TO BE

PATIENT HMIS DATE OF INSURANCE INITIAL TARIFF BENEFIT LIMIT HOSPITAL

PATIENT ID CLAIMED AUTHORISED SANCTIONED PAID AS PER SL COLLECTED AUDITOR'S QUERY RESPONSE FROM HOSPITAL MGT.
NAME DISCHARGE COMPANY BIILING DIFF EXHAUST DISCOUNT
FROM INSUERD

AS PER MANAGEMENT
MEDIASSIST THEY DON’T COLLECT
INITIAL FROM PATIENT
WHETHER AMOUNT
BILL NOT BECAUSE PATIENT
[ COLLECTED FROM
PALAVI GIVEN, GETS ADMITTED ONLY
00006004 02/11/2022 50883 50883 49041 49041 0 49041 0 1017 825 PATIENT OR NOT AND
. AMOUNT ON THIS CONDITION
6148 ] DISCOUNT SHOWN IN
ENTERED AND BH DOESN’T
FINAL BILL OR NOT
FROM HAVE AUTHORITY TO
PORTAL SHOW THIS AMOUNT
AS DISCOUNT IN BILLS.

[
SUMIT FOLDER NOT
00006004 02/11/2022 0 0 0
SINGH GIVEN
6087 ]
[
JOHN FOLDER NOT
00006004 02/11/2022 0 0 0
SINGH GIVEN
6108 ]
[
SANTOSH FOLDER NOT
00006004 05/11/2022 0 0 0
KUMAR GIVEN
6040 ]
[
FOLDER NOT
POOJA . 00006004 12/11/2022 0 0 0
GIVEN
6199 ]
[
VINOD FOLDER NOT
00006004 12/11/2022 0 0 0
KUMAR GIVEN
6197 ]
[
ANSHU FOLDER NOT
00006004 12/11/2022 0 0 0
SAINI GIVEN
6235 ]
[
NAVNEET FOLDER NOT
00006004 14/11/2022 0 0 0
KUMAR GIVEN
6188 ]
 AS PER MANAGEMENT
MEDIASSIST THEY DON’T COLLECT
INITIAL FROM PATIENT
WHETHER AMOUNT
BILL NOT BECAUSE PATIENT
[ COLLECTED FROM
MIKKI GIVEN, GETS ADMITTED ONLY
00006004 14/11/2022 334150 334150 279488 279488 0 279488 0 6682 47980 PATIENT OR NOT AND
KHAN . AMOUNT ON THIS CONDITION
6185 ] DISCOUNT SHOWN IN
ENTERED AND BH DOESN’T
FINAL BILL OR NOT
FROM HAVE AUTHORITY TO
PORTAL SHOW THIS AMOUNT
AS DISCOUNT IN BILLS.

RAVI [
FOLDER NOT
KUMAR 00006004 14/11/2022 0 0 0
GIVEN
GUPTA 6261 ]

AS PER MANAGEMENT
MEDIASSIST THEY DON’T COLLECT
INITIAL FROM PATIENT
WHETHER AMOUNT
BILL NOT BECAUSE PATIENT
[ COLLECTED FROM
GIVEN, GETS ADMITTED ONLY
RINKU .. 00006004 14/11/2022 169492 169492 150543 150543 0 150543 0 3389 15560 PATIENT OR NOT AND
AMOUNT ON THIS CONDITION
6223 ] DISCOUNT SHOWN IN
ENTERED AND BH DOESN’T
FINAL BILL OR NOT
FROM HAVE AUTHORITY TO
PORTAL SHOW THIS AMOUNT
AS DISCOUNT IN BILLS.

AS PER MANAGEMENT
MEDIASSIST THEY DON’T COLLECT
INITIAL FROM PATIENT
WHETHER AMOUNT
BILL NOT BECAUSE PATIENT
[ COLLECTED FROM
POONA GIVEN, GETS ADMITTED ONLY
00006004 15/11/2022 106357 106357 72847 72847 0 72847 30078 2127 1305 PATIENT OR NOT AND
M RANI AMOUNT ON THIS CONDITION
6258 ] DISCOUNT SHOWN IN
ENTERED AND BH DOESN’T
FINAL BILL OR NOT
FROM HAVE AUTHORITY TO
PORTAL SHOW THIS AMOUNT
AS DISCOUNT IN BILLS.
 [
RAVINDRA FOLDER NOT
00006004 15/11/2022 0 0 0
KUMAR GIVEN
6257 ]
[
MOHIT FOLDER NOT
00006004 16/11/2022 0 0 0
KUMAR GIVEN
6210 ]

AS PER MANAGEMENT
MEDIASSIST THEY DON’T COLLECT
INITIAL WHETHER AMOUNT FROM PATIENT
BILL NOT COLLECTED FROM BECAUSE PATIENT
[
SANTOS GIVEN, THE PATIENT OR NOT GETS ADMITTED ONLY
00006004 16/11/2022 46459 46459 45530 45530 0 45530 0 929 0
H. AMOUNT OR SHOWN AS ON THIS CONDITION
6279 ]
ENTERED DISCOUNT IN BILL OR AND BH DOESN’T
FROM NOT HAVE AUTHORITY TO
PORTAL SHOW THIS AMOUNT
AS DISCOUNT IN BILLS.

[
FOLDER NOT
SUNNY .. 00006004 17/11/2022 0 0 0
GIVEN
6209 ]
[
FOLDER NOT
AYUSH . 00006004 17/11/2022 0 0 0
GIVEN
6222 ]
[
SHAHVEZ FOLDER NOT
00006004 19/11/2022 0 0 0
KHALID GIVEN
6299 ]
MEDIASSIST
AS PER MGT BH
INITIAL
DOESN’T HAVE
BILL NOT
[ WHETHER DISCOUNT AUTHORITY TO SHOW
HARI GIVEN,
00006004 29/11/2022 181656 181656 178024 178024 0 178024 0 3632 0 SHOWN IN FINAL BILL DISCOUNT ON BILLS
SINGH . AMOUNT
6309 ] OR NOT IRRESPECTIVE OF THE
ENTERED
FACT THAT IT IS MOU
FROM
DISCOUNT
PORTAL
MEDIASSIST
AS PER MGT BH
INITIAL
DOESN’T HAVE
BILL NOT
[ WHETHER DISCOUNT AUTHORITY TO SHOW
MANOJ GIVEN,
00006004 29/11/2022 161826 161826 158590 158590 0 145380 13210 3236 0 SHOWN IN FINAL BILL DISCOUNT ON BILLS
KUMAR AMOUNT
6356 ] OR NOT IRRESPECTIVE OF THE
ENTERED
FACT THAT IT IS MOU
FROM
DISCOUNT
PORTAL
 MEDIASSIST
AS PER MGT BH
INITIAL
DOESN’T HAVE
BILL NOT
[ WHETHER DISCOUNT AUTHORITY TO SHOW
CHAND GIVEN,
00006004 29/11/2022 184623 184623 180931 180931 0 180931 0 3692 0 SHOWN IN FINAL BILL DISCOUNT ON BILLS
RAPAL . AMOUNT
6357 ] OR NOT IRRESPECTIVE OF THE
ENTERED
FACT THAT IT IS MOU
FROM
DISCOUNT
PORTAL

AS PER MANAGEMENT
MEDIASSIST THEY DON’T COLLECT
INITIAL WHETHER AMOUNT FROM PATIENT
VINOD BILL NOT COLLECTED FROM BECAUSE PATIENT
[
KUMARI GIVEN, THE PATIENT OR NOT GETS ADMITTED ONLY
00006004 30/11/2022 326323 326323 319797 319797 0 319797 0 6526 0
(VINOD AMOUNT OR SHOWN AS ON THIS CONDITION
6355 ]
YADAV) ENTERED DISCOUNT IN BILL OR AND BH DOESN’T
FROM NOT HAVE AUTHORITY TO
PORTAL SHOW THIS AMOUNT
AS DISCOUNT IN BILLS.

PATIENT DETAIL NOT

IN HMIS AND IT
SHOULD BE NOTED
MEDIASSIST THE CONCERNED
THAT THE CLAIM
TAKEN PERSON, MANOJ SIR
AMOUNT IS RECEIVED
PAYAL UNKNO FROM FAILED TO FIND
29-11-2022 53000 53000 23000 23000 0 23000 0 0 30000 IN AMRO BANK
DEVI WN PORTAL PATIENT ID, FURTHER
ACCOUNT WHICH IS
NOT IN HE SAID THAT HE WILL
IN THEIR CONTROL
HMIS CHECK
THERE IS A
POSSIBILITY OF FRAUD
HERE BY BH

31230 95670
SUMIT SINGH FOLDER NOT
PAYAL DEVI
JOHN SINGH GIVEN RED FLAG
SANTOSH KUMAR
POOJA .
VINOD KUMAR
ANSHU SAINI FOLDER
NAVNEET KUMAR NOT
RAVI KUMAR GUPTAGIVEN
RAVINDRA KUMAR
MOHIT KUMAR
SUNNY ..
AYUSH .
SHAHVEZ KHALID
FINAL CHECKING FROM HMIS BILL IS PENDING