1. Patient & Policy Information
Male
Female
Other
2. Provider & Urgency Level
Facility Type
Private Facility
Government Facility
Urgency level
Normal Urgency
Emergency Case
Reports Uploaded (Yes/No)?
Reports Uploaded (Yes)
Reports Uploaded (No)
3. Clinical Diagnosis & Treatment
Diagnosis
Fever
Viral Infection
Bacterial Infection
Fracture
Sprain
Kidney Stone
Appendicitis
Pneumonia
Heart Condition
Diabetes Complication
Treatment
Medication
Physiotherapy
Scan / Test
Lab Tests
Minor Procedure
Surgery
ICU Care
Emergency Intervention
4. Hospitalization Period
Admission Date
Discharge Date
5. Financials & Stay Duration
INITIATE CLAIM ANALYSIS