Actual / Admission Discharge Appointme Hospital Hospital

OT Date Patient ID Pt Name City Category

Estimate Date Date nt ID Code name

Actual 4/1/2023 4/1/2023 4/2/2023RUXFD56304

81qexQTO0E
6QlabM0yrY
Rameshwari Vaishnav
Sahyadri
Pune Hospital - Nagar Road
Proctology
Estimate 4/1/2023 4/1/2023 YPFGF38858
QWEN0WfEBu
EEYchjdrmB
Ramchandra Khengre
Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual 4/1/2023 4/1/2023 4/2/2023KHNJE73894
kfdNNpPuCN
6QlabM0yrY
Chadrakala shitole
Sahyadri
Pune Hospital - Nagar Road
Proctology
Actual 4/1/2023 4/1/2023 4/1/2023UPEHC93013
ST9rwS8DwY
EEYchjdrmB
Barge Navnath Mahadev
Sahyadri
Pune Hospital - Hadapsar
Urology- Circumcision
Actual 4/1/2023 4/1/2023 4/2/2023 LJFFF76559
mjwXheHQPE
6QlabM0yrY
Debmittra Choudhury
Sahyadri
Pune Hospital - Nagar Road
Proctology
Estimate 4/1/2023 4/1/2023 4/2/2023YHYEC59638
wgPR7YNpbi
FWYJ7uusxU
anil dawkare Pune
Sahyadri Hospital -Proctology
Deccan
Actual 4/1/2023 4/1/2023 4/1/2023KCPFF81648
ATTNUfi9kH
EEYchjdrmB Anil khot Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual 4/1/2023 4/1/2023 4/2/2023DZJFE83514sesFSNl8H8
FWYJ7uusxUKamlesh Pune
Sahyadri Hospital -Aesthetics
Deccan
Actual 4/2/2023 4/2/2023 4/3/2023YEGKG93443
RLWx8u5Ic4
6QlabM0yrY
BALASAHEB JAYRAMSahyadri
PATIL
Pune Hospital - Nagar Road
Proctology
Actual 4/2/2023 4/2/2023 4/3/2023WFPEC36051OIp36TXlziFWYJ7uusxU Kishor Pune
Sahyadri Hospital - Deccan
Urology- Circumcision
Estimate 4/2/2023 4/2/2023 4/3/2023YLXFG10217
BU9k30oSOs
FWYJ7uusxU
Deepak Dighe Pune
Sahyadri Hospital -Proctology
Deccan
Actual 4/3/2023 4/3/2023 4/4/2023PDNMA97739
IFoQlchSKW
6QlabM0yrY dipak Sahyadri
Pune Hospital - Nagar
Urology- Road Stone
Kidney
Estimate 4/4/2023 4/4/2023 NMNMB35180
szBiKJW4Gp
EEYchjdrmB
Magan tulsiram chaudhri
Sahyadri
Pune Hospital -Laparoscopy
Hadapsar
Actual 4/4/2023 4/4/2023 4/5/2023KACGE27001
1xX6h5W0EC
6QlabM0yrY
Akash MamdeSahyadri
Pune Hospital - Nagar Road
Proctology
Actual 4/4/2023 4/4/2023 4/4/2023VJKSB30753
DepcFUseeH
EEYchjdrmB
Jitendra singh Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate 4/6/2023 4/6/2023 PPHFE95112
2Bbo7oSmYR
EEYchjdrmB
Haresh Bhatia Sahyadri
Pune HospitalOphthalmology
- Hadapsar
Estimate 4/6/2023 4/6/2023 4/7/2023PNSFE43135
tFp49kDkuT
FWYJ7uusxU
Ruchirank Patil Pune
Sahyadri Hospital -Proctology
Deccan
Actual 4/6/2023 4/6/2023 4/6/2023IDFGD60657
cHPNiwPa7m
EEYchjdrmB
Vasundhara Gawai
Sahyadri
Pune Hospital - Hadapsar
Proctology
Estimate 4/6/2023 4/6/2023 4/6/2023SNBNB12235
7LBezj9LUuEEYchjdrmB
Anita ChandakSahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual 4/7/2023 4/7/2023 4/8/2023OJXLD43052
C33WCRdE5c
6QlabM0yrY
SACHIN SAMPATRAOSahyadri
PAWAR
Pune Hospital - NagarCircumcision
Urology- Road
Actual 4/7/2023 4/7/2023 4/8/2023KNUNC50493
wiFF4bggoREEYchjdrmB
Nirav Nithish Tenguvila
Sahyadri
Pune Hospital - Hadapsar
Urology- Circumcision
Actual 4/7/2023 4/7/2023 4/8/2023EHKGG68038
JN9VLocO5Q
EEYchjdrmB
Neeraj Nithish Tenguvila
Sahyadri
Pune Hospital - Hadapsar
Urology- Circumcision
Actual 4/6/2023 4/6/2023 4/8/2023CMBKC39287
HYqDYrRSVt
6QlabM0yrY
Vinayak DongarePune
Sahyadri Hospital - Nagar
Urology- Road Stone
Kidney
Actual 4/8/2023 4/8/2023 4/9/2023XBANA43915
Fe8yIt48D06QlabM0yrY priyanka Sahyadri
Pune Hospital - Nagar Road
ENT
Actual 4/8/2023 4/8/2023 4/9/2023WVPMA56819
5FSoMQEt0T
FWYJ7uusxU
Sweta SamantarayPSahyadri
une Hospital -Aesthetics
Deccan
Actual 4/8/2023 4/8/2023 4/9/2023ANUFE80697
t8F7Uhe5PR
EEYchjdrmB SUMIT Sahyadri
Pune Hospital - Hadapsar
Proctology
Actual 4/8/2023 4/8/2023 4/9/2023TKAFF74703
n4NciywkBQ
6QlabM0yrY
Pooja gupta Sahyadri
Pune Hospital - Nagar Road
Proctology
Actual 4/7/2023 4/7/2023 ### RORMB92749
fAVa58kKaD
EEYchjdrmBSaroj singh Sahyadri
Pune Hospital Orthopaedics
- Hadapsar
Estimate 4/8/2023 4/8/2023 BHUNF70398
JK2auPzGMH
EEYchjdrmB
Satalingappa Shivsharan
Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual 4/7/2023 4/7/2023 4/9/2023MBCMG74033
vTwbj5ZcTuEEYchjdrmB
Franky DsouzaSahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate 4/8/2023 4/8/2023 LTGOD27193ln7jrNtQGfEEYchjdrmB
Dhanaji Bhandare
Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate 4/7/2023 4/7/2023 4/9/2023ODCIB27430
cXQVYradTO
EEYchjdrmB monika Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual 4/9/2023 4/9/2023 ### EWTMG65426
Rpk74cCPy2
FWYJ7uusxUAYYANSH Pune
Sahyadri Hospital - Deccan
Urology- Circumcision
Actual 4/9/2023 4/9/2023 4/9/2023MSVLB71441
Dy4HfAXr9C
EEYchjdrmB
Anoop Kumar Sahyadri
Pune Hospital - Hadapsar
Urology- Circumcision
Actual ### ### ### XLHHF15377
Drk0kTKaCy
FWYJ7uusxU
Manzoor Elahi Pune
Sahyadri Hospital -Proctology
Deccan
Actual ### ### ### NAMKC84529
96598bswwuEEYchjdrmB
Vijaya KandulSahyadri
Pune Hospital - Hadapsar
Proctology
Actual ### ### ### UQHEG93024
jhPrUXCxds6QlabM0yrY Sahyadri
Mahesh Mule Pune Hospital - Nagar Road
Vascular
 Actual ### ### ### SNGFD74630
kBHbvw30GO6QlabM0yrY
Ashok thakurSahyadri
Pune Hospital - Laparoscopy
Nagar Road
Actual ### ### ### MNUFD94831
bBfKrj4r0W
FWYJ7uusxU
UMESH BABULAL MORE Pune
Sahyadri Hospital -Proctology
Deccan
Actual ### ### ### TQRKD87763
COJHqW3CyoEEYchjdrmB
Noor Ahmed Sahyadri
Pune Hospital - Hadapsar
Proctology
Actual ### ### ### CDLHE10695
ttDbh3UoFx
6QlabM0yrY Sahyadri
Ramesh MudavathPune Hospital - NagarCircumcision
Urology- Road
Actual ### ### ### QRBFD58878
M6kMVZLZ1V EEYchjdrmB Sahyadri
Pune Hospital
Racha kondu gurukrishna - Hadapsar
Urology- Kidney Stone
Actual ### ### ### BDDMB26131
u8I2dLSr4AEEYchjdrmB gaga Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual ### ### ### LXNIE32337
d9Va8Orufp
FWYJ7uusxU
Sanjay patil Pune
Sahyadri HospitalOrthopaedics
- Deccan
Estimate ### ### ### CHRKF13233
KSboljRNu0
FAakash
WYJ7uusxU Pune
Sahyadri
Ashok garad vaidu Tai Hospital -Proctology
Deccan
Actual ### ### ### JIDHD58149
jj5wAA8eJo6QlabM0yrY Kishor Sahyadri
Pune Hospital - Nagar Road
Proctology
Actual ### ### ### IWIFB84021
XCy2NnJMoj 6QlabM0yrY
Atish ShindeSahyadri
Pune Hospital - Nagar Road
Proctology
Actual ### ### ### ICSFG34629
9YGJ8kWfhX6QlabM0yrY vikas Sahyadri
Pune Hospital - Nagar
Urology- Road Stone
Kidney
Actual ### ### ### TSKHA85185
0stSYUkOvBEEYchjdrmB
swapnil shindeSahyadri
Pune Hospital - Hadapsar
Aesthetics
Estimate ### ### sHzCUgHAyy
YPFGF38858 EEYchjdrmB Sahyadri
Pune Hospital
Ramchandra Khengre - Hadapsar
Urology- Kidney Stone
Estimate ### ### VuGz7KJvIH
PVIFA53511 FWYJ7uusxUKalpana Pune
Sahyadri HospitalLaparoscopy
- Deccan
Actual ### ### ### NILLF71580
or3tZRbv7pEEYchjdrmB Sahyadri
Pune Hospital
Harshada Hemant Chorge - Hadapsar
Urology- Kidney Stone
Actual ### ### ### WDRLA15233
Pz9bhKfF3J6QlabM0yrY Sahyadri
Pune Hospital
ramraj nand kumar - Nagar
Urology- Road Stone
Kidney
Actual ### ### ### LXHIA53197
4eRf6SjQ72EEYchjdrmB sandeep Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### ### BBZIA70310
wGEFWFjtlR
EEYchjdrmB love Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### o9OuR8gHtf
XBEOB77732 FWYJ7uusxU Vijay Pune
Sahyadri Hospital -Proctology
Deccan
Actual ### ### ### DVTNB26378
upB1DCiU5G
EEYchjdrmB
Amruta suhasSahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual ### ### ### MLXEC97472
6JpEGBhSUI
6QlabM0yrY Sahyadri
Megha Deokar Pune Hospital - Nagar Road
Proctology
Actual ### ### ### UWUEC67081
zbthuWoRZz
EEYchjdrmB Devyani Sahyadri
Pune Hospital -Laparoscopy
Hadapsar
Actual ### ### ### RKDOA92701
XaEkTA6owk
6QlabM0yrY
Pratik GandhiSahyadri
Pune Hospital - Nagar Road
Proctology
Estimate ### ### NeIQDKD9qb
QTSJF53694 EEYchjdrmB Sahyadri
Sandip GaikwadPune Hospital - Hadapsar
Urology- Kidney Stone
Actual ### ### ### BNJKC41733
kSflH6bd1tEEYchjdrmBKiran Khot Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### ### DVYNE39319
fZClGJszGFEEYchjdrmB
Mayur PuranikSahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### ### XQAGD36126
g1U6qeRdZX FWYJ7uusxU
Manish TekadePune
Sahyadri Hospital - Deccan
Vascular
Actual ### ### ### IHKOE86637
fKEiih0PBo6QlabM0yrYRohit Auti Sahyadri
Pune Hospital - NagarCircumcision
Urology- Road
Actual ### ### ### NOROF32500
7CzqxIzY0s6QlabM0yrYnancy yei Sahyadri
Pune Hospital - Nagar Road
Proctology
Estimate ### ### ### SCGEF85044
7aNK60RoVK EEYchjdrmB
Anisha JauhariSahyadri
Pune Hospital - Hadapsar
Proctology
Actual ### ### ### CMBKC39287
54ZhMH1cwa
6QlabM0yrY Sahyadri
Vinayak DongarePune Hospital - Nagar
Urology- Road Stone
Kidney
Estimate ### ### ### MBCMG74033
8EdsWMQ7n3
6QlabM0yrY Sahyadri
Franky Dsouza Pune Hospital - Nagar
Urology- Road Stone
Kidney
Actual ### ### ### BKZOC70368
A03RovYXRx
FWYJ7uusxU Pune
Sahyadri Hospital - Deccan
Santosh Suresh Raghoo Vascular
Estimate ### ### ### QCRFA74480
vzMdVjDDHi
FWYJ7uusxU
Bhaskar khatal Pune
Sahyadri Hospital -Proctology
Deccan
Actual ### ### ### HVXIE68311
yankzwUOvw
EEYchjdrmB
Pramod SankarSahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### ### KNIME40038
CkW6qwUHqh
EEYchjdrmB
Kalyan KulkarniSahyadri
Pune Hospital -Laparoscopy
Hadapsar
Actual ### ### ### ODCIB27430
tzsNw0EeVo
EEYchjdrmB monika Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### ### CAUHG47026
gUpwsrauzU
FWYJ7uusxU Pune
Sahyadri Hospital -Proctology
PADMASHRI LOLAGE Deccan
Actual ### ### ### LXHIA53197
rhSAANBsrzEEYchjdrmB sandeep Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Actual ### ### ### QHHKA53673
81goq1u2pr
EEYchjdrmB Sahyadri
Pune Hospital
Priya Ashok Bandal - Hadapsar
Urology- Kidney Stone
Estimate ### ### OF8VIrsxQS6QlabM0yrY
WPPED25659 Sahyadri
Manjula MishraPune Hospital - Nagar Road
Proctology
 Actual ### ### ### OSVLB24886
t1uW8t91gb
EEYchjdrmB
Sarita patnalaSahyadri
Pune Hospital
General- Hadapsar
Gynaecology
Actual ### ### ### FYIKE68144
ehUyP236w66QlabM0yrY Sahyadri
Seth Prasad SinghPune Hospital - Orthopaedics
Nagar Road
Actual ### ### ### CJFHG34053
IRwQ7BtDJ6
EEYchjdrmB
Sanjana PotdarSahyadri
Pune Hospital - Hadapsar
Proctology
Estimate ### ### yIun3HmO9p
FOOHA52542 EEYchjdrmB
rushikesh bapusahebSahyadri
Pune Hospital - Hadapsar
shinde Proctology
Actual ### ### ### AIHNE85841
LZeoDJ05x2
6QlabM0yrY Sahyadri
Pune Hospital - Nagar
Sonali Gambhire Road
Proctology
Actual ### ### ### YLGEG46677
5CTQdcRsaC6QlabM0yrY SAGAR Sahyadri
Pune Hospital - Nagar Road
Proctology
Actual ### ### ### UFJNE15011
2U3CMH2lwU FWYJ7uusxUChaitanya Pune
Sahyadri Hospital -Proctology
Deccan
Estimate ### ### jFttVE6HL96QlabM0yrY AALIYA Sahyadri
NHBIE66371 Pune Hospital - Nagar Road
Proctology
Actual ### ### ### VEUOC35902
uZoaGu2tZB
EEYchjdrmB
Popat ChouhanSahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### yuB49A3XPw
IMQED76221 EEYchjdrmB Sahyadri
Maruti KalbandePune Hospital - Hadapsar
ENT
Actual ### ### ### ICSFG34629
wJ1a6kAzJ4
6QlabM0yrY vikas Sahyadri
Pune Hospital - Nagar
Urology- Road Stone
Kidney
Actual ### ### ### PUTLE37904
xM9QJLm5o06QlabM0yrY Sahyadri
Pune Hospital - Nagar
sateesh wagmare Road
Proctology
Estimate ### ### ow2GOHCdky
BBZIA70310 EEYchjdrmB love Sahyadri
Pune Hospital - Hadapsar
Urology- Kidney Stone
Estimate ### ### AACLPjGSjHEEYchjdrmB
HPGHA44912 Mala Prasad Sahyadri
Pune Hospital -Laparoscopy
Hadapsar
Actual ### ### 5/1/2023 DAchkl77Rf
CAOOG47067 FWYJ7uusxU swaraj Pune
Sahyadri Hospital -Proctology
Deccan
Estimate ### ### 6F0hbZ76ih
SMZGG74624 FWYJ7uusxUSatyajeet Pune
Sahyadri Hospital -Proctology
Deccan
 OT
Payment Length of Initial Bill OT Anaesthes Room
Disease Final ATS Labs Medicine Consumabl
Mode stay Amount Charges ia Ch. Charges
e

Piles & Fissure

Cashless 1 106057 106057 0 11,237
URSL Cashless 86056 86056
Piles & Fissure
Cashless 1 88297 88297 0 13,181
Balanoposthitis
Cashless 0 35129 35129 0 4,873
Piles & Fissure
Cashless 1 119620 119620 0 12,995
Fistula Cashless 1 101401 101401
Dj stent removal
Cashless 0 40107 40107 0 5,233
Lipoma Cashless 1 82900 82900 0 7,154
Fistula Cashless 1 105725 105725 18,445 13,832
Stapler Circumcision
Cashless 1 35538 35538 0 8,690
Fissure Cashless 1 55295 55295
URSL Cashless 1 106097 106097 0 10,355
Inguinal Hernia
Cashless 95127 95127
Piles & Fissure
Cashless 1 121418 121418 0 12,791
Dj stent removal
Cashless 0 29071 29071 0 4,882
Indian monofocal cataract
Cashless 26404 26404
Pilonidal Sinus
Cashless 1 86061 86061 24,065
Pilonidal Sinus
Cashless 0 57950 57950 0 10,397
DJ Stent Cashless 0 38448 38448 0
Balanitis Cashless 1 33616 33616 0 7,602
Stapler Circumcision
Cashless 1 58104 58104 0 13,056
Stapler Circumcision
Cashless 1 54204 54204 0 8,934
RIRS Cashless 2 103539 103539 0 20,542
Sinus Surgery
Cashless 1 87580 87580 0 11,998
Lipoma Single
Cashless 1 42575 42575 0 4,215
Piles & Fissure
Cashless 1 61162 61162 0 10,418
Piles & Fissure
Cashless 1 136180 136180 0 13,113
TKR Bilateral
Cashless 6 357235 357235 2,475 209,534
RIRS Cashless 186734 186734
RIRS Cashless 2 74121 74121 0 16,962
Dj stent removal
Cashless 29928 29928
URSL With Laser
Cashless 2 174698 174698 17,985
Stapler Circumcision
Cashless 1 30645 30645 0 319
Laser Circumcision
Cashless 0 31004 31004 905 5,319
Piles & Fissure
Cashless 1 74491 74491 0 17,581
Piles & Fissure
Cashless 2 114610 114610 0 10,565
Varicose Veins-2
Cashless
leg 1 167901 167901 11,720 19,983
 Umbilical Hernia
Cashless 2 172282 172282 4,605 26,623
Fistula Cashless 1 71712 71712 21,640 11,173
Fissure & Fistula
Cashless 2 89453 89453 14,580 323
Balanoposthitis
Cashless 0 39388 39388 0 4,996
RIRS Cashless 1 101000 101000 0 17,129
Dj stent removal
Cashless 0 31028 31028 0 4,946
ACL Cashless 2 217480 217480 0 63,012
Fissure & Fistula
Cashless 3 128063 128063
Piles Cashless 1 67775 67775 0 16,477
Fissure & Fistula
Cashless 1 98925 98925 16,040 11,228
KIDNEY STONE
Cashless 1 70456 70456 17,590 20,034
Lipoma Cashless 1 105000 105000 0 8,899
URSL Cashless 146085 146085
Gallstone Cashless 94718 94718
KIDNEY STONE
Cashless 4 140825 140825 12,520 27,820
URETHRAL STRICTURE
Cashless 2 72868 72868 11,275 13,741
RIRS Cashless 2 150190 150190 0 15,381
URSL Without laser
Cashless 2 67814 67814
Fistula Cashless 77335 77335
RIRS Cashless 2 165686 165686 11,210 8,243
Piles & Fissure
Cashless 1 101312 101312 0 14,211
GallstonesCashless 1 152267 152267 0 25,311
Fistula Cashless 1 121525 121525 26,475 12,385
URSL Cashless 106265 106265
RIRS Cashless 2 109288 109288 11,275 18,465
RIRS Cashless 1 65494 65494 12,875
Varicose Veins-1
Cashless
leg 1 171767 171767
Stapler Circumcision
Cashless 0 33154 33154 0 6,005
Piles & Fissure
Cashless 1 83496 83496 0 15,951
Piles & Fissure
Cashless 1 95477 95477
RIRS Cashless 1 175281 175281 0 22,655
RIRS Cashless 1 147697 147697
VaricoceleCashless 1 77764 77764 0 46,114
Abscess Cashless 1 105611 105611 0
RIRS Cashless 2 156742 156742 23,325 18,802
Inguinal Hernia
Cashless 2 149710 149710
Dj stent removal
Cashless 0 30019 30019 0 2,844
Piles & Fissure
Cashless 1 78955 78955
Dj stent removal
Cashless 0 42019 42019 0 9,403
RIRS Cashless 3 137898 137898 4,605 19,225
Piles & FissureCash 70000 70000
Hystersocy D&C
Cashless 2 64436 64436 0 16,020
ACL Cashless 2 251633 251633 0 138,491
Piles & Fissure
Cashless 1 134591 134591 1,230 10,479
Pilonidal Sinus
Cashless 40767 40767
Piles & Fissure
Cashless 1 101092 101092 0 13,494
Piles & Fissure
Cashless 1 58029 58029 0 8,207
Piles & Fissure
Cashless 1 89853 89853 0 7,252
Abscess Cash 75000 75000 11,717
Dj stent removal
Cashless 0 31412 31412 0 5,401
Sinus Cashless 75301 75301
KIDNEY STONE
Cashless 1 128375 128375 1,210 18,767
Fistula Cashless 1 84584 84584 27,520 11,636
KIDNEY STONE
Cashless 33340 33340
Gallstones Cash - -
Piles & Fistula
Cashless 1 102,198 102,198 17,685 13,104
Piles & Fissure
Cashless 51,485 51,485
 High Value High Value Estimated Net
HVC Rental
Consumabl Consumabl Extra Agreement Hospital Automated Rental Revenue
D&C Recoverabl Share with recoverabl with HVC
e Provided e Provided Charges Type value Charges
e HVC With e Without
By Hospital By GHV Rental Rental

6,272 28,446 Breakup 37997 37997

0 0
6,272 22,535 Breakup 33739 33739
3,136 9,077 Breakup 13219 13219
6,272 31,988 Breakup 43033 43033
0 0
10,462 Breakup 14910 14910
22,724 Breakup 28805 28805
15,680 22,034 Breakup 48548 48548
3,136 8,054 Breakup 15441 15441
0 0
28,723 Breakup 37524 37524
8,558 0 0
6,272 32,588 Breakup 43460 43460
7,257 Breakup 11406 11406
0 0
0 0
14,266 Breakup 23103 23103
0 0
3,136 7,804 Breakup 14266 14266
3,136 13,514 Breakup 24612 24612
3,136 13,581 Breakup 21175 21175
24,899 Breakup 42360 42360
22,675 Breakup 32873 32873
11,508 Breakup 15091 15091
15,223 Breakup 24079 24079
36,920 Breakup 48066 48066
43,568 Breakup 223652 223652
0 0
17,148 Breakup 31565 31565
0 0
0 0
3,136 9,098 Breakup 9369 9369
3,136 7,434 Breakup 12679 12679
6,272 17,073 Breakup 32017 32017
31,214 Breakup 40194 40194
728 40,859 Breakup 67221 67221
8,558 42,316 Breakup 68630 68630
11,670 Breakup 38479 38479
22,365 Breakup 34304 34304
3,136 10,318 Breakup 14564 14564
25,161 Breakup 39721 39721
7,825 Breakup 12029 12029
46,340 Breakup 99901 99901
0 0
15,389 Breakup 29395 29395
21,497 Breakup 43873 43873
9,850 Breakup 40951 40951
28,830 Breakup 36394 36394
0 0
0 0
30,146 Breakup 63809 63809
14,356 Breakup 35055 35055
40,443 Breakup 53517 53517
0 0
0 0
43,870 Breakup 59844 59844
6,272 26,130 Breakup 38210 38210
38,087 Breakup 59601 59601
24,800 Breakup 56507 56507
0 0
23,864 Breakup 48580 48580
0 0
728 0 0
3,136 8,145 Breakup 13249 13249
6,272 20,264 Breakup 33822 33822
6,272 0 0
45,788 Breakup 65045 65045
0 0
9,495 Breakup 48692 48692
0 0
34,385 Breakup 69026 69026
8,190 0 0
8,153 Breakup 10570 10570
0 0
9,785 Breakup 17777 17777
34,220 Breakup 54246 54246
6,272 0 0
 14,525 Breakup 28142 28142
33,943 Breakup 151660 151660
6,272 36,865 Breakup 46756 46756
0 0
26,279 Breakup 37749 37749
14,947 Breakup 21923 21923
24,780 Breakup 30945 30945
0 0
7,803 Breakup 12394 12394
0 0
32,519 Breakup 49439 49439
13,628 Breakup 45535 45535
0 0
0 0
21,423 Breakup 46709 46709
0 0
 Net
Revenue Medicine
Hospital Doctor Lab
with HVC Take Rate Doctor IDInsurance Co
TPA Name
EMI/ Non EMI UID
Type Name Payable Payable
With
Rental

68060 64% Corporate

Dr. Neha RameshNew
Mutha
DPC631
Medi
IndiaAssist
Assurance
Insurance
Company 81qexQTO0ERUXFD56304
0
TPA Private Limited 0 9551.45
86056 100% Corporate
Dr. Star
Gulhane Parag
Health DPC330 CompanyQWEN0WfEBuYPFGF38858
and Allied InsuranceSELF 0
Limited Lab and D&C Not Availabl
54558 62% Corporate
Dr. Neha Ramesh
Star HealthMutha
DPC631 Company kfdNNpPuCNKHNJE73894
and Allied InsuranceSELF 0
Limited 0 11203.85
21910 62% Corporate
Dr. Milind
Star JoshiDPC093
Health Company ST9rwS8DwYUPEHC93013
and Allied InsuranceSELF 0
Limited 0 4142.05
76587 64% Corporate
Dr. Neha Ramesh
Manipal Mutha
DPC631
Cigna
MD Health
India Health
Insurance
Insurance
Company mjwXheHQPELJFFF76559
0
TPALimited
Private Limited 0 11045.75
101401 100% Corporate
Dr. Pankaj Waykole
DPC109
New Medi
IndiaAssist
Assurance
Insurance
Company wgPR7YNpbiYHYEC59638
0
TPA Private Limited Lab and D&C Not Availabl
25197 63% Corporate
Dr. Gulhane Parag
HDFC DPC330
ERGO
Medi Assist
GeneralInsurance
Insurance
TPA ATTNUfi9kHKCPFF81648
0
Co Private
Ltd Limited 0 4448.05
54095 65% Corporate
Dr. Rahul Bhadgale
Future DPC323India Insurance
Generali CompanysesFSNl8H8DZJFE83514
SELF 0Ltd 0 6080.9
57177 54% Corporate
Dr. Parmeshwar Bambrule
MedvantageDPC510
NewInsurance
India Assurance
TPA (UHCP) UnitedRLWx8u5Ic4YEGKG93443
Company 0Health Care Parekh
14756
TPA 11757.2
20097 57% Corporate
Dr. Pankaj Waykole
ICICI DPC109 General Insurance
Lombard OIp36TXlziWFPEC36051
0
SELF Co. Ltd. 0 7386.5
55295 100% Corporate
Dr Ashutosh SureshDPC1248
Star Health Ghuge
and Allied InsuranceSELF BU9k30oSOsYLXFG10217
0
Company Limited Lab and D&C Not Availabl
68573 65% Corporate
Dr. Yogesh Dattatray
DPC1128
New Kaje
Medi
IndiaAssist
Assurance
Insurance
Company IFoQlchSKWPDNMA97739
0
TPA Private Limited 0 8801.75
95127 100% Corporate
Dr. Parmeshwar Bambrule
Star Health DPC510 CompanyszBiKJW4GpNMNMB35180
and Allied InsuranceSELF 0
Limited Lab and D&C Not Availabl
77958 64% Corporate
Dr. Parmeshwar ACKO
Bambrule
DPC510
Family
General
Health
Insurance Limited 1xX6h5W0ECKACGE27001
Plan Insurance 0
TPA Limited 0 10872.35
17665 61% Corporate
Dr. Yogesh ICICI
Dattatray
DPC1128
Kaje General Insurance
Lombard DepcFUseeHVJKSB30753
0
SELF Co. Ltd. 0 4149.7
26404 100% Corporate
Dr. Chanchal Gadodiya
Star Health DPC812 Company 2Bbo7oSmYRPPHFE95112
and Allied InsuranceSELF 0
Limited Lab and D&C Not Availabl
86061 100% Corporate
Dr. Pankaj Waykole
Star Health DPC109
and Allied InsuranceSELF tFp49kDkuTPNSFE43135
0
Company Limited Lab and D&C Not Availabl
34847 60% Corporate
Dr. Neha Ramesh Mutha
DPC631
Oriental
Health
Insurance
Insurance
Company cHPNiwPa7mIDFGD60657
0 Limited
TPA of India 0 8837.45
38448 100% Corporate
Dr. Gulhane Parag
DPC330
Oriental
Medi Assist
Insurance
Insurance
Company 7LBezj9LUuSNBNB12235
0
TPA Private Limited Lab is Not Available
19350 58% Corporate
Dr. Milind
Star JoshiDPC093
Health Company C33WCRdE5cOJXLD43052
and Allied InsuranceSELF 0
Limited 0 6461.7
33492 58% Corporate
Dr. Parmeshwar
HDFCBambrule
DPC510
ERGO General Insurance wiFF4bggoRKNUNC50493
0
SELF Co Ltd 0 11097.6
33029 61% Corporate
Dr. Parmeshwar
HDFCBambrule
DPC510
ERGO General Insurance JN9VLocO5QEHKGG68038
SELF Co Ltd0 0 7593.9
61179 59% Corporate
Dr. GulhaneReliance
Parag
DPC330
General Insurance
SELFCo Ltd HYqDYrRSVtCMBKC39287
0 0 17460.7
54707 62% Corporate
Dr. PoorvaStar
Chandrasekhar
HealthDPC1422
andKale
Allied InsuranceSELF Fe8yIt48D0XBANA43915
0
Company Limited 0 10198.3
27484 65% Corporate
Dr. Surajsinh Chauhan
ICICI DPC854
Lombard
Medi General
Assist Insurance
Insurance
TPA 5FSoMQEt0TWVPMA56819
0
Co.Private
Ltd. Limited 0 3582.75
37084 61% Corporate
Dr. Milind
ICICIJoshi
DPC093 General Insurance
Lombard t8F7Uhe5PRANUFE80697
0
SELF Co. Ltd. 0 8855.3
88114 65% Corporate
Dr. Neha Ramesh Mutha
DPC631
Reliance General Insurance
SELFCo Ltd n4NciywkBQTKAFF74703
0 0 11146.05
133583 37% Corporate
Dr. Saurabh
ICICIVLombard
Giri
DPC774 General Insurance fAVa58kKaDRORMB92749
0
SELF Co. Ltd. 1980 178103.9
186734 100% Corporate
Dr. Star
Gulhane Parag
Health DPC330 Company JK2auPzGMHBHUNF70398
and Allied InsuranceSELF 0
Limited Lab and D&C Not Availabl
42556 57% Corporate
Dr. Gulhane Parag
DPC330
New Medi
IndiaAssist
Assurance
Insurance
Company vTwbj5ZcTuMBCMG74033
0
TPA Private Limited 0 14417.7
29928 100% Corporate
Dr. Gulhane Parag
DPC330
Paramount
New India
Health
Assurance & Insuranceln7jrNtQGfLTGOD27193
ServicesCompany 0TPA Private Limited Lab and D&C Not Availabl
174698 100% Corporate
Dr. Gulhane Parag
DPC330
Paramount
TATA AIGHealth
General
Services
Insurance Co LtdcXQVYradTOODCIB27430
& Insurance0TPA Private Limited Lab is Not Available
21276 69% Corporate
Dr. Pankaj Waykole
Star Health DPC109 Company Rpk74cCPy2EWTMG65426
and Allied InsuranceSELF 0
Limited 0 271.15
18325 59% Corporate
Dr. Parmeshwar
ICICIBambrule
DPC510 General Insurance
Lombard Dy4HfAXr9CMSVLB71441
0
SELF Co. Ltd. 724 4521.15
42474 57% Corporate
Dr. Pankaj Waykole
ICICI DPC109 General Insurance
Lombard Drk0kTKaCyXLHHF15377
0
SELF Co. Ltd. 0 14943.85
74416 65% Corporate
Dr. Milind
ICICIJoshi
DPC093
Lombard
Medi General
Assist Insurance
Insurance
TPA 96598bswwuNAMKC84529
0
Co.Private
Ltd. Limited 0 8980.25
100680 60% Corporate
Dr. Harshawardhan
Star Health DPC370
OkeAllied InsuranceSELF
and jhPrUXCxdsUQHEG93024
0
Company Limited 9376 16985.55
103652 60% Corporate
Dr. Neha Ramesh
Star HealthMutha
DPC631 CompanykBHbvw30GOSNGFD74630
and Allied InsuranceSELF 0
Limited 3684 22629.55
33233 46% Corporate
Dr. Pankaj Waykole
ICICI DPC109 General Insurance
Lombard bBfKrj4r0WMNUFD94831
0
SELF Co. Ltd. 17312 9497.05
55149 62% Corporate
Dr. Milind Joshi
DPC093
New Medi
IndiaAssist
Assurance
Insurance
Company COJHqW3CyoTQRKD87763
0
TPA Private Limited 11664 274.55
24824 63% Corporate
Dr. Milind
Star JoshiDPC093
Health and Allied InsuranceSELF ttDbh3UoFxCDLHE10695
0
Company Limited 0 4246.6
61279 61% Corporate
Dr. Gulhane ACKO
Parag
DPC330
Family
General
Health
Insurance Limited M6kMVZLZ1VQRBFD58878
Plan Insurance 0
TPA Limited 0 14559.65
18999 61% Corporate
Dr. Gulhane Parag
DPC330
New Medi
IndiaAssist
Assurance
Insurance
Company u8I2dLSr4ABDDMB26131
0
TPA Private Limited 0 4204.1
117579 54% Corporate
Dr.Star
Saurabh V Giri
Health DPC774
and Allied InsuranceSELF d9Va8OrufpLXNIE32337
0
Company Limited 0 53560.2
128063 100% Corporate
Dr. Milind Joshi
DPC093
New
MDIndia
IndiaAssurance
Health Insurance
CompanyTPA KSboljRNu0CHRKF13233
0
Private Limited Lab and D&C Not Availabl
38380 57% Corporate
Dr. Parmeshwar Bambrule
Star Health DPC510
and Allied InsuranceSELF jj5wAA8eJoJIDHD58149
0
Company Limited 0 14005.45
55052 56% Corporate
Dr. Milind Joshi
DPC093
Liberty
Medi
General
Assist
Insurance
Insurance
Limited, XCy2NnJMojIWIFB84021
0
TPA Private Limited 12832 9543.8
29506 42% Corporate
Dr. Gulhane Parag
DPC330
Paramount
Iffco Tokio
Health
General
Services
Insurance Co Ltd9YGJ8kWfhXICSFG34629
& Insurance0TPA Private Limited
14072 17028.9
68606 65% Corporate
Dr. Surajsinh Chauhan
DPC854
National
Vidal Health
Insurance
Insurance
Company 0stSYUkOvBTSKHA85185
0
TPA Private Limited 0 7564.15
146085 100% Corporate
Dr. Star
Gulhane Parag
Health DPC330
and Allied InsuranceSELF sHzCUgHAyyYPFGF38858
0
Company Limited Lab and D&C Not Availabl
94718 100% Corporate
Dr. Pankaj Waykole
DPC109
New Medi
IndiaAssist
Assurance
Insurance
Company VuGz7KJvIHPVIFA53511
0
TPA Private Limited Lab and D&C Not Availabl
77017 55% Corporate
Dr. Gulhane
MaxParag
DPC330
Bupa Health Insurance SELF o0r3tZRbv7pNILLF71580
Company Ltd 10016 23647
37813 52% Corporate
Dr. GulhaneReliance
Parag
DPC330
General Insurance
SELFCo Ltd Pz9bhKfF3JWDRLA15233
0 9020 11679.85
96673 64% Corporate
Dr. Yogesh Dattatray
TATA DPC1128
Kaje
AIG
Family
General
Health
Insurance
Plan Insurance 4eRf6SjQ72LXHIA53197
0
Co Ltd TPA Limited 0 13073.85
67814 100% Corporate
Dr. Gulhane Parag
DPC330
New Vidal
IndiaHealth
Assurance
Insurance
Company wGEFWFjtlRBBZIA70310
0
TPA Private Limited Lab and D&C Not Availabl
77335 100% Corporate
Dr. Pankaj Waykole
Star Health DPC109
and Allied InsuranceSELF o9OuR8gHtfXBEOB77732
0
Company Limited Lab and D&C Not Availabl
105842 64% Corporate
Dr. Gulhane Parag
DPC330
Health
New India
IndiaAssurance
InsuranceCompany upB1DCiU5GDVTNB26378
0 Private Limited 8968
TPA Services 7006.55
63102 62% Corporate
Dr. Neha Ramesh Mutha
DPC631
Max Bupa Health Insurance SELF 6JpEGBhSUIMLXEC97472
0
Company Ltd 0 12079.35
92666 61% Corporate
Dr. Parmeshwar Bambrule
DPC510
Paramount
Reliance Health
General
Services
Insurance Co LtdzbthuWoRZzUWUEC67081
& Insurance0TPA Private Limited
0 21514.35
65018 54% Corporate
Dr. Milind Joshi
DPC093
New Vidal
IndiaHealth
Assurance
Insurance
Company XaEkTA6owkRKDOA92701
0
TPA Private Limited 21180 10527.25
106265 100% Corporate
Dr. Gulhane Parag
DPC330
New
MD India
IndiaAssurance
Health Insurance
CompanyTPA NeIQDKD9qbQTSJF53694
0
Private Limited Lab and D&C Not Availabl
60708 56% Corporate
Dr. Gulhane Parag
Bajaj DPC330General Insurance
Allianz SELFCo LtdkSflH6bd1tBNJKC41733
0 9020 15695.25
65494 100% Corporate
Dr. Gulhane Parag
DPC330
UnitedMedi
India
Assist
Insurance
Insurance
Company fZClGJszGFDVYNE39319
0
TPA Private Limited D&C is Not Available
171767 100% Corporate
Dr. HarshawardhanDPC370
Oke
National
Medi Assist
Insurance
Insurance
Company g1U6qeRdZXXQAGD36126
0
TPA Private Limited Lab and D&C Not Availabl
19905 60% Corporate
Dr. Parmeshwar
MaxBambrule
DPC510
Bupa Health Insurance SELF f0KEiih0PBoIHKOE86637
Company Ltd 0 5104.25
49674 59% Corporate
Dr. Neha Ramesh Mutha
DPC631
Max Bupa Family
HealthHealth
Insurance
PlanCompany 7CzqxIzY0sNOROF32500
0
InsuranceLtd
TPA Limited 0 13558.35
95477 100% Corporate
Dr. Neha RameshNew
Mutha
DPC631
Medi
IndiaAssist
Assurance
Insurance
Company 7aNK60RoVKSCGEF85044
0
TPA Private Limited Lab and D&C Not Availabl
110236 63% Corporate
Dr. GulhaneReliance
Parag
DPC330
General Insurance
SELFCo Ltd54ZhMH1cwaCMBKC39287
0 0 19256.75
147697 100% Corporate
Dr. Gulhane Parag
DPC330
New Medi
IndiaAssist
Assurance
Insurance
Company 8EdsWMQ7n3MBCMG74033
0
TPA Private Limited Lab and D&C Not Availabl
29072 37% Corporate
Dr. HarshawardhanDPC370
NewOke
Medi
IndiaAssist
Assurance
Insurance
Company A03RovYXRxBKZOC70368
0
TPA Private Limited 0 39196.9
105611 100% Corporate
Dr. Pankaj Waykole
Star Health DPC109
and Allied InsuranceSELF vzMdVjDDHiQCRFA74480
0
Company Limited 0 D&C is Not Available
87716 56% Corporate
Dr. Gulhane Parag
TATA DPC330
MDAIG
India
General
Health
Insurance
Insurance LtdyankzwUOvwHVXIE68311
CoTPA 0
Private Limited 18660 15981.7
149710 100% Corporate
Dr. Milind Joshi
DPC093
New Medi
IndiaAssist
Assurance
Insurance
Company CkW6qwUHqhKNIME40038
0
TPA Private Limited Lab and D&C Not Availabl
19449 65% Corporate
Dr. Gulhane Parag
DPC330
Paramount
TATA AIGHealth
General
Services
Insurance Co LtdtzsNw0EeVoODCIB27430
& Insurance0TPA Private Limited
0 2417.4
78955 100% Corporate
Dr. Parag Nawalkar
Star HealthDPC1415 Company gUpwsrauzUCAUHG47026
and Allied InsuranceSELF 0
Limited Lab and D&C Not Availabl
24242 58% Corporate
Dr. Yogesh Dattatray
TATA DPC1128
Kaje
AIG
Family
General
Health
Insurance Co Ltd rhSAANBsrzLXHIA53197
Plan Insurance 0
TPA Limited 0 7992.55
83652 61% Corporate
Dr. Gulhane Parag
Bajaj DPC330General Insurance
Allianz 81goq1u2prQHHKA53673
SELFCo Ltd0 3684 16341.25
70000 100% Corporate
Dr. Milind JoshiDPC093 Non
OF8VIrsxQSWPPED25659
EMI Lab and D&C Not Availabl
36294 56% Corporate
Dr. Vaishali VinodDPC1135
NewGiri
Vidal
IndiaHealth
Assurance
Insurance
Company t1uW8t91gbOSVLB24886
0
TPA Private Limited 0 13617
99973 40% Corporate
Dr. Saurabh
KOTAK V Giri
DPC774
MAHINDRA
Family Health
GENERAL
Plan Insurance
INSURANCEehUyP236w6FYIKE68144
0
TPA Limited 0 117717
87835 65% Corporate
Dr. Neha Ramesh
IffcoMutha
DPC631
Tokio
MediGeneral
Assist Insurance
Insurance TPA
Co LtdIRwQ7BtDJ6CJFHG34053
0
Private Limited 984 8907.15
40767 100% Corporate
Dr. Milind
Star JoshiDPC093
Health Company yIun3HmO9pFOOHA52542
and Allied InsuranceSELF 0
Limited Lab and D&C Not Availabl
63343 63% Corporate
Dr. Parmeshwar Bambrule
DPC510
New Medi
IndiaAssist
Assurance
Insurance
Company LZeoDJ05x2AIHNE85841
0
TPA Private Limited 0 11469.9
36106 62% Corporate
Dr. Pankaj Waykole
ICICI DPC109 General Insurance
Lombard 5CTQdcRsaCYLGEG46677
0
SELF Co. Ltd. 0 6975.95
58909 66% Corporate
Dr. Pankaj Waykole
DPC109
New Medi
IndiaAssist
Assurance
Insurance
Company 2U3CMH2lwUUFJNE15011
0
TPA Private Limited 0 6164.2
75000 100% Corporate
Dr. Parmeshwar Bambrule
DPC510 NonjFttVE6HL9NHBIE66371
EMI Lab is Not Available
19018 61% Corporate
Dr. Gulhane
ICICIParag
DPC330 General Insurance
Lombard uZoaGu2tZBVEUOC35902
0
SELF Co. Ltd. 0 4590.85
75301 100% Corporate
Dr. Poorva Chandrasekhar
DPC1422
KaleAssist
Oriental
Medi Insurance
Insurance
Company yuB49A3XPwIMQED76221
0
TPA Private Limited Lab and D&C Not Availabl
78936 61% Corporate
Dr. Gulhane Parag
DPC330
Paramount
Iffco Tokio
Health
General
Services
Insurance Co Ltd wJ1a6kAzJ4ICSFG34629
& Insurance0TPA Private Limited
968 15951.95
39049 46% Corporate
Dr. Pankaj Waykole
DPC109General Insurance
Iffco Tokio SELFCo LtdxM9QJLm5o0PUTLE37904
0 22016 9890.6
33340 100% Corporate
Dr. Gulhane Parag
DPC330
New Vidal
IndiaHealth
Assurance
Insurance
Company ow2GOHCdkyBBZIA70310
0
TPA Private Limited Lab and D&C Not Availabl
0 0% Corporate
Dr. Milind JoshiDPC093 Non
AACLPjGSjHHPGHA44912
EMI
55489 54% Corporate
Dr. Pankaj Waykole
Future DPC109India Insurance
Generali CompanyDAchkl77RfCAOOG47067
SELF 0Ltd 14148 11138.4
51485 100% Corporate
Dr. Parag Nawalkar
Star HealthDPC1415
and Allied InsuranceSELF 6F0hbZ76ihSMZGG74624
0
Company Limited Lab and D&C Not Availabl
 Standardis
ed/Non- Appointme Actual /
Remarks Checking
Hospital Ratecheck flat FLAT 2 FLAT 3 FInal MOP nt +
Standardis Patient ID Estimate
ed

1 0 #REF! 81qexQTO0ERUXFD56304
No Estimate
1
Lab and D&C Not Available 0 #REF! QWEN0WfEBuYPFGF38858
No Estimate
1 0 #REF! kfdNNpPuCNKHNJE73894
No Estimate
1 0 #REF! ST9rwS8DwYUPEHC93013
No Estimate
1 0 #REF! mjwXheHQPELJFFF76559
No Estimate
1
Lab and D&C Not Available 0 #REF! wgPR7YNpbiYHYEC59638
No Estimate
1 0 #REF! ATTNUfi9kHKCPFF81648
No Estimate
1 0 #REF! sesFSNl8H8DZJFE83514
No Estimate
1 0 #REF! RLWx8u5Ic4YEGKG93443
No Estimate
1 0 #REF! OIp36TXlziWFPEC36051
No Estimate
1
Lab and D&C Not Available 0 #REF! BU9k30oSOsYLXFG10217
No Estimate
1 0 #REF! IFoQlchSKWPDNMA97739
No Estimate
1
Lab and D&C Not Available 0 #REF! szBiKJW4GpNMNMB35180
No Estimate
1 0 #REF! 1xX6h5W0ECKACGE27001
No Estimate
1 0 #REF! DepcFUseeHVJKSB30753
No Estimate
1
Lab and D&C Not Available 0 #REF! 2Bbo7oSmYRPPHFE95112
No Estimate
1
Lab and D&C Not Available 0 #REF! tFp49kDkuTPNSFE43135
No Estimate
1 0 #REF! cHPNiwPa7mIDFGD60657
No Estimate
Lab is Not Available1 0 #REF! 7LBezj9LUuSNBNB12235
No Estimate
1 0 #REF! C33WCRdE5cOJXLD43052
No Estimate
1 0 #REF! wiFF4bggoRKNUNC50493
No Estimate
1 0 #REF! JN9VLocO5QEHKGG68038
No Estimate
1 0 #REF! HYqDYrRSVtCMBKC39287
No Estimate
1 0 #REF! Fe8yIt48D0XBANA43915
No Estimate
1 0 #REF! 5FSoMQEt0TWVPMA56819
No Estimate
1 0 #REF! t8F7Uhe5PRANUFE80697
No Estimate
1 0 #REF! n4NciywkBQTKAFF74703
No Estimate
1 0 #REF! fAVa58kKaDRORMB92749
No Estimate
1
Lab and D&C Not Available 0 #REF! JK2auPzGMHBHUNF70398
No Estimate
1 0 #REF! vTwbj5ZcTuMBCMG74033
No Estimate
1
Lab and D&C Not Available 0 #REF! ln7jrNtQGfLTGOD27193
No Estimate
Lab is Not Available1 0 #REF! cXQVYradTOODCIB27430
No Estimate
1 0 #REF! Rpk74cCPy2EWTMG65426
No Estimate
1 0 #REF! Dy4HfAXr9CMSVLB71441
No Estimate
1 0 #REF! Drk0kTKaCyXLHHF15377
No Estimate
0 0 #REF! 96598bswwuNAMKC84529
No Estimate
0 0 #REF! jhPrUXCxdsUQHEG93024
No Estimate
 0 0 #REF! kBHbvw30GOSNGFD74630
No Estimate
0 0 #REF! bBfKrj4r0WMNUFD94831
No Estimate
0 0 #REF! COJHqW3CyoTQRKD87763
No Estimate
0 0 #REF! ttDbh3UoFxCDLHE10695
No Estimate
0 0 #REF! M6kMVZLZ1VQRBFD58878
No Estimate
0 0 #REF! u8I2dLSr4ABDDMB26131
No Estimate
0 0 #REF! d9Va8OrufpLXNIE32337
No Estimate
0
Lab and D&C Not Available 0 #REF! KSboljRNu0CHRKF13233
No Estimate
0 0 #REF! jj5wAA8eJoJIDHD58149
No Estimate
0 0 #REF! XCy2NnJMojIWIFB84021
No Estimate
0 0 #REF! 9YGJ8kWfhXICSFG34629
No Estimate
0 0 #REF! 0stSYUkOvBTSKHA85185
No Estimate
0
Lab and D&C Not Available 0 #REF! sHzCUgHAyyYPFGF38858
No Estimate
0
Lab and D&C Not Available 0 #REF! VuGz7KJvIHPVIFA53511
No Estimate
0 0 #REF! or3tZRbv7pNILLF71580
No Estimate
0 0 #REF! Pz9bhKfF3JWDRLA15233
No Estimate
0 0 #REF! 4eRf6SjQ72LXHIA53197
No Estimate
0
Lab and D&C Not Available 0 #REF! wGEFWFjtlRBBZIA70310
No Estimate
0
Lab and D&C Not Available 0 #REF! o9OuR8gHtfXBEOB77732
No Estimate
0 0 #REF! upB1DCiU5GDVTNB26378
No Estimate
0 0 #REF! 6JpEGBhSUIMLXEC97472
No Estimate
0 0 #REF! zbthuWoRZzUWUEC67081
No Estimate
0 0 #REF! XaEkTA6owkRKDOA92701
No Estimate
0
Lab and D&C Not Available 0 #REF! NeIQDKD9qbQTSJF53694
No Estimate
0 0 #REF! kSflH6bd1tBNJKC41733
No Estimate
D&C is Not Available0 0 #REF! fZClGJszGFDVYNE39319
No Estimate
0
Lab and D&C Not Available 0 #REF! g1U6qeRdZXXQAGD36126
No Estimate
0 0 #REF! fKEiih0PBoIHKOE86637
No Estimate
0 0 #REF! 7CzqxIzY0sNOROF32500
No Estimate
0
Lab and D&C Not Available 0 #REF! 7aNK60RoVKSCGEF85044
No Estimate
0 0 #REF! 54ZhMH1cwaCMBKC39287
No Estimate
0
Lab and D&C Not Available 0 #REF! 8EdsWMQ7n3MBCMG74033
No Estimate
0 0 #REF! A03RovYXRxBKZOC70368
No Estimate
D&C is Not Available0 0 #REF! vzMdVjDDHiQCRFA74480
No Estimate
0 0 #REF! yankzwUOvwHVXIE68311
No Estimate
0
Lab and D&C Not Available 0 #REF! CkW6qwUHqhKNIME40038
No Estimate
0 0 #REF! tzsNw0EeVoODCIB27430
No Estimate
0
Lab and D&C Not Available 0 #REF! gUpwsrauzUCAUHG47026
No Estimate
0 0 #REF! rhSAANBsrzLXHIA53197
No Estimate
0 0 #REF! 81goq1u2prQHHKA53673
No Estimate
0
Lab and D&C Not Available 0 #REF! OF8VIrsxQSWPPED25659
No Estimate
 0 0 #REF! t1uW8t91gbOSVLB24886
No Estimate
0 0 #REF! ehUyP236w6FYIKE68144
No Estimate
0 0 #REF! IRwQ7BtDJ6CJFHG34053
No Estimate
0
Lab and D&C Not Available 0 #REF! yIun3HmO9pFOOHA52542
No Estimate
0 0 #REF! LZeoDJ05x2AIHNE85841
No Estimate
0 0 #REF! 5CTQdcRsaCYLGEG46677
No Estimate
0 0 #REF! 2U3CMH2lwUUFJNE15011
No Estimate
Lab is Not Available0 0 #REF! jFttVE6HL9NHBIE66371
No Estimate
0 0 #REF! uZoaGu2tZBVEUOC35902
No Estimate
0
Lab and D&C Not Available 0 #REF! yuB49A3XPwIMQED76221
No Estimate
0 0 #REF! wJ1a6kAzJ4ICSFG34629
No Estimate
0 0 #REF! xM9QJLm5o0PUTLE37904
No Estimate
0
Lab and D&C Not Available 0 #REF! ow2GOHCdkyBBZIA70310
No Estimate
0 0 #REF! AACLPjGSjHHPGHA44912
No Estimate
0 0 DAchkl77RfCAOOG47067
#REF! Estimate Estimate
0
Lab and D&C Not Available 0 6F0hbZ76ihSMZGG74624
#REF! Estimate Estimate
 Check After HVC Automated Length of
Final Test TR my use
Comment Removal Value Stay

0% - 1
0% - 2
0% - 1
0% - 0
0% - 1
0% - 2
0% - 0
0% - 1
0% - 1
0% - 1
0% - 1
0% - 2
0% - 1
0% - 1
0% - 0
0% - 0
0% - 1
0% - 1
0% - 0
0% - 1
0% - 1
0% - 1
0% - 2
0% - 1
0% - 1
0% - 1
0% - 1
0% - 6
0% - 2
0% - 2
0% - 0
0% - 2
0% - 1
0% - 0
0% - 1
0% - 2
0% - 1
0% - 2
0% - 1
0% - 2
0% 0
0% 1
0% 0
0% 2
0% 3
0% 1
0% 1
0% 2
0% 2
0% 2
0% 1
0% 4
0% 2
0% 2
0% 2
0% 2
0% 2
0% 1
0% 1
0% 1
0% 2
0% 2
0% 1
0% 1
0% 0
0% 1
0% 1
0% 1
0% 1
0% 1
0% 2
0% 2
0% 2
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%
0%