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Fernandez, Christopher

From: Fernandez, Christopher


Sent: Monday, October 18, 2021 11:00 AM
To: arvind@allianceinsurance.in
Cc: Koila, Vikas (uic33443)
Subject: Re-imbursement Claim Intimation

Importance: High

Hi Arvind,

Please find intimation details for re-imbursement claims for B/O (Baby of) Paramita Mukherjee as mentioned below:

Re-imbursement Claim #1

Policy Number 111700/48/2021/24268


Employee code 40007506
Health Card Number 0411070027866026
Employee Name Christopher Anthony Fernandez
Patient Name B/O (Baby of) Paramita Mukherjee
Relation of patient with employee Son
Ailment/Reason Mild tachypnea and respiratory distress
Date of admission 08/10/2021
Date of discharge 11/10/2021
Estimate Amount 67,132.68 INR
Motherhood Women & Children’s Hospital, 514/1-2-3,
Name of Hospital with Address Kaikondara Village, Opp More Mega Mall, Sarjapur Road,
Bangalore - 560103
Contact Person Name & Number Christopher Anthony Fernandez, 9886117839
E-Mail ID christopher.fernandez@continental-corporation.com

Re-imbursement Claim #2

Policy Number 111700/48/2021/24268


Employee code 40007506
Health Card Number 0411070027866026
Employee Name Christopher Anthony Fernandez
Patient Name B/O (Baby of) Paramita Mukherjee
Relation of patient with employee Son
Ailment/Reason Neonatal hyperbilirubinemia
Date of admission 13/10/2021
Date of discharge 14/10/2021
Estimate Amount 16,252 INR
1
Motherhood Women & Children’s Hospital, 514/1-2-3,
Name of Hospital with Address Kaikondara Village, Opp More Mega Mall, Sarjapur Road,
Bangalore - 560103
Contact Person Name & Number Christopher Anthony Fernandez, 9886117839
E-Mail ID christopher.fernandez@continental-corporation.com

Thanks & Regards,


Christopher Fernandez

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