Claims Adjudication
Full claims adjudication — billed → eligible → deductible → co-pay → approved → net payable
Total Billed
794,718.877 FRW
Total Approved
47,124.74 FRW
Total Paid
4,278.825 FRW
Fraud Flags
1
| Claim No | Batch | Policy | Member | Provider | Category | Date Rcvd | Billed | Co-pay | Approved | Net Payable | Docs ✓ | Type | Status | |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CLM-MN1T1Y74 | - | MEDI-2026-6999 | zxl | KING FAYCAL | Outpatient | 22/03/2026 | 83,434.27 | 0 | 0 | 83,434.27 | 0/3 | Payment Requisition | ||
| CLM-MN1SB6O9 | - | MEDI-2026-6999 | zxl | KING FAYCAL | Outpatient | 22/03/2026 | 15,488.296 | 1,548.83 | 13,939.467 | 13,939.467 | 0/3 | Approved | ||
| CLM-MN0S9QLK | - | MEDI-2026-3010 | KALISA Benjamin | CLINIC IMANZI | Outpatient | 21/03/2026 | 170,096.445 | 0 | 0 | 170,096.445 | 0/3 | Approved | ||
| CLM-MN0BMHUP | - | MEDI-2026-3010 | NSABIMANA SYLVESTERE | CLINIC IMANZI | Outpatient | 21/03/2026 | 488,827.339 | 0 | 0 | 0 | 0/3 | Cross-Checking | ||
| CLM-MN09BG8X | - | MEDI-2026-3010 | SAFARI ONESPHORE | CLINIC IMANZI | Outpatient | 21/03/2026 | 0 | 0 | 0 | 0 | 0/3 | Approved | ||
| CLM-MN0844NE | - | MEDI-2026-3010 | NSABIMANA SYLVESTERE | CLINIC IMANZI | Outpatient | 21/03/2026 | 4,754.25 | 475.425 | 4,278.825 | 4,278.825 | 0/3 | Paid | ||
| CLM-MN07PL4F | - | MEDI-2026-3010 | NSABIMANA SYLVESTERE | CLINIC IMANZI | Outpatient | 21/03/2026 | 32,118.276 | 3,211.828 | 28,906.449 | 28,906.449 | 0/3 | Payment Requisition |
