Total deducted
₹86,800
8 deduction lines
Justified
₹14,000
Closed — no recovery
Not justified
₹39,000
0 recovery tickets
Pending review
3
Awaiting auditor decision
Deductions by category
Distribution of deducted amount
Medical justification₹33,200
Billing issue₹12,600
Policy limitation₹28,500
Documentation issue₹12,500
Total deducted: ₹86,800
4.8% of submitted value · target < 2.5%
Deduction ledger
8 of 8 entries
| Claim ID | Patient | Claim | Approved | Deduction | Reason | Category | Tag | Action |
|---|---|---|---|---|---|---|---|---|
CLM-2444 DED-301 | Vikram Joshi Apollo Hospitals | ₹89,400 | ₹85,200 | - ₹4,200 | Non-payable consumables (gloves, syringes) | Policy limitation | Justified | |
CLM-2442 DED-300 | Ishaan Gupta Fortis Memorial | ₹67,200 | ₹61,800 | - ₹5,400 | Tariff variance against PPN rate | Billing issue | Not JustifiedRCV-1042 | |
CLM-2449 DED-299 | Meera Iyer Manipal Hospital | ₹2,45,000 | ₹2,30,500 | - ₹14,500 | Room rent capping (1% sub-limit) | Policy limitation | Pending Review | |
CLM-2451 DED-298 | Ananya Rao Apollo Hospitals | ₹1,84,500 | ₹1,72,000 | - ₹12,500 | Pharmacy bill mismatch with itemised bill | Documentation issue | Pending Review | |
CLM-2440 DED-297 | Aarav Bose Manipal Hospital | ₹1,54,300 | ₹1,44,500 | - ₹9,800 | Pre-existing condition clause invoked | Policy limitation | Justified | |
CLM-2438 DED-296 | Sanjay Kulkarni Kokilaben Hospital | ₹3,12,800 | ₹2,86,400 | - ₹26,400 | Implant cost beyond approved range | Medical justification | Not JustifiedRCV-1041 | |
CLM-2436 DED-295 | Lakshmi Pillai Narayana Health | ₹78,900 | ₹72,100 | - ₹6,800 | Investigation not relevant to diagnosis | Medical justification | Pending Review | |
CLM-2433 DED-294 | Rohit Verma Fortis Memorial | ₹1,42,000 | ₹1,34,800 | - ₹7,200 | Service tax / GST calculation error | Billing issue | Not JustifiedRCV-1040 |
Recovery tickets
Generated automatically when a deduction is marked Not Justified
No recovery tickets yet. Tag a deduction as Not Justified to raise one.