Mediassist Tpa — Claim closed

Address:Guntur, Andhra Pradesh, 522313

Hi Team,

This is RamBabu Tadiboyina,


Claim No: 12086187 &[protected] same claim)


Subject: Mediassist closed my claim due to previous year claim with un professional way.


Now iam explaining you what i have faced issues by Mediassist.

I have couriered all the docs in the month of October 2015, In November they requested few more additional docs like indoor case sheet and prescriptions and i have submitted those docs in December 2015. Actually in my hospital, doctor not maintained any indoor case papers, the same also doctor stated in his letter pad clearly, and that doc i have sent in December. The same now i attached in this mail as Witness.

After wasting of 2 months time period they requested again indoor case papers i.e in February 2016.

Due to doctor non availability i have submitted docs in May 2016, in meantime i regularly communicated mediassist by customer care and raised queries in mediassist portal. They have given assurance like " no need to worry when ever doctor came, please submit those docs along with statement given by doctor of late reasons " i got these replies from them, still i have proofs of that attached in this mail PFA.

But in May, they closed my claim.


Iam not happy with decision by mediassist, i felt its completely cheating. Before it self they have given assurance after submission of docs they have closed my claim with reason of last year claim. Doctor went to USA in that scenario what should i do?? i informed the same and got assurance but later cheated by mediassist.
If it comes under last year claim reason to cheat candidate then why are you not informed me? if yes please show me proof?

In claim form also every doc mentioned but indoor case papers not mentioned. If doctor not provided what should i do? he given statement why he is not provided case sheet? then why not considered mediassist? and later i have submitted indoor case papers this time why told reason as last year with out processing??

Even i have given doctor contact no also for assistance. why that is not considered??

For investigation also they have taken 3 months time period< in this scenario who wasted time? In investigation report also completely blunder. my hospital is sri krishna hospital, tenali, guntur dist but in report mentioned as sree raja raghavendra nursing home, pulivendula, kadapa dist...Please find this proof i have attached in this mail. Its completely blunder and irresponsible. I requested many times to correct this but still they did not. even investigator provided false information. only once he visited hospital and doctor busy with his work told wait for 30 min . but he went. but investigator provided he visited frequently and doctor not cooperated


Iam not happy with mediassist, i completely felt its a fraud company. i found them as defaulters.

Now iam planning to take action against them either by accenture or IRDA Grievence or Consumer court or legal action. I had each and every proof.


Please find all proofs attached in this mail.

Please resolve ASAP.


Regards,
Rambabu Tadiboyina
[protected]
[protected]
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