MEDICARE TPA SERVICES (I) PVT. LTD. - DENIAL OF CASHLESS ACCESS
I attached below the letter from MEDICARE, which is self explanatory.
Medicare TPA Services(I) Pvt. Ltd.
6,BISHOP LEFROY ROAD, KOLKATA 700 020
FAX:033 22892882 ,033 24730877
E - mail: firstname.lastname@example.org
MAA NURSING HOME & NETRAJYOTI EYE CARE CENTRE
HIMACHAL BLDG, S V ROAD, OPP. SUNDER NAGAR, MALAD,
GOREGAON (W), MUMBAI,
DENIAL OF CASHLESS ACCESS
HOSPITALISATION OF MAHENDRA KUMAR JASANI
MEMBERSHIP No. 02I00837013B ( NEW INDIA ASSURANCE COMPANY LTD. )
It is unfortunate,but we regret to inform that your request for cashless payment , for your ailment has been refused.
THE MEMBER IS ENROLLED UNDER THE POLICY FROM 1/2/2008. THE MEMBER IS SUFFERING FROM RIGHT EYE POSTERIOR CAPSULAR CATARACT WHICH IS A COMPLICATION OF CATARACT SURGERY OF RT EYE, DONE IN 2007. AS THE POLICY DETAILS PRIOR TO FEB 2008 ARE NOT KNOWN , THIS CASHLESS REQUEST CANNOT BE ACCORDED.
Please note that the above-mentioned reasons for declining your request for availing of cashless facility have been
mentioned and adjudicated based on certain preliminary treatment documents . However the denial of authorization
for ‘CASHLESS’ access does not imply denial of treatment and does not in any way prevent you from seeking
necessary medical attention or hospitalization .
For Medicare TPA Services(I) Pvt. Ltd.
COPY TO : MEMBER :MAHENDRA KUMAR JASANI
I have no policy at the time of Cataract operation. I send receipt which I have paid for cataract operation and details of operation. Please guide me to whome should I contact for my right.
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