Hospitalization Examination

Patient: Rohan Sharma • Policy: POL2001 (Health Insurance)

Claimed Amount

₹75,000

Policy Max Limit: ₹5,00,000

Claim Date

20 May 2025

Hospital Facility

Apollo Hospitals, Jubilee Hills, Hyderabad

Admission & Discharge

18 May 2025 → 20 May 2025

Customer Contact

9876543210

Clinical Findings & Invoice Breakdown

Diagnosis & Procedure Description:

Emergency laparoscopic appendectomy at Apollo Hospital

Hospital Room Rent:

₹12,000 (Within 1% clause)

OT & Surgeon Fees:

₹38,000 (Verified)

Pharmacy & Consumables:

₹15,000 (Audited)

Settlement Finalized & Disbursed

#SETTLE5001

Final Settled Payout:

₹65,000

Settlement Date:

27 May 2025

Remarks:

Approved as per standard Inpatient schedule after co-pay deduction

Execute state transitions modeled in the OOAD Claim State Machine.

Current: Approved