[Resolved]  Raksha Tpa — LAST 6 MONTH THEY CANT GIVE MY CLAIM

DEAR SIR,

I DINESH S. TRIVEDI MY AGE IS 60 YRS. I HAVE COMPLAIN AGINST RAKSHA TPA. I HAVE JOINT ACCOUNT WITH MY WIFE POLICY IN RAKSHA TPA. MY WIFE WAS ADMIITED IN KARNAWATI HOSPITAL AT AHMEDABAD DATE OF 7 - MARCH -2008 AND MY MEMBER ID IS . "BNJWSL04836" . AFTER FEW DAY'S THERE ARE SENDED ONE LETTER REQUST THEY WANT A SOME DOUCMENT .WHEN SENDED LETTER THEY GIVE ME ANOTHER LETTER AND REQUST FOR ALL PAST DOCUMENT AND HOSPTLIZTION LETTER AND OTHER DOCUMENT. MY CLAIM AMOUNT IS 98, 000/- AND THEY ARE WRITE IN LETTER 39, 000/- AFTER FEW DAY'S THEY ARE GIVE ONE ANTOHER LETTER YOUR FILE IS COLSED THEY CAN'T REPLY PROPRLY AND MY AGENT IS ALSO NO SUPPORT US PLEASE DO THE NEED FULL TAKE SOME STRICK ACTION AGINST THIS COMPANY .

YOUR FAITH FULLY
DINESH S. TRIVEDI
Was this information helpful?
No (0)
Yes (0)
Aug 14, 2020
Complaint marked as Resolved 
Complaint comments 

Comments

This is a sorry state of affairs.
While settling for lower amount of Rs.39000/- as against the claim amt of Rs.98000/- they must have given the reason for it and so also in case of closing the file.
If not, he can always lodge a complaint with Ombudsman's office.

Unless insurance co's letter are seen, nothing can be said for sure but apparently rejection seems to be unjustifiable.

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    code
    By clicking Submit you agree to our Terms of Use
    Submit
    Raksha Health Insurance TPA
    customer care contact
    Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good a company is at responding and resolving complaints by granting from 1 to 5 stars for each complaint and then ultimately combining them all for an overall score.
    Read more
    15%
    Complaints
    235
    Pending
    0
    Resolved
    36
    Raksha Health Insurance TPA Phone
    +91 12 9428 9999 [Faridabad]
    +91 22 6787 6666 [Mumbai]
    +91 80 4283 9999 [Bangalore]
    Raksha Health Insurance TPA Address
    India
    View all Raksha Health Insurance TPA contact information