Escolar Documentos
Profissional Documentos
Cultura Documentos
DISTRICT
No. of mithras
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18
Ashwini Hospital, Akluj Dhanraj Giriji Hospital ASHWINI RURARL CANCER RESEARCH AND RELIEF SOCIETY YASHODHARA SUPER SPECIALITY HOSPITAL PVT.LTD. DR KASLIWAL MEDICAL CARE AND RESEARCH FOUNDATION KASLIWAL HOSPITAL Geetai Shushrushalaya and laproscopic Center DR. RAGHOJI KIDNEY HOSPITAL AND RESEARCH CENTRE PVT.LTD Shri Markandeya Hospital Jagdale Mama Hospital,Barshi Sub District Hospital Pandharpur DR CHIDGUPKAR HOSPITAL PVT LTD Ch.Shivaji Maharaj Sarvopachar Rugnalaya Solapur Anand Hospital LOKMANGAL JEEVAK HOSPITAL AKLUJ CRITICAL CARE AND TRAUMA CENTER Sasoon -BJ Medical College Pune Government Medical College & Hospital Miraj Hiremath Co-Operative Hospital, Barshi
Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur
4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4 4
MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed MOU Signed
EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED EMPANELLED
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
M1,M10,M11,M13,M14,M3,M5,M6,M7,M8, M9,S1,S10,S11,S12,S14,S4,S5,S6,S8,S9 M1,M11,M6,M8,M9 M3,M5,M6,M8,S1,S11,S12,S13,S14,S2,S4,S5,S 6,S8,S9 M11,M3,M5,M6,M8,S1,S12,S13,S14,S2,S3,S4, S5,S6,S8,S9 M1,M11,M14,M15,M2,M3,M5,M6,M7,M8,M 9,S1,S10,S11,S12,S13,S14,S2,S3,S4,S5,S7,S8,S 9 M3,M5,M6,M7,S1,S10,S12,S13,S14,S2,S3,S4,S 5,S7,S9 M3,M7,S1,S10,S12,S13,S2,S4,S5,S6,S7,S8,S9 S1,S11,S12,S14,S4,S5,S8,S9 M10,M11,M3,M5,M6,S1,S2,S3,S4,S5
M1,M10,M11,M12,M2,M4,M5,M7,M8,M9,S1,S1 0,S14,S15,S17,S3,S4,S5,S6,S8,S9.
M11,M3,M5,S1,S14,S2,S3,S4,S5,S8
M1,M10,M11,M12,M2,M4,M5,M7,M8,M9,S1,S1 0,S14,S15,S17,S3,S4,S5,S6,S8,S9.
Infrastructure Availability KIOSK Computer Scanner Printer Bar Code Camera to 2Mbps Reader Mithra Iinternet
YES YES NO YES YES YES YES YES YES YES YES YES YES YES YES YES YES NO
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES NO
NO Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes Yes
placed near KIOSK Displaying Consultants list & Available timing (Yes/No) Instructions to RGJAY patients (Yes/No) NAME
NO YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES YES
NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO NO
Dr. Inamdar Dr. Kiran Patil Dr. Rahul Kulkarni Dr. Suresh Manure Dr. Kasliwal Dr. Mrunal Bakare Dr. Anil Kenjer Dr. Vinod G Janai Dr. Uddhav Borade Dr. P Gaikwad Dr. Sameena Shaikh Dr. Ghate Amar Shende Dr Kantilal Daga Dr. Manjarekar Dr. Amol Dalvi N/A Dr.Sangram Gaikwad
9822062857 8275088985
udaysnikam@gmail.co m
8275088987 oo.com 8275088988 8275088992 8275088994 8275089065 8275089126 8275089131 9850798568 8275089990 NOT RECEIVED 9766051020 NOT RECEIVED
rahul_kulkarni1975@yah
dr.pankajgaikwad@gm ail.com
dramarsgmail.comhen de@
Dr. K. Mahurkar Mr. Sham Pawar Mr. Nandkumar Panase Mr.Sidhling Burkal Mr. Alpesh Joshi Mr. Vijay Shinde Mr. Prashant Patil Mr. Sandeep Kharat Dr. Mahesh Shelwane Dr. Gawali Mr. Frances Disouza Dr. Harlkar Balasaheb Jangale Mr Vasant Kampali Dr. Dilip Fade N/A Dr. A.B. Ingale Nagayanwar Chandeshekhar
9850756743 827508986
udaysnikam@gmail.c om
Dr. Inamdar
9822062857
8275089068 m 8275088989 8275089063 8275088995 8275089073 8275089127 8275089133 9665935566 8275089991 NOT RECEIVED 8275089762 NOT RECEIVED 7875449884 NOT RECEIVED NOT RECEIVED
nspanse@rediffmail.co
Dr Nane
2184222699
9850798568
9766051020
udaysnikam@gmail. com
ashwinisociety@gm ail.com
dr.pankajgaikwad@ gmail.com
dramarsgmail.comh ende@
accatc12gmail.com
Date
Nil
Designation
Nil
DISTRICT
Nil
IN TIME
Nil
OUT TIME
Nil
Remarks
Nil
Sr. No. 1
NWH District
Date 11/28/2012
Outpatients
Hospital name Jagdale Mama Hospital,Barshi
Outpatients list
Patient name Patient Disease / Complaint
t
Disease Catogiry ( Eligible under 972 procedureYES/NO ) OP/IP Converted online to OP (If OP) (Yes/No)
OP
NO
Remarks
Contact No.
NIL
N W H DAILY REPORT FROM RICH HOSPITAL Column1 NWH DISTRICT Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur Solapur
Column2
Column3
Sno
NWH NAME
NWH ID
1 2 3 4 5 6 7 8 9
JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI JAGDALE MAMA HOSPITAL,BARSHI
Column4
Column5
Column6
Patient name
Pt.District
Age
BHAMABAI SAMBHAJI GADAVE NAVNATH SHRIRAM MORE ANIL BABAN KALE MUKTABAI SHINDE ABHIJEET CHAVAN SAMBHAJ NETAKE SHAHANUDAR MULAMI YOURAJ SANGULE BALIRAM RAUT
72 69 26 65 17 17 42 25 35
3624810
3462732
Column8
Column9
Column10
Column11
Column12 DOA Preauth Approval 12/7/2012 12/12/2012 12/10/2012 12/13/2012 12/15/2012 12/15/2012 12/14/2012 12/14/2012 12/15/2012
Claim no.
Case status
DOA
DO pre sent
SOL/2012/P1R0/30/02354
SOL/2012/P1R0/30/02422 SOL/2012/P1R0/30/02391 SOL/2012/P1R0/30/02421 2012/P1R0/30/02481 SOL/2012/P1R0/30/02480 SOL/2012/P1R0/30/02461
SOL/2012/P1R0/30/02471
SOL/2012/P1R0/30/02478
sent for preutharization Society Approved Society Approved Society Approved Society Approved Society Approved Society Approved Society Approved Society Approved
Column13
Column14
Column15 Onbed Status (Onbed/Dayc are) Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc Onbed Status (Onbed/Dayc
DOS
CATEGORY
genral surgery GENITOURINARY SYSTEM CRITICAL CARE CRITICAL CARE Poly Trauma CRITICAL CARE Poly Trauma Poly Trauma CRITICAL CARE
Telephonic Intimations
Sno Telephonic Id: Name of the Patient
1
Nill
Nill
Nill
Nill
Nill
Nill
honic Intimations
After how many hours Surgery done Pre-auth Sent surgery done after (Yes/No) (Yes/No) tel.int. taken) Date of pre-auth Remarks
Nill
Nill
Nill
Nill
Nill
Follow-up Availed p Sno NWHDistrict FTL Name NWH Name NWH CUG Patient name
Follow-up Availed patients list Patient Dist Health No Claim No Date of Discharge FMP given Date
Field Remarks
Grievance Details
Sno NWH District Hospital name Patient name WAP card no. IP/OP
Grievance Details
Grievance Type Grievance Discription Action by Mithra FTL/DH/AM Action Status(Resol ved/Not) Remarks