ESIC — Payment not received.

Dear Sir,
I have submitted a bill of Rs. 26907.00 on behalf of my wife
medicel tertment on 22th fabruary 2015 at your ESIC Scheme Dispensary, Digboi,
Assam but till date have not received the payment. The I/C of the center
gave me a receipt after receiving the claim documents told me that he
shall sent it to Head Office the very next day but after one month when
asked about the status he told that he has no clue and that the payment
realization could take one year or more. Being shocked after hearing
that I waited for another two months in the hope of receiving the money
but unfortunately I have not received yet. Hence, kindly look into the
matter and provide me the reason for such delay whereas my amount too is
not so high and if possible kindly try to arrange the same as early as
possible. The photo copy of the receipt has been attached below. so next month no any esi depojit esi amaount

Anil Hari Sawant, ESIC Insurance No. [protected], date of registration 1 April 2011, working as Handyman Cum utility worker complained of chest pain on 3 May 2013. On investigation it was revealed that he was having blockage in his heart and the doctors advised him to do angioplasty. He was admittted to Nanavati Hospital from 3 May to 9 May 2013. Between 4 July 2013 to 14 August 2015 all demands of documents submission were completed. Employee was told that settlement will take time as his claim amount is high. Employee has spent Rs. 222583 on the operation and made a claim under ESIC since he is covered under the same. All the necessary documents were submitted on time to ESIC. However, he got varied responses from ESIC authorities like the claim amount is big and hence papers sent to corporate office, file submission is not complete, file is under processing etc. On 10 Mar 2015 a letter was received stating that his file has been closed and on personal visit to office he was told that the old staff has left and new staff has no idea of the pending claim. Again on visit to ESIC office on 15 May, two undertakings were submitted by Anil Hari Sawant. On 12 July an enquiry with Mr. Gosavi, officer with ESIC, Lower Parel office, revealed that the file is okay and send to doctors. Again on personal visit on 24 July, Anil Hari sawant was informed by Dr. Javlekar to submit Original angiography, angioplasty reports and CD. A letter to this effect was collected from ESIC Worli office on 1 September 2015 and on 8 September 2015 all the original reports and CD were submitted. More than 2 yrs and 5 mths have passed but there is no sign of claim getting settled

Pundalik Dhondu Kadam, ESIC Insurance No. [protected], date of registration 29 July 2010, is working as Office boy. On 28 October 2013 his wife Mrs. Pranali Pundalik Kadam was admitted to ESIC hospital in MIDC Andheri East. She was discharged from Hospital on 5 November 2013. They faced some issues at the time of admission like doctors not attending, bed facility not available etc. On investigation it was revealed that white cells count had reduced considerably. On 1 November 2013, Employee Pundalik Kadam was asked to get blood from ESIC blood bank. However, the blood bank did not have the required blood group. Hence the required blood was purchased by paying CASH from Blood bank in Thane two times – first time cost Rs. 4800/- and second time cost Rs. 3200/- - TOTAL COST RS. 8000/-.
He was told by ESIC doctors to submit claim of white blood cells purchased from Blood bank. He accordingly submitted claim for Rs. 8000/- to ESIC accounts department, MIDC, 3rd floor Andheri East (File No. 4585 dated 6 November 2013) On 29 June 2015 employee received 50 % of claim amount i.e. Rs. 4000/- in his savings Bank account with Union Bank of India. Balance claim zof Rs.4000/- is still outstanding to be settled by ESIC since November 2013