| Sr | Reference Number | Treatment Type | Member No | Claim Number | Claim Status | Hospital Nmae | Treatment | Basic Diagnosis | Request Amount | Approve Amount | Bank Name | IBAN Number |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1 | REF123456 | Inpatient | MB001 | CLM7890 | Approved | King Fahad Hospital | Surgery | Appendicitis | 5,000 SAR | 4,500 SAR | Al Rajhi Bank | SA1234567890123456789012 |
| 2 | REF654321 | Outpatient | MB002 | CLM4567 | Pending | Dr. Sulaiman Al Habib | Consultation | Flu | 350 SAR | — | SNB | SA9876543210987654321098 |
| 3 | REF789012 | Inpatient | MB003 | CLM2345 | Rejected | Saudi German Hospital | Emergency | Fracture | 12,000 SAR | 0 SAR | Alinma Bank | SA1029384756102938475610 |
| 4 | REF345678 | Outpatient | MB004 | CLM6789 | Approved | King Khalid Hospital | Physiotherapy | Back Pain | 1,000 SAR | 950 SAR | Bank Aljazira | SA5647382910564738291056 |
| 5 | REF901234 | Inpatient | MB005 | CLM8901 | Under Review | Specialized Medical Center | Operation | Gallstones | 8,500 SAR | — | Riyad Bank | SA0192837465019283746501 |