CLM2025121900001

Registered on 19 Dec 2025, 10:30 am

UNDER REVIEW

Claim Information

Customer Information

NameJohn Doe
Policy NumberPOL123456
Mobile+91 9876543210
Emailjohn@example.com

Provider Information

Hospital/ClinicApollo Hospital
LocationMumbai
Network Status✓ Network Provider

Medical Information

DiagnosisAcute Appendicitis
Treatment TypeINPATIENT
Date of Admission2025-12-10
Date of Discharge2025-12-15
Length of Stay5 days

Financial Information

Claimed Amount₹50,000

Assignment

DS

Dr. Sharma

Medical Assessor

Actions

SLA Status

Target Closure30 days
Days Elapsed3 days
Days Remaining27 days