/2016 07/09/2016 MED-006117 13446 Approved 5 RAJSAMAND RJRA201131024308 RAJESH KUMAR(362) Mathura Das Mathur Hospital Reimbursement 01/08/2016 05/09/2016 MED-006118 82099 Approved 6 JAIPUR RURAL RJJP200518031328 VINOD KUMAR SHARMA Apex Hospital Reimbursement 01/08/2016 24/08/2016 MED-006120 36523 Approved 7 BHILWARA RJBW200808016253 GANGA RAM Other Reimbursement 01/08/2016 29/08/2016 MED-006121 11880 Approved 8 PRATAPGARH RJPG200730011898 GIRRAJ PRASAD GUPTA S.M.S Medical College & Hospital Reimbursement 01/08/2016 15/09/2016 MED-006122 56640 Approved 9 CHURU RJSR201434015987 GAJENDRA KUMAR Apex Hospital Reimbursement 01/08/2016 29/08/2016 MED-006123 22048 Approved 10 BHARATPUR RJBP201207018016 ANKUR GARG Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006124 5834 Approved 11 BHARATPUR RJBP201107013877 DHEERENDRA PAL Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006125 15935 Approved 12 JAIPUR RURAL RJJP198518028744 MANOJ SONI Tagore Hospital & Research Institute Reimbursement 01/08/2016 29/08/2016 MED-006126 24801 Approved 13 HANUMANGARH RJHA201216000318 SUMAN SHARMA Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006127 15694 Approved 14 KOTA RJKO200527010137 SARITA FOJDAR Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006128 12781 Approved 15 DAUSA RJDA200513001201 MUKESH KUMAR GUPTA Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006129 7990 Approved 16 AJMER RJAJ201101013043 MAMTA GANGWAL Bhandari Hospital & Research Centre Reimbursement 01/08/2016 05/09/2016 MED-006130 36048 Approved 17 JHUNJHUNU RJJJ200823050935 SANJAY Dhukia Hospital Reimbursement 01/08/2016 08/11/2016 MED-006131 13973 Approved 18 AJMER RJAJ200801004679 MANJU LAKHOTIA Fortis Escorts Hospital Reimbursement 01/08/2016 08/09/2016 MED-006132 40740 Approved 19 CHURU RJSR201434015987 GAJENDRA KUMAR Apex Hospital Reimbursement 01/08/2016 29/08/2016 MED-006133 23522 Approved 20 BIKANER RJJP201317014161 LAXMAN SINGH Narayana Hrudayalaya Pvt Ltd Reimbursement 01/08/2016 19/09/2016 MED-006135 138204 Approved 21 SAWAI MADHOPUR RJSK200533015520 MONIKA GARG Narayana Hrudayalaya Pvt Ltd Reimbursement 01/08/2016 30/08/2016 MED-006136 19639 Approved 22 BUNDI RJBU200810008614 SATYA NARAYAN MEENA Mahatma Gandhi Medical College & Hospital,Jaipu Reimbursement 02/08/2016 07/12/2016 MED-006139 89325 Approved 23 JALORE RJJL200821019415 MOHAN LAL POONIA M.P.Shah Cancer Hospital Reimbursement 02/08/2016 16/09/2016 MED-006140 33348 Approved 24 AJMER RJAJ200801045375 RATAN SINGH Neuro Care Hospital Reimbursement 02/08/2016 15/03/2017 MED-006143 274160 Approved 25 JHUNJHUNU RJJJ201123012478 ANITA NEHRA Dhukia Hospital Reimbursement 02/08/2016 03/01/2017 MED-006145 24562 Approved 26 SIKAR RJJP201119007988 GOPAL RAM KUMAWAT Sh.K.M.Memorial Heart and General Hospital Reimbursement 02/08/2016 20/09/2016 MED-006147 6420 Approved 27 BIKANER RJBI201209017938 BHAGIRATH CHOUDHARY M.N.Hospital & Research Centre Reimbursement 02/08/2016 19/09/2016 MED-006148 18975 Approved 28 JAIPUR RURAL RJJP201118007829 RAMJI LAL MEENA Mahatma Gandhi Medical College & Hospital,Jaipu Reimbursement 02/08/2016 11/08/2016 MED-006150 60571 Approved 29 JAIPUR RURAL RJJP200818032826 CHETAN GUPTA S.M.S Medical College & Hospital Reimbursement 02/08/2016 07/09/2016 MED-006151 25555 Approved 30 BUNDI RJBU200510021275 NAVNEET SONI Geetanjali Hospital Reimbursement 02/08/2016 30/08/2016 MED-006152 121387 Approved 31 ALWAR RJAL200902004158 NARENDRA KUMAR GUPTA Other Reimbursement 02/08/2016 08/09/2016 MED-006153 7446 Approved 32 AJMER RJAJ201101007650 CHANDA PATHAK Dr.Khunger's Eye Care & Research Centre Pvt Ltd Reimbursement 02/08/2016 22/09/2016 MED-006154 15503 Approved 33 BIKANER RJBI200509002367 ARJUN RAM KUMAWAT M.N.Hospital & Research Centre Reimbursement 02/08/2016 30/09/2016 MED-006155 24200 Approved 34 BHILWARA RJBW200908005239 LAJWANTI The Gujarat Research & Medical Institute Reimbursement 02/08/2016 02/11/2016 MED-006157 47760 Approved 35 JAIPUR RURAL RJBW201408016249 SUBHASH KUMAR SAINI Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 24/08/2016 MED-006158 22598 Approved 36 KOTA RJKO200727000885 MUKESH SUMAN Kota Heart Institute Reimbursement 03/08/2016 18/10/2016 MED-006159 150030 Approved 37 JAIPUR RURAL RJJP201318006623 RAM BABU MEENA Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 07/09/2016 MED-006161 13329 Approved 38 SIKAR RJSK201333029093 POORAN MAL GURJAR Imperial Hospital & Research Centre Reimbursement 03/08/2016 20/09/2016 MED-006163 11880 Approved 39 JAIPUR CITY RJJP201117030529 RAM SINGH FC 1745 Dhanwantri Hospital & Research Centre Reimbursement 03/08/2016 02/09/2016 MED-006165 13221 Approved 40 BHILWARA RJBW201208016449 DAYARAM SWAMI Heart & General Hospital,Jaipur Reimbursement 03/08/2016 02/11/2016 MED-006166 100215 Approved 41 BARAN RJBR200504024649 DEPIKA TIWARI Bharat Vikas Parishad Hospital & Research Centr Reimbursement 03/08/2016 29/11/2016 MED-006167 105475 Approved 42 JAIPUR CITY RJJP201117030529 RAM SINGH FC 1745 Dr.Virendra Laser & Phaco Surgery Centre Reimbursement 03/08/2016 10/09/2016 MED-006168 14533 Approved 43 BHARATPUR RJUD201137026856 DILEEP SINGH Fortis Escorts Hospital Reimbursement 03/08/2016 30/11/2016 MED-006169 25138 Approved 44 ALWAR RJDH200814011693 SANJAY SINGH Sania Hospital Reimbursement 03/08/2016 08/09/2016 MED-006170 10233 Approved 45 BHILWARA RJBW200808016253 GANGA RAM Gupta Hospital Reimbursement 03/08/2016 05/09/2016 MED-006171 3432 Approved 46 JAIPUR RURAL RJJP200518025237 KRISHANA SHARMA Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 08/09/2016 MED-006172 14669 Approved 47 CHITTORGARH RJCT201211044834 PRAKASH CHAND MEENA Agarwal Hospital Reimbursement 03/08/2016 03/09/2016 MED-006173 6480 Approved 48 BANSWARA RJBN200903007061 NIMISHA CHOUBISA Sudha Hospital & Medical Research Centre Reimbursement 03/08/2016 19/09/2016 MED-006174 10005 Approved 49 JAIPUR CITY RJJP200517027637 MADHVI TANWAR Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 02/09/2016 MED-006175 49420 Approved 50 JAIPUR RURAL RJJP200518026735 RAJENDRA KUMAR SHARMA S.M.S Medical College & Hospital Reimbursement 03/08/2016 14/12/2016 MED-006176 68381 Approved 51 TONK RJTO201336032971 NUTAN KUMAR SAINI Bhandari Hospital & Research Centre Reimbursement 03/08/2016 14/10/2016 MED-006177 36673 Approved 52 BUNDI RJBU201310020992 MAHAVEER PRASAD KHATIK Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 08/09/2016 MED-006180 18434 Approved 53 AJMER RJAJ200501018841 SUNITA LAMBA K.C.Memorial Hospital Reimbursement 04/08/2016 11/08/2016 MED-006181 15503 Approved 54 KOTA RJKO201327002272 BRIJESH MEENA Test Reimbursement 04/08/2016 07/09/2016 MED-006182 11178 Approved 55 BHILWARA RJBW200808016096 GULAB CHAND MEENA 1569 PBM Hospital Reimbursement 04/08/2016 19/09/2016 MED-006183 5595 Approved 56 DHOLPUR RJDH200814043129 TARA CHAND Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006184 71485 Approved 57 KOTA RJKO201227004957 MUKEKSH MEENA Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006185 17285 Approved 58 NAGAUR RJNA201028005484 MAL CHAND NETWAL Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006186 55099 Approved 59 CHURU RJCR200512007521 RAJPAL Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006187 12050 Approved 60 JAIPUR CITY RJJP200817039871 SEEMA KUMARI Imperial Hospital & Research Centre Reimbursement 04/08/2016 04/11/2016 MED-006188 5108 Approved

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Page 1: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

1 JODHPUR CITY RJJO200525009897 MAHENDRA SINGH BHATI The Gujarat Research & Medical Institute Reimbursement 01/08/2016 24/08/2016 MED-006113 18402 Approved Download Show2 AJMER RJAJ201101008442 VINOD TECKCHANDANI Gheesibai Memorial Mittal Hospital & Research Reimbursement 01/08/2016 05/09/2016 MED-006114 8280 Approved Download Show3 BARMER RJBM201205043401 MOHAN LAL BIJARNIYA S.M.S Medical College & Hospital Reimbursement 01/08/2016 29/09/2016 MED-006116 39000 Approved Download Show4 KOTA RJKO201327026601 KAUSHAL KISHOR RATHORE Sudha Hospital & Medical Research Centre Reimbursement 01/08/2016 07/09/2016 MED-006117 13446 Approved Download Show5 RAJSAMAND RJRA201131024308 RAJESH KUMAR(362) Mathura Das Mathur Hospital Reimbursement 01/08/2016 05/09/2016 MED-006118 82099 Approved Download Show6 JAIPUR RURAL RJJP200518031328 VINOD KUMAR SHARMA Apex Hospital Reimbursement 01/08/2016 24/08/2016 MED-006120 36523 Approved Download Show7 BHILWARA RJBW200808016253 GANGA RAM Other Reimbursement 01/08/2016 29/08/2016 MED-006121 11880 Approved Download Show8 PRATAPGARH RJPG200730011898 GIRRAJ PRASAD GUPTA S.M.S Medical College & Hospital Reimbursement 01/08/2016 15/09/2016 MED-006122 56640 Approved Download Show9 CHURU RJSR201434015987 GAJENDRA KUMAR Apex Hospital Reimbursement 01/08/2016 29/08/2016 MED-006123 22048 Approved Download Show

10 BHARATPUR RJBP201207018016 ANKUR GARG Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006124 5834 Approved Download Show11 BHARATPUR RJBP201107013877 DHEERENDRA PAL Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006125 15935 Approved Download Show12 JAIPUR RURAL RJJP198518028744 MANOJ SONI Tagore Hospital & Research Institute Reimbursement 01/08/2016 29/08/2016 MED-006126 24801 Approved Download Show13 HANUMANGARH RJHA201216000318 SUMAN SHARMA Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006127 15694 Approved Download Show14 KOTA RJKO200527010137 SARITA FOJDAR Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006128 12781 Approved Download Show15 DAUSA RJDA200513001201 MUKESH KUMAR GUPTA Bhagwan Mahavir Cancer Hospital Cashless 01/08/2016 24/08/2016 MED-006129 7990 Approved Download Show16 AJMER RJAJ201101013043 MAMTA GANGWAL Bhandari Hospital & Research Centre Reimbursement 01/08/2016 05/09/2016 MED-006130 36048 Approved Download Show17 JHUNJHUNU RJJJ200823050935 SANJAY Dhukia Hospital Reimbursement 01/08/2016 08/11/2016 MED-006131 13973 Approved DDSI Download Show18 AJMER RJAJ200801004679 MANJU LAKHOTIA Fortis Escorts Hospital Reimbursement 01/08/2016 08/09/2016 MED-006132 40740 Approved Download Show19 CHURU RJSR201434015987 GAJENDRA KUMAR Apex Hospital Reimbursement 01/08/2016 29/08/2016 MED-006133 23522 Approved Download Show20 BIKANER RJJP201317014161 LAXMAN SINGH Narayana Hrudayalaya Pvt Ltd Reimbursement 01/08/2016 19/09/2016 MED-006135 138204 Approved Download Show21 SAWAI MADHOPUR RJSK200533015520 MONIKA GARG Narayana Hrudayalaya Pvt Ltd Reimbursement 01/08/2016 30/08/2016 MED-006136 19639 Approved Download Show22 BUNDI RJBU200810008614 SATYA NARAYAN MEENA Mahatma Gandhi Medical College & Hospital,Jaipur Reimbursement 02/08/2016 07/12/2016 MED-006139 89325 Approved Download Show23 JALORE RJJL200821019415 MOHAN LAL POONIA M.P.Shah Cancer Hospital Reimbursement 02/08/2016 16/09/2016 MED-006140 33348 Approved Download Show24 AJMER RJAJ200801045375 RATAN SINGH Neuro Care Hospital Reimbursement 02/08/2016 15/03/2017 MED-006143 274160 Approved Download Show25 JHUNJHUNU RJJJ201123012478 ANITA NEHRA Dhukia Hospital Reimbursement 02/08/2016 03/01/2017 MED-006145 24562 Approved Download Show26 SIKAR RJJP201119007988 GOPAL RAM KUMAWAT Sh.K.M.Memorial Heart and General Hospital Reimbursement 02/08/2016 20/09/2016 MED-006147 6420 Approved Download Show27 BIKANER RJBI201209017938 BHAGIRATH CHOUDHARY M.N.Hospital & Research Centre Reimbursement 02/08/2016 19/09/2016 MED-006148 18975 Approved Download Show28 JAIPUR RURAL RJJP201118007829 RAMJI LAL MEENA Mahatma Gandhi Medical College & Hospital,Jaipur Reimbursement 02/08/2016 11/08/2016 MED-006150 60571 Approved Download Show29 JAIPUR RURAL RJJP200818032826 CHETAN GUPTA S.M.S Medical College & Hospital Reimbursement 02/08/2016 07/09/2016 MED-006151 25555 Approved Download Show30 BUNDI RJBU200510021275 NAVNEET SONI Geetanjali Hospital Reimbursement 02/08/2016 30/08/2016 MED-006152 121387 Approved Download Show31 ALWAR RJAL200902004158 NARENDRA KUMAR GUPTA Other Reimbursement 02/08/2016 08/09/2016 MED-006153 7446 Approved Download Show32 AJMER RJAJ201101007650 CHANDA PATHAK Dr.Khunger's Eye Care & Research Centre Pvt Ltd Reimbursement 02/08/2016 22/09/2016 MED-006154 15503 Approved Download Show33 BIKANER RJBI200509002367 ARJUN RAM KUMAWAT M.N.Hospital & Research Centre Reimbursement 02/08/2016 30/09/2016 MED-006155 24200 Approved Download Show34 BHILWARA RJBW200908005239 LAJWANTI The Gujarat Research & Medical Institute Reimbursement 02/08/2016 02/11/2016 MED-006157 47760 Approved Download Show35 JAIPUR RURAL RJBW201408016249 SUBHASH KUMAR SAINI Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 24/08/2016 MED-006158 22598 Approved Download Show36 KOTA RJKO200727000885 MUKESH SUMAN Kota Heart Institute Reimbursement 03/08/2016 18/10/2016 MED-006159 150030 Approved Download Show37 JAIPUR RURAL RJJP201318006623 RAM BABU MEENA Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 07/09/2016 MED-006161 13329 Approved Download Show38 SIKAR RJSK201333029093 POORAN MAL GURJAR Imperial Hospital & Research Centre Reimbursement 03/08/2016 20/09/2016 MED-006163 11880 Approved Download Show39 JAIPUR CITY RJJP201117030529 RAM SINGH FC 1745 Dhanwantri Hospital & Research Centre Reimbursement 03/08/2016 02/09/2016 MED-006165 13221 Approved Download Show40 BHILWARA RJBW201208016449 DAYARAM SWAMI Heart & General Hospital,Jaipur Reimbursement 03/08/2016 02/11/2016 MED-006166 100215 Approved Download Show41 BARAN RJBR200504024649 DEPIKA TIWARI Bharat Vikas Parishad Hospital & Research Centre Reimbursement 03/08/2016 29/11/2016 MED-006167 105475 Approved Download Show42 JAIPUR CITY RJJP201117030529 RAM SINGH FC 1745 Dr.Virendra Laser & Phaco Surgery Centre Reimbursement 03/08/2016 10/09/2016 MED-006168 14533 Approved Download Show43 BHARATPUR RJUD201137026856 DILEEP SINGH Fortis Escorts Hospital Reimbursement 03/08/2016 30/11/2016 MED-006169 25138 Approved Download Show44 ALWAR RJDH200814011693 SANJAY SINGH Sania Hospital Reimbursement 03/08/2016 08/09/2016 MED-006170 10233 Approved Download Show45 BHILWARA RJBW200808016253 GANGA RAM Gupta Hospital Reimbursement 03/08/2016 05/09/2016 MED-006171 3432 Approved Download Show46 JAIPUR RURAL RJJP200518025237 KRISHANA SHARMA Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 08/09/2016 MED-006172 14669 Approved Download Show47 CHITTORGARH RJCT201211044834 PRAKASH CHAND MEENA Agarwal Hospital Reimbursement 03/08/2016 03/09/2016 MED-006173 6480 Approved Download Show48 BANSWARA RJBN200903007061 NIMISHA CHOUBISA Sudha Hospital & Medical Research Centre Reimbursement 03/08/2016 19/09/2016 MED-006174 10005 Approved Download Show49 JAIPUR CITY RJJP200517027637 MADHVI TANWAR Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 02/09/2016 MED-006175 49420 Approved Download Show50 JAIPUR RURAL RJJP200518026735 RAJENDRA KUMAR SHARMA S.M.S Medical College & Hospital Reimbursement 03/08/2016 14/12/2016 MED-006176 68381 Approved Download Show51 TONK RJTO201336032971 NUTAN KUMAR SAINI Bhandari Hospital & Research Centre Reimbursement 03/08/2016 14/10/2016 MED-006177 36673 Approved Download Show52 BUNDI RJBU201310020992 MAHAVEER PRASAD KHATIK Narayana Hrudayalaya Pvt Ltd Reimbursement 03/08/2016 08/09/2016 MED-006180 18434 Approved Download Show53 AJMER RJAJ200501018841 SUNITA LAMBA K.C.Memorial Hospital Reimbursement 04/08/2016 11/08/2016 MED-006181 15503 Approved Download Show54 KOTA RJKO201327002272 BRIJESH MEENA Test Reimbursement 04/08/2016 07/09/2016 MED-006182 11178 Approved Download Show55 BHILWARA RJBW200808016096 GULAB CHAND MEENA 1569 PBM Hospital Reimbursement 04/08/2016 19/09/2016 MED-006183 5595 Approved Download Show56 DHOLPUR RJDH200814043129 TARA CHAND Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006184 71485 Approved Download Show57 KOTA RJKO201227004957 MUKEKSH MEENA Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006185 17285 Approved Download Show58 NAGAUR RJNA201028005484 MAL CHAND NETWAL Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006186 55099 Approved Download Show59 CHURU RJCR200512007521 RAJPAL Bhagwan Mahavir Cancer Hospital Cashless 04/08/2016 24/08/2016 MED-006187 12050 Approved Download Show60 JAIPUR CITY RJJP200817039871 SEEMA KUMARI Imperial Hospital & Research Centre Reimbursement 04/08/2016 04/11/2016 MED-006188 5108 Approved Download Show

Page 2: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

61 JAIPUR RURAL RJJP200718012620 RAMNIWAS Bhagwan Mahavir Cancer Hospital Reimbursement 04/08/2016 01/09/2016 MED-006189 13719 Approved Download Show62 BANSWARA RJBN200703009872 SOHAN LAL NINAMA Other Reimbursement 04/08/2016 06/09/2016 MED-006190 115680 Approved Download Show63 KOTA RJKO201327012064 DHARMRAJ GURJAR Jain ENT Hospital Reimbursement 04/08/2016 07/09/2016 MED-006191 20295 Approved Download Show64 CHURU RJCR200712011392 SAROJ Apex Hospital Reimbursement 04/08/2016 09/09/2016 MED-006194 21821 Approved Download Show65 BARMER RJBM200805049788 GYAN CHAND MAURYA Bhandari Hospital & Research Centre Reimbursement 04/08/2016 06/02/2017 MED-006197 11062 Approved Download Show66 JAIPUR RURAL RJJP201118019108 RAJENDRA SINGH SHEKHAWAT Global Heart & General Hospital Pvt Ltd. Reimbursement 04/08/2016 19/09/2016 MED-006198 15431 Approved Download Show67 JAIPUR CITY RJJP201117013284 MUKESH KUMAR Narayana Hrudayalaya Pvt Ltd Reimbursement 04/08/2016 20/02/2017 MED-006200 160105 Approved Download Show68 JAIPUR RURAL RJSK201133026740 VIJAY VERMA Eternal Heart Care Centre & Research Institute Reimbursement 04/08/2016 19/09/2016 MED-006202 145365 Approved Download Show69 HANUMANGARH RJHA200416002907 RAM KUMAR Soni Manipal Hospital Reimbursement 04/08/2016 16/09/2016 MED-006204 79794 Approved Download Show70 JAIPUR CITY RJJP201117031247 YOGENDRA FC 5470 Imperial Hospital & Research Centre Reimbursement 04/08/2016 02/09/2016 MED-006205 4393 Approved Download Show71 JAIPUR RURAL RJJP200818039850 ARCHANA SUROLIA Jain ENT Hospital Reimbursement 04/08/2016 14/12/2016 MED-006207 15970 Approved Download Show72 KAROLI RJKA200826019226 SB. 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Page 3: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

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Amount To Be Paid

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require treating doctor emergency certificate appendix 6 as the treatment taken in non panel hospital

Page 4: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

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Amount To Be Paid

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Page 6: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

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opd treatment is not payable

Page 7: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

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18819 Approved Download Show361 JHALAWAR RJJW200922005636 GOVERDHAN SINGH Kota Heart Institute Reimbursement 27/08/2016 05/10/2016 MED-006602 16400 Approved Download Show362 JAIPUR RURAL RJJP201318001226 VISHNUPRIYA Monilek Hospital & Research Centre Reimbursement 27/08/2016 29/09/2016 MED-006603 56705 Approved Download Show363 JODHPUR RURAL RJJO201225024926 BHEERAM RAM CHOUDHARY ASG Eye Hospital Reimbursement 28/08/2016 20/03/2017 MED-006606 41836 Approved Download Show364 NAGAUR RJNA200528017494 SARLA BHARGAVA Santokba Durlabhji Memorial hospital Reimbursement 28/08/2016 22/09/2016 MED-006607 126135 Approved Download Show365 ALWAR RJAL201202014678 RAM JI LAL Mittal Hospital Reimbursement 28/08/2016 02/11/2016 MED-006608 9674 Approved Download Show366 NEW DELHI DLND201138023995 VIJENDRA MEENA Bhagwan Mahavir Cancer Hospital Cashless 29/08/2016 26/09/2016 MED-006611 38601 Approved Download Show367 BHARATPUR RJBP201207018016 ANKUR GARG Bhagwan Mahavir Cancer Hospital Cashless 29/08/2016 26/09/2016 MED-006612 6355 Approved Download Show368 JAIPUR CITY RJJP201317039561 HANUMAN SAHAI MEENA FC 9472Indowestern Brain & Spine Hospital Reimbursement 29/08/2016 28/09/2016 MED-006613 13350 Approved Download Show369 SIKAR RJSK201233035652 SANGEETA Other Reimbursement 29/08/2016 23/01/2017 MED-006614 18270 Approved Download Show370 SIKAR RJSK201233035652 SANGEETA Other Reimbursement 29/08/2016 24/11/2016 MED-006615 2700 Approved Download Show371 SIKAR RJSK201233035652 SANGEETA Other Reimbursement 29/08/2016 24/11/2016 MED-006616 28358 Approved Download Show372 SECRETARIAT RJJP200518010691 OM PRABHA Others Reimbursement 29/08/2016 17/11/2016 MED-006617 74100 Approved Download Show373 SIROHI RJSR201334006473 LALCHAND MEENA S.M.S Medical College & Hospital Reimbursement 29/08/2016 22/12/2016 MED-006618 19130 Approved Download Show374 JAIPUR RURAL RJJP200518025061 ADARSH Marudhar Hospital Reimbursement 29/08/2016 22/09/2016 MED-006621 16500 Approved Download Show375 BHILWARA RJBW200508005156 PURAN MAL VERMA Porwal Hospital Reimbursement 29/08/2016 22/09/2016 MED-006622 4597 Approved Download Show376 SIKAR RJSK200833020047 KAMLESH KUMAR KUMAWAT Narayana Hrudayalaya Pvt Ltd Reimbursement 29/08/2016 19/10/2016 MED-006623 111635 Approved Download Show377 JAIPUR RURAL RJJP200818033902 RAMJI LAL BUNKER NIIMS Hospital Reimbursement 29/08/2016 27/09/2016 MED-006624 98109 Approved Download Show378 CHURU RJCR201312035706 SUNIL KUMAR Dhukia Hospital Reimbursement 29/08/2016 23/09/2016 MED-006627 13200 Approved Download Show379 BARMER RJBM201205033290 MANOJ KUMAR BAIRWA Jaiswal Hospital & Neuro Institute Reimbursement 29/08/2016 22/09/2016 MED-006629 12052 Approved Download Show380 DAUSA RJDA200513013615 PRAKASH CHANDR MAHAWAR Apex Hospital Pvt Ltd Reimbursement 29/08/2016 06/01/2017 MED-006630 49684 Approved Download Show381 DAUSA RJDA200613003390 NAVEEN KUMAR Anand Hospital & Eye Centre Reimbursement 29/08/2016 21/10/2016 MED-006631 14533 Approved Download Show382 JAIPUR CITY RJJP200517033307 SURESH CHAND SHARMA Eternal Heart Care Centre & Research Institute Reimbursement 29/08/2016 28/09/2016 MED-006633 126489 Approved Download Show383 TONK RJTO201236039578 CHHOTU SINGH CHOUDHARY Agarwal Hospital Reimbursement 29/08/2016 29/09/2016 MED-006634 13200 Approved Download Show384 SAWAI MADHOPUR RJSM200732007261 SUNIL GARG Jain ENT Hospital Reimbursement 29/08/2016 05/10/2016 MED-006635 18109 Approved Download Show385 PALI RJPA201229018219 JYOTI SHARMA Dhanwantri Hospital & Research Centre Reimbursement 29/08/2016 04/11/2016 MED-006636 16471 Approved Download Show386 DAUSA RJDA200513004091 MUKESH CHAND MEENA Mahatma Gandhi Medical College & Hospital,Jaipur Reimbursement 29/08/2016 22/03/2017 MED-006637 42630 Approved Download Show387 NAGAUR RJNA201128016968 LALA RAM JAT Jawahar Nehru Hospital Reimbursement 29/08/2016 03/01/2017 MED-006638 7383 Approved Download Show388 JAIPUR RURAL RJJP200818046731 ROHITASH JAT Bhandari Hospital & Research Centre Reimbursement 29/08/2016 27/09/2016 MED-006639 35956 Approved Download Show389 TONK RJTO200536030120 DEV KISHAN GURJAR Mahatma Gandhi Medical College & Hospital,Jaipur Reimbursement 29/08/2016 29/09/2016 MED-006640 11969 Approved Download Show390 JAIPUR RURAL RJJP201418015661 ANJU PANDEY Dana Shivam Heart & Super Speciality Hospital Reimbursement 29/08/2016 22/09/2016 MED-006641 6422 Approved Download Show391 BEAWAR RJAJ201206019001 ANIL YADAV Heart & General Hospital,Jaipur Reimbursement 30/08/2016 04/10/2016 MED-006642 16053 Approved Download Show392 JAIPUR CITY RJJP200817058285 RAJENDRA KUMAR NATANI Apex Hospital Reimbursement 30/08/2016 04/10/2016 MED-006643 96500 Approved Download Show393 NAGAUR RJNA200528037124 GANGA SINGH MUWAL Dr.Khunger's Eye Care & Research Centre Pvt Ltd Reimbursement 30/08/2016 28/09/2016 MED-006644 7422 Approved Download Show394 JAIPUR CITY RJJP200817058285 RAJENDRA KUMAR NATANI Jaipur Hospital Reimbursement 30/08/2016 28/09/2016 MED-006645 20226 Approved Download Show395 BHILWARA RJBW200408001865 ARVIND KUMAR SHARMA Krishna Hospital Reimbursement 30/08/2016 22/09/2016 MED-006646 6480 Approved Download Show396 KOTA RJKO201327006831 PAWAN KUMAWAT Global Heart & General Hospital Pvt Ltd. Reimbursement 30/08/2016 18/10/2016 MED-006647 19680 Approved Download Show397 BHILWARA RJBW200408001865 ARVIND KUMAR SHARMA Porwal Hospital Reimbursement 30/08/2016 22/09/2016 MED-006648 6456 Approved Download Show398 JAIPUR RURAL RJJP200518019806 SATISH CHANDRA SHARMA Marudhar Hospital Reimbursement 30/08/2016 20/10/2016 MED-006649 31238 Approved Download Show399 CHURU RJCR200512000906 AMIT KUMAR Soni Manipal Hospital Reimbursement 30/08/2016 23/09/2016 MED-006650 113485 Approved Download Show400 BHILWARA RJBW200808017811 SUWA LAL JAT Heart & General Hospital,Jaipur Cashless 30/08/2016 24/10/2016 MED-006651 123840 Approved Download Show401 JAIPUR CITY RJJP201117030552 SURGYAN FC 1935 Mahatma Gandhi Medical College & Hospital,Jaipur Reimbursement 30/08/2016 28/09/2016 MED-006652 37413 Approved Download Show402 DAUSA RJDA200813044164 PRIYAMVADA Other Reimbursement 30/08/2016 21/10/2016 MED-006653 8423 Approved Download Show403 SECRETARIAT RJJP200919009215 TARUN KUMR JAIN Bhandari Hospital & Research Centre Reimbursement 30/08/2016 05/10/2016 MED-006654 16225 Approved Download Show404 SAWAI MADHOPUR RJBU201110006961 SHIMALA MAHAWAR Narayana Hrudayalaya Pvt Ltd Reimbursement 31/08/2016 22/12/2016 MED-006655 120153 Approved Download Show405 PALI RJPA201129008232 ANITA KUMARI Goyal Hospital & Research Centre Pvt Ltd Reimbursement 31/08/2016 04/11/2016 MED-006656 19778 Approved Download Show406 JAIPUR CITY RJBP201307016879 VINAY KUMAR SATIJA Manas Arogya Sadan Heart Care & Multi Speciality Reimbursement 31/08/2016 18/10/2016 MED-006657 13230 Approved Download Show407 SECRETARIAT RJJP201319021020 YOGENDRA KUMAR CHULET Other Reimbursement 31/08/2016 05/10/2016 MED-006658 13365 Approved Download Show408 CHURU RJCR201112016777 VIJENDRA KUMAR 1019 Apex Hospital Reimbursement 31/08/2016 28/09/2016 MED-006660 45752 Approved Download Show409 JAIPUR RURAL RJJP200518033877 BALBIR SINGH Jain ENT Hospital Reimbursement 31/08/2016 22/09/2016 MED-006661 19665 Approved Download Show410 SECRETARIAT RJJP201519022802 SYED SHEERAZ ALI ZAIDI Heart & General Hospital,Jaipur Reimbursement 31/08/2016 05/10/2016 MED-006662 100694 Approved Download Show411 JAIPUR CITY RJJL201121000177 REENA BAI MEENA Apex Hospital Pvt Ltd Reimbursement 31/08/2016 09/01/2017 MED-006663 12231 Approved Download Show412 AJMER RJAJ201201036505 SUMAN SEN Gheesibai Memorial Mittal Hospital & Research Reimbursement 31/08/2016 28/09/2016 MED-006664 11880 Approved Download Show413 ALWAR RJAL200502018564 SATISH KUMAR Sania Hospital Reimbursement 31/08/2016 04/10/2016 MED-006665 17487 Approved Download Show

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S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

414 RAJSAMAND RJRA200831005722 YASHWANT NATH Mewar Hospital Pvt Ltd Reimbursement 31/08/2016 24/01/2017 MED-006666 21775 Approved Download Show415 JAIPUR CITY RJJP200517029441 RAMJI LAL MEENA Shri Hospital Reimbursement 31/08/2016 28/09/2016 MED-006667 17078 Approved Download Show416 ALWAR RJAL200802037694 SANTOSHI SWAMI Solanki Hospital Reimbursement 31/08/2016 06/01/2017 MED-006668 7360 Approved Download Show417 RAJSAMAND RJRA201231034621 KIRAN CHAUHAN Soni Hospital Reimbursement 31/08/2016 02/03/2017 MED-006669 31886 Approved Download Show418 KOTA RJKO201227004957 MUKEKSH MEENA Bhagwan Mahavir Cancer Hospital Cashless 31/08/2016 26/09/2016 MED-006670 25551 Approved Download Show419 KOTA RJKO200527010137 SARITA FOJDAR Bhagwan Mahavir Cancer Hospital Cashless 31/08/2016 26/09/2016 MED-006671 24928 Approved Download Show420 BARMER RJBM200605005347 KUMRESH KUMAR JAIN Bhagwan Mahavir Cancer Hospital Cashless 31/08/2016 26/09/2016 MED-006672 149518 Approved Download Show421 JAIPUR CITY RJSR200834031439 SUNIL KUMAR Bhagwan Mahavir Cancer Hospital Cashless 31/08/2016 26/09/2016 MED-006673 80621 Approved Download Show422 JAIPUR RURAL RJSM201132019123 YASWANT SINGH GAUTAM Mahatma Gandhi Medical College & Hospital,Jaipur Reimbursement 31/08/2016 27/09/2016 MED-006675 12253 Approved Download Show423 DAUSA RJDA201213031354 RAJKUMAR VERMA Other Reimbursement 01/09/2016 21/10/2016 MED-006677 63806 Approved Download Show424 JAIPUR CITY RJPG201130000790 NARESH KUMAR SAINI Manas Arogya Sadan Heart Care & Multi Speciality Reimbursement 01/09/2016 16/12/2016 MED-006681 14524 Approved Download Show425 NAGAUR RJNA201128016654 BHUPENDRA SINGH Gheesibai Memorial Mittal Hospital & Research Reimbursement 01/09/2016 28/09/2016 MED-006682 142561 Approved Download Show426 BHILWARA RJBW201108009180 RAJIV POONIA FC 908 Jaipur Hospital Reimbursement 01/09/2016 22/09/2016 MED-006683 14726 Approved Download Show427 JAIPUR RURAL RJJP201118031721 LAL CHAND FC 1892 Bhandari Hospital & Research Centre Reimbursement 01/09/2016 03/01/2017 MED-006684 21616 Approved Download Show428 JAIPUR RURAL RJJP200818018671 RAJESH KUMAR JANGIR Bhagwan Mahavir Cancer Hospital Reimbursement 01/09/2016 07/11/2016 MED-006686 20165 Approved Download Show429 SIKAR RJSK200833027912 JASSU RAM SAINI Bhagwan Mahavir Cancer Hospital Reimbursement 01/09/2016 19/10/2016 MED-006688 37038 Approved Download Show430 SECRETARIAT RJJP201318022581 SAURABH KUMAR PARASHAR Manas Arogya Sadan Heart Care & Multi Speciality Reimbursement 01/09/2016 18/10/2016 MED-006689 16861 Approved Download Show431 BARMER RJBM200705007446 MOTI RAM CHOUDHARY AIIMS,Jodhpur Reimbursement 01/09/2016 26/09/2016 MED-006691 12420 Approved Download Show432 JAIPUR RURAL RJJP200518025237 KRISHANA SHARMA Narayana Hrudayalaya Pvt Ltd Reimbursement 01/09/2016 14/12/2016 MED-006692 12779 Approved Download Show433 JAIPUR RURAL RJJP201018005860 GORI SHANKAR JANGID Mahatma Gandhi Medical College & Hospital,Jaipur Reimbursement 01/09/2016 27/09/2016 MED-006693 7691 Approved Download Show434 BIKANER RJBI201209004166 RANJEET SINGH M.N.Hospital & Research Centre Reimbursement 01/09/2016 07/11/2016 MED-006694 14270 Approved Download Show435 JAIPUR RURAL RJRA201131027339 RATAN LAL POONIA Soni Manipal Hospital Reimbursement 01/09/2016 03/01/2017 MED-006695 26284 Approved Download Show436 JAIPUR CITY RJJP201317012392 RAJA RAM MEENA Dhanwantri Hospital & Research Centre Reimbursement 01/09/2016 18/10/2016 MED-006696 12997 Approved Download Show437 SIKAR RJSK201633023308 DR. SHAIL AGARWAL Narayana Hrudayalaya Pvt Ltd Reimbursement 01/09/2016 23/01/2017 MED-006697 80445 Approved Download Show438 JAIPUR RURAL RJJP200818041379 RAM JI LAL JAT Dhanwantri Hospital & Research Centre Reimbursement 01/09/2016 13/10/2016 MED-006698 18570 Approved Download Show439 JHALAWAR RJJW201122011579 SURENDRA KUMAR BAIRWA Bhandari Hospital & Research Centre Reimbursement 01/09/2016 16/12/2016 MED-006700 66428 Approved Download Show440 SIROHI RJSR200534017173 VIKRAM SINGH RAO Geetanjali Hospital Reimbursement 02/09/2016 22/09/2016 MED-006701 21207 Approved Download Show441 JAIPUR CITY RJBI201109007652 RITU KUMARI G.P.Shekhawati Hospital & Research Centre Reimbursement 02/09/2016 18/10/2016 MED-006702 15450 Approved Download Show442 UDAIPUR RJUD201437017104 GIRISH NARAYAN SHARMA S.M.S Medical College & Hospital Reimbursement 02/09/2016 18/10/2016 MED-006704 1288 Approved Download Show443 JAIPUR RURAL RJJP201118007037 DEVENDRA KUMAR Anand Hospital & Eye Centre Reimbursement 02/09/2016 13/10/2016 MED-006707 14533 Approved Download Show444 JAIPUR RURAL RJJP200518025099 BHAGWATI SHARMA Fortis Escorts Hospital Reimbursement 02/09/2016 31/01/2017 MED-006708 31306 Approved Download Show445 KOTA RJKO201327006831 PAWAN KUMAWAT Global Heart & General Hospital Pvt Ltd. 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S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

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14/10/2016 MED-006774 8000 Approved Download Show494 BARMER RJBM201205043401 MOHAN LAL BIJARNIYA S.M.S Medical College & Hospital Reimbursement 07/09/2016 29/09/2016 MED-006776 39000 Approved Download Show495 JAIPUR RURAL RJJP201118023415 SHANKAR LAL YADAV Manas Arogya Sadan Heart Care & Multi Speciality Reimbursement 07/09/2016 29/09/2016 MED-006777 10056 Approved Download Show496 ALWAR RJAL201302025147 RAVI KANT SHARMA Kamla Nursing Home Reimbursement 07/09/2016 07/10/2016 MED-006778 14430 Approved Download Show497 JAIPUR CITY RJJP200417002310 VIKAS TIBREWALA Fortis Escorts Hospital Reimbursement 07/09/2016 04/10/2016 MED-006779 15180 Approved Download Show498 JAIPUR RURAL RJJP201118004234 RAKESH PAREEK Anand Hospital & Eye Centre Reimbursement 07/09/2016 29/09/2016 MED-006782 14533 Approved Download Show499 JAIPUR RURAL RJJP201118024473 VIJAY KUMAR SHARMA Rungta Hospital Reimbursement 07/09/2016 13/10/2016 MED-006783 17217 Approved Download Show500 JAIPUR CITY RJJP201117030780 BABU 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S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

534 BIKANER RJBI200609002567 OM PRAKASH Kothari Medical & Research Institute Reimbursement 09/09/2016 17/10/2016 MED-006847 13500 Approved Download Show535 SECRETARIAT RJNA201328004655 CHETAN DEV MANDAWARIYA Narayana Hrudayalaya Pvt Ltd Reimbursement 09/09/2016 18/10/2016 MED-006852 10441 Approved Download Show536 BHILWARA RJBW200808014612 ANJANA SHARMA Others Reimbursement 09/09/2016 23/01/2017 MED-006854 5347 Approved Download Show

537 BHILWARA RJBW200808014612 ANJANA SHARMA Others Reimbursement 09/09/2016 23/01/2017 MED-006855 3890 Approved TPA Download Show

538 JAISALMER RJJS200820051786 RANI DAN Goyal Hospital & Research Centre Pvt Ltd Reimbursement 09/09/2016 04/11/2016 MED-006856 7258 Approved Download Show539 JAIPUR CITY RJJP200517027700 SUKHDEV PRASAD GOUR S.M.S Medical College & Hospital Reimbursement 09/09/2016 18/10/2016 MED-006857 84946 Approved Download Show540 RAJSAMAND RJRA201231040641 MUKESH CHOUDHARY Bhandari Hospital & Research Centre Reimbursement 09/09/2016 13/10/2016 MED-006858 25095 Approved Download Show541 BARMER RJBM200805055254 GHEWAR SINGH RAJPUROHIT Goyal Hospital & Research Centre Pvt Ltd Reimbursement 09/09/2016 29/09/2016 MED-006859 19589 Approved Download Show542 TONK RJTO200736004718 RAKESH SHARMA Agarwal Hospital Reimbursement 09/09/2016 21/12/2016 MED-006860 13200 Approved Download Show543 JAIPUR RURAL RJJP200518025237 KRISHANA SHARMA Narayana Hrudayalaya Pvt Ltd Reimbursement 10/09/2016 03/01/2017 MED-006861 13977 Approved Download Show544 CHITTORGARH RJCT200811030236 SRIRAM MEENA Mewar Hospital Pvt Ltd Reimbursement 10/09/2016 21/10/2016 MED-006862 53476 Approved Download Show545 SIKAR RJSK200533019266 KISHAN LAL Bhandari Hospital & Research Centre Reimbursement 10/09/2016 23/01/2017 MED-006863 22963 Approved Download Show546 ALWAR RJJL200921006004 SUNITA YADAV Bhandari Hospital & Research Centre Reimbursement 10/09/2016 27/01/2017 MED-006864 109587 Approved Download Show547 ALWAR RJJL200921006004 SUNITA YADAV Kailash Hospital Reimbursement 10/09/2016 20/10/2016 MED-006865 2687 Approved Download Show548 ALWAR RJAL201202026184 DINESH KUMAR CHHIPI Bhagwan Mahavir Cancer Hospital Reimbursement 10/09/2016 07/10/2016 MED-006866 81215 Approved Download Show549 ALWAR RJSK200933004540 RAJEEV KUMAR JAIN Rungta Hospital Reimbursement 10/09/2016 07/10/2016 MED-006867 300000 Approved Download Show550 BANSWARA RJCT201111009044 HARSHA TRIVEDI Geetanjali Hospital Reimbursement 10/09/2016 10/01/2017 MED-006868 17366 Approved Download Show551 JAIPUR RURAL RJJP201318001226 VISHNUPRIYA Monilek Hospital & Research Centre Reimbursement 10/09/2016 03/01/2017 MED-006869 11511 Approved Download Show

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treatment taken in non panel hospital

treatment taken in non panel hospital

treatment in non panel hospital is not payable except emergency

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Amount To Be Paid

Process Sheet

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treatment in non panel hospital is not payable

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Reimbursement 01/10/2016 10/11/2016 MED-007238 17528 Approved Download Show801 BUNDI RJBU201210045876 KALU LAL VERMA Kota Heart Institute Reimbursement 01/10/2016 12/01/2017 MED-007239 14517 Approved Download Show802 BUNDI RJBU201310014508 LOVE KUSH GOCHER AIIMS, New Delhi Reimbursement 01/10/2016 12/01/2017 MED-007240 12924 Approved Download Show803 ALWAR RJAL201502030929 KHEM SINGH RATHOR Kamla Nursing Home Reimbursement 01/10/2016 02/11/2016 MED-007241 25537 Approved Download Show804 ALWAR RJAL201502030929 KHEM SINGH RATHOR Kamla Nursing Home Reimbursement 01/10/2016 06/01/2017 MED-007242 25154 Approved Download Show805 ALWAR RJAL201502030929 KHEM SINGH RATHOR Other Reimbursement 01/10/2016 20/02/2017 MED-007243 11970 Approved Download Show806 AJMER RJAJ200801007926 GOVIND PRASAD Gheesibai Memorial Mittal Hospital & Research Reimbursement 02/10/2016 02/11/2016 MED-007246 4658 Approved Download Show807 AJMER RJAJ200801007926 GOVIND PRASAD Gheesibai Memorial Mittal Hospital & Research Reimbursement 02/10/2016 19/01/2017 MED-007247 45620 Approved Download Show808 BHILWARA RJBW200708001960 SURESH KUMAR HEDA Ram Snehi Hospital & Research Centre Reimbursement 02/10/2016 02/11/2016 MED-007250 13973 Approved Download Show809 JODHPUR CITY RJJO200824023690 BAIJU PARIHAR Mathura Das Mathur Hospital Reimbursement 02/10/2016 06/12/2016 MED-007251 9278 Approved Download Show810 BUNDI RJBU201210045607 RAJANTA MEENA Ram Snehi Hospital & Research Centre Reimbursement 03/10/2016 31/01/2017 MED-007252 16997 Approved Download Show811 BHILWARA RJBW201108001971 ASHOK KUMAR OJHA Ram Snehi Hospital & Research Centre Reimbursement 03/10/2016 02/11/2016 MED-007253 46858 Approved Download Show812 BHILWARA RJBW201108001971 ASHOK KUMAR OJHA Fortis Escorts Hospital Reimbursement 03/10/2016 15/02/2017 MED-007255 40048 Approved Download Show813 ALWAR RJJL200921006004 SUNITA YADAV Kailash Hospital Reimbursement 03/10/2016 06/01/2017 MED-007257 15012 Approved Download Show814 ALWAR 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S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

826 KOTA RJKO200827001230 SUNIL KUMAR Bharat Vikas Parishad Hospital & Research Centre Reimbursement 04/10/2016 16/11/2016 MED-007274 27840 Approved Download Show827 BUNDI RJBU201410015945 DIWAKAR JAIN S.N.Pareek Memorial Hospital & Research Centre Reimbursement 04/10/2016 12/01/2017 MED-007276 7514 Approved Download Show828 JAIPUR RURAL RJJP200518025030 RAMAKANT SHARMA Apex Hospital Reimbursement 04/10/2016 09/01/2017 MED-007277 4679 Approved Download Show829 KOTA RJKO201127003864 YUVRAJ MEENA Sudha Hospital & Medical Research Centre Reimbursement 04/10/2016 24/03/2017 MED-007278 73772 Approved Download Show830 SECRETARIAT RJJP201319028631 TEJ PRAKASH BATRA Tagore Hospital & Research Institute Reimbursement 04/10/2016 31/01/2017 MED-007282 3323 Approved Download Show831 SIROHI RJSR201234002725 TARACHAND MEENA Global Heart & General Hospital Pvt Ltd. 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Amount To Be Paid

Process Sheet

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Amount To Be Paid

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Show

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Amount To Be Paid

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Amount To Be Paid

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Page 26: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

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Amount To Be Paid

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Page 27: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

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Amount To Be Paid

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not panel hospital,late submission of claim.

Page 28: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

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Page 29: sipf.rajasthan.gov.insipf.rajasthan.gov.in/Mediclaim/med gis.xls · XLS file · Web view · 2017-04-05kabra eye hospital med-007306 rjbu201110002623 ... durgesh kumar agrwal med-007496

S.N. Unit Employee ID Employee Name HOSPITAL NAME Claim Type Created On Mediclam No Status Remarks Pending To DocumentsModified On

Amount To Be Paid

Process Sheet

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