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The cheque numbers mentioned are pre-assigned numbers awaiting reconciliation and funds.
Additional Documents Requsted Details

Insurance Company : No of Claims : 25
Corporate Name : Policy Number :
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From Date To Date CCN Number Policy No. MDID Patient Name Employee Number

 CCNNumberClaim TypeLodge DateLodge AmountPolicy NumberMDIDPatient NameInsured_NameEmployee IDRequest DateReceivedDateSendToTypeDocument RequestedIC_Name
Details    |    MDI3889922Cash Less23/03/201852947.0051-16-00143-00-00MDI5-0031506044E Unnikrishnan NairTmf Services India Pvt. Ltd.E03928/05/2018 Amala Cancer Hospital & Research CentreHospital ADRPlease provide the Authentic Hospital Final Bill with mentioned Exact lodge amount & requested amount & Patient paid amount as they are Mandatory for settlement of claims. Please provide the original hospital final bill with detail billbreakup. note- as per the received documents we have received incomplete bill breakup. Please provide all original reports for Investigations done during the hospitalization supporting the diagnosis. Note : we have not received Investigation reports for diagnosis.Aditya Birla Health Insurance Company
Details    |    MDI6899710Cash Less10/03/202217329.0081-21-00673-00-00MDI5-0033919531Chanvitha MallariM/s. Allscripts (india) Llp - Bangalore84316730/05/2022 Ovum Hospitals - A Unit Of Neonatal Care And Research Institute Pvt Ltd.Hospital ADRKindly Send ECS Details, As Mentioned Below,Name Of Account Holder,Name Of Bank,Branch Name,Branch Address,Type Of Account SB/CD,Account No,MICR Code, IFSC Code, Cancelled ChequeAditya Birla Health Insurance Company
Details    |    MDI7169298Cash Less03/11/202299103.0081-22-00406-00-00MDI5-0032825288Archana Abhishek PingaleM/s Tibco Software India Private Limited2161104/11/2022 Rising Medicare HospitalHospital ADRFinal Hospital bill with detail breakup note we have received final bill but bill no . , DOA AND DOD are not mention on it and we have received comprehensive final bill . so kindly provide final bill with bill no .,DOA AND DOD of patient Archana Abhishek Pingale.Aditya Birla Health Insurance Company
Details    |    MDI7230785Cash Less26/09/2022436301.0081-21-00677-00-00MDI5-0037979131Jagath RajM/s. Allscripts (india) Llp-pune 290881808/10/2022 Sahyadri Speciality HospitalHospital ADRPlease provide tax  invoice against  purchase of Implants used in surgery....OF PATIENT JAGATH RAJ DOA- 29/08/2022 DOD- 01/09/2022 NOTE:We have received the barcode stickers but not the tax invoice ..Please provide it is mandatory for the settlement of claimsAditya Birla Health Insurance Company
Details    |    MDI7276727Cash Less23/09/202228665.0081-22-00406-00-00MDI5-0033079429Nilima KhistiM/s Tibco Software India Private Limited3540625/09/2022 7 Orange HospitalHospital ADRPlease provide the Original Discharge Card from the hospital with date and time of admission and date and time of discharge along with final hospital bill with name of tpa MD INDIA ...OF PATIENT NILIMA KHISTI DOA- 13/09/2022 DOD- 15/09/2022 NOTE: We have not received the discharge card and name of TPA on final bill is different so please provide the above documents it is mandatory for the settlement of claimsAditya Birla Health Insurance Company
Details    |    MDI7317884Cash Less13/10/2022218911.0081-22-00163-00-00MDI5-0037818094Radha Chandrabhan DongareM/s M/s Hyster-yalelift Trucks India Private Limited36020/10/2022 Lokmanya HospitalHospital ADRPlease provide a Certificate from hospital authorities stating: Patient utilized Cashless facility for the hospitalization period 2022-10-05 To 10/10/2022 NOTE - If in case patient not utilized cashless facility against mentioned hospitalization period , then please share confirmation to the authorisation@mdindia.com for further processing.Aditya Birla Health Insurance Company
Details    |    MDI7346392Cash Less28/10/2022243185.0081-22-/00/22/00000408MDI5-0038182079Abdul Rehman ShaikhTiaa Global Business Services (india) Pvt. Ltd.1000271003/11/2022 Mpct HospitalHospital ADRPlease provide tax  invoice against  purchase of Implants used in surgery.Aditya Birla Health Insurance Company
Details    |    MDI7346392Cash Less28/10/2022243185.0081-22-/00/22/00000408MDI5-0038182079Abdul Rehman ShaikhTiaa Global Business Services (india) Pvt. Ltd.1000271007/11/2022 Mpct HospitalHospital ADRPlease provide tax  invoice against  purchase of Implants used in surgery.Aditya Birla Health Insurance Company
Details    |    MDI7354208Cash Less08/11/2022105081.0081-21-00674-00-00MDI5-0038060236Sudhakar Reddy VattiM/s. Allscripts (india) Llp - Pune 170859111/11/2022 Pramoda HospitalHospital ADRPlease provide detailedfinal hospital bill with Break-Up with bill no.Aditya Birla Health Insurance Company
Details    |    MDI7359538Cash Less07/11/2022214984.0081-21-00674-00-00MDI5-0012497686Hema DeshmukhM/s. Allscripts (india) Llp - Pune 12119114/11/2022 Moraya Multispeciality HospitalHospital ADR1) Please provide barcode sticker against  purchase of impalnt worth rs. 70000/- used in surgery. Note: we have not recived barcode sticker of implant , so kindly provide barcode sticker of implant , it is mandetory in settlement of claim.Aditya Birla Health Insurance Company
Details    |    MDI7363962Cash Less04/11/2022118000.0081-22-/00/22/00000408MDI5-0038182994Parvathi ChinthanippulaTiaa Global Business Services (india) Pvt. Ltd.3538907/11/2022 Dr Raos Ent Superspeciality International Hospital Pt LtdHospital ADRKindly Send ECS Details, As Mentioned Below,Name Of Account Holder,Name Of Bank,Branch Name,Branch Address,Type Of Account SB/CD,Account No,MICR Code, IFSC Code, Cancelled ChequeAditya Birla Health Insurance Company
Details    |    MDI7374024Cash Less12/11/2022209131.0081-21-00673-00-00MDI5-0036361556Chandan PrustyM/s. Allscripts (india) Llp - Bangalore87428622/11/2022 Apollo Hospitals Enterprise LtdHospital ADR1)Please provide Pre and post operative X-ray plates. NOTE: We have recived x-ray reports , so kindly provide x-ray plates , it is mandetory in settlement of claim. Aditya Birla Health Insurance Company
Details    |    MDI7377336Cash Less17/11/202230000.002-81-22-0000526-000MDI5-0033977651JyotiBisleri International Pvt Ltd3005429/11/2022 Bansal Eye HospitalHospital ADRWe have al issued for LEFT EYE CATARACT , but on discharged card and final bill treatment done on : RIGHT EYE CATARACT SO , please check and clarify that on dated 03/11/2022 which eye is oprated ....Aditya Birla Health Insurance Company
Details    |    MDI7387810Cash Less12/11/202220075.0081-21-00674-00-00MDI5-0012498635Samiksha ShirodeM/s. Allscripts (india) Llp - Pune 170550223/11/2022 Jupiter HospitalHospital ADRPlease provide a Certificate from hospital authorities stating: Patient utilized Cashless facility for the hospitalization period 2022-11-05 To 06/11/2022 NOTE - If in case patient not utilized cashless facility against mentioned hospitalization period , then please share confirmation to the authorisation@mdindia.com for further processing. 2) Please provide final bill with name of TPA MDindia ...OF PATIENT SAMIKSHA SHIRODE DOA- 05/11/2022 DOD- 06/11/2022 NOTE:We have received the final bill with different name of TPA ..Please provide the final bill with name of TPA MD INDIA along with clarify patient utilize cashless facility or notAditya Birla Health Insurance Company
Details    |    MDI7388236Cash Less24/11/202236971.0081-22-00406-00-00MDI5-0033675465Shweta Jayesh VethekarM/s Tibco Software India Private Limited3716226/11/2022 Moraya Hospital & Maternity HomeHospital ADRKindly Send ECS Details, As Mentioned Below,Name Of Account Holder,Name Of Bank,Branch Name,Branch Address,Type Of Account SB/CD,Account No,MICR Code, IFSC Code, Cancelled ChequeAditya Birla Health Insurance Company
Details    |    MDI7390963Cash Less23/11/202264569.002-81-22-0000323-000MDI5-0038127825Anuradha SharmaVanesa Cosmetics Private LimitedV006524/11/2022 Sobti Neuro & Super Speciality HospitalHospital ADRKindly Send ECS Details, As Mentioned Below,Name Of Account Holder,Name Of Bank,Branch Name,Branch Address,Type Of Account SB/CD,Account No,MICR Code, IFSC Code, Cancelled Cheque pan card/ no.Aditya Birla Health Insurance Company
Details    |    MDI7393199Cash Less23/11/202276488.0081-22-/00/22/00000408MDI5-0038182998Basanti SinhaTiaa Global Business Services (india) Pvt. Ltd. -base Gmc Policy3541925/11/2022 Sahyadri Super Specialty HospitalHospital ADR1) kindly provide the supportive diagmostic investigation reports (histopathology reports, pet scan etc). it is mandatory for settelment of claims. Aditya Birla Health Insurance Company
Details    |    MDI7394392Cash Less03/12/202245000.0081-22-/00/22/00000408MDI5-0038183845Komal Chhedi ChauhanTiaa Global Business Services (india) Pvt. Ltd. -base Gmc Policy4836605/12/2022 Aakash Eye Clinic And Laser Center Pvt LtdHospital ADRPlease provide a Certificate from hospital authorities stating: Patient utilized Cashless facility for the hospitalization period 18/11/2022 To 18/11/2022 NOTE - If in case patient not utilized cashless facility against mentioned hospitalization period , then please share confirmation to the authorisation@mdindia.com for further processing. note : we have received final bill in that amount payable =45000 /- bill amount paid =45000 balance payable =0Aditya Birla Health Insurance Company
Details    |    MDI7395994Cash Less26/11/202255000.0081-22-/00/22/00000408MDI5-0038181718Satish Mahadeo MunjTiaa Global Business Services (india) Pvt. Ltd. -base Gmc Policy1000136326/11/2022 Shree Ramkrishna NetralayaHospital ADRPlease provide a Certificate from hospital authorities stating: Patient utilized Cashless facility for the hospitalization period 2022-11-15 To 15/11/2022 NOTE - If in case patient not utilized cashless facility against mentioned hospitalization period , then please share confirmation to the authorisation@mdindia.com for further processing. NOTE - We have received final bill -55000/- but on this final bill paid amount also -55000/-Aditya Birla Health Insurance Company
Details    |    MDI7396489Cash Less30/11/202248140.0081-22-00481-00-00MDI5-0038166386Balkrishna Pandit KambleM/s Fair Field Atlas Limited30027301/12/2022 Belgaum College Road Multispeciality Hospital Pvt ltdHospital ADRKindly Send ECS Details, As Mentioned Below,Name Of Account Holder,Name Of Bank,Branch Name,Branch Address,Type Of Account SB/CD,Account No,MICR Code, IFSC Code, Cancelled ChequeAditya Birla Health Insurance Company
Details    |    MDI7404562Cash Less30/11/202222581.0081-22-/00/22/00000408MDI5-0038182582Shital GadikarTiaa Global Business Services (india) Pvt. Ltd. -base Gmc Policy1000473802/12/2022 Rising Medicare HospitalHospital ADRPlease Final Hospital bill with detail breakup with Bill No. (NOTE :- We have receive final bill but bill no. not mention on final bill , hence plz provide Final Hospital bill with detail breakup with Bill No. of patient Shital Gadikar ) Please provide a Certificate from hospital authorities stating: Patient utilized Cashless facility for the hospitalization period 2022-11-13 To 16/11/2022 NOTE - We have receive documents of Medi assist insurance TPA hence please clerify the TPA name ) Aditya Birla Health Insurance Company
Details    |    MDI7408679Cash Less02/12/2022106680.0081-22-00406-00-00MDI5-0038170658Gauri Shankar PeshinM/s Tibco Software India Private Limited4561005/12/2022 Jk Medicity HospitalHospital ADRKindly Send ECS Details, As Mentioned Below,Name Of Account Holder,Name Of Bank,Branch Name,Branch Address,Type Of Account SB/CD,Account No,MICR Code, IFSC Code, Cancelled ChequeAditya Birla Health Insurance Company
Details    |    MDI7415122Cash Less23/11/202220222.0081-21-00674-00-00MDI5-0012497970Prayukti GiriM/s. Allscripts (india) Llp - Pune 110368629/11/2022 Motherhood Hospital ( A Unit Of Rhea Healthcare Pvt Ltd)Hospital ADRkindly provide final hospital bill and discharge card for patient B/O PRAYUKTI GIRI for hospitalization DOA 18/11/2022 to DOD 19/11/2022 OF CCN 7415122 note: we have recived MOTHERS documents OF CCN 7403672 WHICH ARE ALREADY PAID . kindly provide corrct documents Aditya Birla Health Insurance Company
Details    |    MDI7423665Cash Less05/12/2022500894.0081-21-00673-00-00MDI5-0012920669Pranay DhadiM/s. Allscripts (india) Llp - Bangalore70782008/12/2022 Rainbow Childrens HospitalHospital ADRFinal Hospital bill with detail breakup with bill number NOTE - we have received final bill but bill number not mentioned on final bill so kindly provide its mandatory for settlement of claimAditya Birla Health Insurance Company
Details    |    MDI7432857Cash Less30/11/2022248344.0081-21-00673-00-00MDI5-0031810155Kashyap SubrahmanyaM/s. Allscripts (india) Llp - Bangalore78414605/12/2022 Narayana Hrudayalaya LtdHospital ADRPlease provide original day care summaryAditya Birla Health Insurance Company