Today my client Sxxxxa Txxxxxxl mother of Kxxxxn Txxxxxl had been admitted to RG Stone Hospital in Khar. Hospital had sent the cashless preauth since from yesterday and today after 24 hours Raksha Tpa sended a letter stating to send all the relevant documents with original discharge cards for the settlement of cashless file of …
Tag: Mediclaim
Complaint regarding hike in the premium by New India Assurance
I had taken medical policy from New India Assurance Co. Ltd. in the year 2002 and annual premium for the policy was Rs.11,000/-. This year when I tried to renew the policy I was told that this policy has been discontinued and I will have to take new policy for which the premium amount is …
Complaint against raksha tpa insurance for not settling claim
I take a insurance policy from oriental health insurance which is handle by raksha tpa with my policyno. I had a operation on 29/September/2017 for which i demand a claim from raksha tpa amt 173000 they put a hold regarding the deficiency of paper mri flim and indoor case paper. They cant inform me about …
Claim denied by TPA after pre authorization approval
I have taken pre authorization before admission in hospital where I have clearly spoke to hospital for colonoscopy. Doctor prescription also suggest for doing colonoscopy for evaluation purpose and pre authorization form also attached for your ready reference where also clearly mentioned for the same. On that document basis TPA given pre authorization of Rs.20000.(Approval …
Short settlement of medical claim by Adity Birla Health
I took a Mediclaim policy from Aditya Birla Health insurance company policy name: platinum enhance, I was in cashless payment but they gave lame excuse and made me pay full payment in hospital and told I will get reimbursement I sent all documents as requested and required but they paid me half of my claims …
Claim not settled by Oriental Insurance and Raksha TPA
Sir it’s been above 5 months since I lodged the claim of my operation of chronic suppurative otitis media right ear for rs 51382. I got admitted on 12/04/2017 and got discharged on 13/04/2017 from kanag hospital, Meerut. I have taken oriental insurance royal mediclaim policy in feb 2016. It took raksha tpa above 2 …
TPA not settling mediclaim
The above mentioned subject, I have complaint against VIDAL HEALTH INSURANCE TPA. PVT LTD third party insurance. Vidal has received original documents on dt. 26 April 2017. But yet the claim is unsettled. Vidal tie up was discontinued with bank as a whole because they were delaying mediclaim settlements.date of discontinuation of tie up was14 …
Recent Comments