[Resolved]  Raksha Tpa — No response to my mails for claim settlement

Raksha TPA should be banned by insurance company. My friend got admiited at navi mumbai hospital though hospital was in list but they declined cashless claim stating it is not for individual ( no where it is mentioned) .Second time hospital was mentioned in list * confirmed by helplin ebut hospital rejected stating no tie up. While contacting TPA helpline response is if hospital say no then it is not in the list. Helpline agent are most unprofessional & do not know procees, even do not what is there on website.This TPA should be banned by oriental insurance

i am having a policy of the orirntal insurance company and tpa is raksha tpa.i am having this policy since last 5 years, i had never taken claim before this time.i was hospitalised and proper intimation was given and all documents to proceesed the claim was given immediately after discharge, but this people raised query and that documents were all submitted by me on time.for all this history more than 5 months are being alraedy passed away, but i am not getting any single replay.ACCORDING TO ME IRDA SHOULD BANNED THE ORIENTAL AS WELL AS RAKSHATPA ALSO.THEY R HOPLESS.