Paramount Tpa
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Paramount Tpa Complaints & Reviews

M
mohitsinghcat
from Mumbai, Maharashtra
Nov 1, 2022
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Rejection of Online Medical bill for claim reimbursement

Website:www.paramounttpa.com

We had bought around 25K plus medicine from 1mg in duration of 3 months during my father's treatment which falls under reimbursement period. We had submitted all the relevant bill provided by 1mg to Paramount. Paramount rejected these bills on mere ground of duplicate copy though similar bills from 1mg were accepted by other insurance providing in the past. I don't understand the logic used by Paramount as other insurance provider like the...
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G
Girish Kaleti
Oct 23, 2021
Oct 23, 2021
This thread was updated on Oct 23, 2021
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Wrong claim generate & delay my claim generate

Address:Rd. No. 28,ram Nagar. Wagle Estate, Thane west

[protected]..Girish Kaleti Uber Auto driver. Accidental reimbursement claim...
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S
Sada ram
Oct 23, 2021
Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.
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Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

Hospitalisation claim pending since July 2021

Website:[email protected]

I sent two Hospitalisation claim form one is swati Yadav and other baby of Swati Yadav via post to Delhi branch/office in July 2021.
Claim of Swati Yadav is approved but claim of baby of Swati Yadav is pending since July 2021. Dependents are also updated in union pariwar which is staff portal of union bank of India.
I attached file of Swati Yadav for reference, I post/courier to Delhi office on same date.
Thanks
Sadarambr...
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Address:South sikkim

Sir,

I had suffered a serious covid 19 phenomenon in the month of may this year and l have already submitted the medical documents with required forms and formats but I am being harassed as everytime the same documents is asked as a deficiency.
Doctor has already signed every documents with her seal and still I am being asked about her degree and qualification.
I have already submitted all bills in originals...
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A
Abharti
from Ahmedabad, Gujarat
Sep 10, 2021
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Claim not settled properly: Claim No. 5036834

TPA has released the claim @Rs.12000/- per day inclusive of all on the grounds of a Circular issued by Government of Bihar on 20/08/2020.

But the said Circular no where indicates that the said amount of Rs.12000/- per day includes cost of medicines, cost of pathology charges, cost of HRCT tests & pre and post hospitalization expenses.

Request to go through the said Circular once again and settle the claim properly...
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T
t k subhin
Aug 29, 2021
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WORST and Pathetic Service

After my mother got admitted for Covid-19 treatment(admitted and discharged in April 2021), regarding the claim we have been trying to contact Paramount tpa but they never responded via email and while calling they used to hang the call once we ask query. we continued for 4 months to follow up and no response....
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Y
Aug 12, 2021
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50% of bill not paid

Hai, it a bad company for insurance they playing with life, I never know until we applied for my father covid treatment we thought we were paying for SBI later SBI manager told it this company first they delay we didn’t get bills later they say it’s not medical expenses we have to join together and sue them we should stop before they explode more people. SBI please do pay attention and have good company not scammer like paramount...
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J
Jeba kaisar
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Deduction in mediclaim

Address:Bihar Muzaffarpur brlps
Website:Paramounttpa

I was send my medicin Bill with Mediclaim document with prescription
But my medicine amount which is 18093 is deducted from it. This is cheating by paramount...
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A
Amit_2103
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Irregularity in Processing Claim

Website:Post Hospitalization Claim

Team,

My Name is Amit Sheth and My Father who was hospitalized in November 2020 for Covid Treatment. He got Discharged on 15th of November and I submitted my claim with Paramount on 19th November.

Policy Holder Name: Rajesh Sheth
Policy Number:[protected]

Below issues I have faces so far,

1. Post submission of Claim online on 19th December got first Acknowledgement on 26th...
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I Am Having Health Insurance Of Edelweiss And TPA Is Paramount. The Relationship Executives Are Unskilled And Do Not Deal Good With Customers. My Insurance Claim Around 70K INR Has Stucked Because O[censored]nprofessionalism Of TPA Peoples. They Just Want To Cheat Poor Patients And Not To Pay Claim Amount....
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P
Pragnya Muduli
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My spouse name is not added in the card

My policy no 251100/50/20/10000250
My spouse name is not added till now.i m a union bank staff.kindly add his name and get back to me...
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A
ashokkumar barua
from Tarikere, Karnataka
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denial of cashless services

Address:Bangalore, Bangalore, Karnataka

My wife was admitted in columbia asia hospital on 23 dec 19 for severe spinal pain... Cashless services was denied on the ground that she is morbidly obesed... Doctor certified that this pain is not due to obesity... I was forced to take out my wife from hospital without proper treatment... This has harashed me mentally... A repeated request with doctors certificate submitted but no result received... My total loss of rs.38, 000/-... Please...
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S
Syed Ali Imran
from Bengaluru, Karnataka
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claim approved is unsatisfactory - claim lodgement number - 496050

Address:No 30/2, 1st Floor, 8th C Main Road, New Guruppan Palya, Bangalore 560029, 560029

My wife was admitted to supra hospital on 21st sep 2019 to 23rd sep 2019 for the treatment o[censored]mbilical hernia and total expenses incurred including pharmacy bills is inr 87, 056.

There was some deficiency in the documents submitted and same was provided on 1st oct 2019.

Now the tpa has come out with claim approval of inr 37, 754 and there is some incremental deduction of inr 44, 700 which i don't understand...
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S
Shallu Bansal
from Mumbai, Maharashtra
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mexi claim pending for 2 months

Address:Mumbai

I have phs id 23356510. And submitted a claim for reimburesment for chronic pancreatitis. Paramount tpa had raised a deficiency that the delayed intimation letter should be signed by nodal authority.. Now its been 2 months that our nodal authority is saying that they have handed ober the hard copy of the same repeatedly to mr naveen heeralal in hyderabad. But still paramount tpa executives are saying it is pending. Kindly look into the matter....
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S
sahdeo das
from kothagudem, Andhra Pradesh
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delay for claim no 4168835

Address:andhra bank rudrampur branch, dist bhadradari kothagudem, Khammam, Andhra Pradesh, 507719

Dear sir/madam,

This is in regard to my reimbursement case for the medical treatment i underwent at cure emergency hospital (Secure medical service pvt ltd.) employee insurance cover of united india insurance company ltd.
On request, my tpa was approved and partial amount for my medical treatment was transferred to my cashless card. I got admitted to the hospital on the advise of the doctor and underwent the complete...
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D
dakshsunil
from Karnal, Haryana
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insurance claim not approved

Address:Sadhu Sah Nagar, Rewari, Rewari, Haryana, 123401
Website:[email protected]

Hello,
my self Sunil Kumar PHS ID 22405774
I was admit in hospital 19 to 21 March 2019 which hospital list of TPA cashlesh facility and same time all reports send to.TPA office by hospital but bill not approved by TPA. then I talked to customer care and he told me That due to some technically problem your bill cannot approve. and if you want to discharge Then pay the bill and do the lim in future so I paid the bill that time.br...
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Address:Thane, Maharashtra, 515001
Website:www.paramounttpa.com

Dear sir,
I am employee of andhra bank and took group health insurance policy from united india insurance through your tpa (Phs id: ui ber 23365405 abank). My brother has been suffering from stomach pain, doctor advised for surgery after taking all medical tests and ct scan. We have approached one of your network hospital in anantapur (Ysr memorial hospital) and submitted all relevant documents (Our insurance cards, id proof of patient,...
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T
themguruprasad
from Vijayawada, Andhra Pradesh
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cashless medical claim not approving

Address:521125

My father was admitted in hospital on 11.09.2018 in AYUSH HOSPITAL in VIJAYAWADA, ANDHRA PRADESH. my employer (INDIAN BANK) taken family health insurance, sum of Rs.300000/- (parents/parents-in-law+ spouse+children with no age bar) i chosen my father+my mother+ me+my wife.
my PHS ID:23397669
COMPANY: UNITED INDIA INSURANCE
POLICY PERIOD: 01/09/2017 TO 30/09/2018.
Now they are not approving my father cashless facility...
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G
govindarajanindianbank
from Coimbatore, Tamil Nadu
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pending of domiciliary claim phs id: ui mad 23396505 ibank w & phs id: ui mad 31205735 ibankr w

Address:Chennai, Tamil Nadu
Website:www.paramounttpa.com

Dear Sir,

I am retired Indian Bank Employee. I have submitted the Domicilliary claim for my spouse PHS ID: UI MAD 23396505 IBANK W & PHS ID: UI MAD 31205735 IBANKR W) for 8 months Domicilliary bill, but more that 6 months still only one bill has settled by the Paramount TPA. What about my others bills, no response from their end after following with you so many times and also i have conducted their representative Mr.Vinoth...
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S
shailesh c. chudgar
from Mumbai, Maharashtra
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Non recipts of mediclaim policy

Address:Mumbai City, Maharashtra

Sub :- Non Receipt of Claim. Claim No. – 66620808 / 09 Dated 21.07.2015. Ref :- Policy No. – 240600 / 46 / 14 / [protected]. Intimation No. – 8169763. PHS ID – NA MUM 22808487 JIO. Dear Sir / Madam, With reference to above, I have submitted all my papers on 21st July 2015, than you send requirement of papers & 2nd paper submission on 1st August 2015, than we give all papers & you said that your claim...
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R
rohit2140
Sep 10, 2021
This thread was updated on Sep 10, 2021
Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.
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Resolved
The complaint is marked as resolved when a company has responded to the complainant, addressed his or her dissatisfaction, and came to an agreement where both parties agreed that the complaint is indeed resolved. However, a complaint can be automatically marked as resolved if a complainant isn't responding or updating a complaint for 30 days after the company has tried to reach the complainant.

Medical Claim Pending Since Aug 2012

Address:Central Delhi, Delhi

My Name is Rohit Sharma my PHS ID is 20497164.I have submitted the Claim of Rs. 15880 /- on 08-Aug-2012 to the Paramount Executive in Vadodara. At the time of submission he was telling it will take min 2 Month for settlement as the claim is Late Submission.

From last five Month i was following from them ( Paramount Local or Delhi Office ) but still they are telling it is in under process.I have already spent approximate 1000...
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