[Resolved]  Oriental Insurance Company — Denial of cashless facility without valid reason

Address:

New Delhi, Delhi

Dear Sir/Mam, This is to bring to your kind notice that in spite of my repeated request for last 3 days to Medsiassist/Mr Das on the contact number [protected], no information has been provided till now.We have reported above matter to Oriental insurance Grievance cell, New Delhi in writing on 13/11/2014.On account of the lack of transparency and work culture in the working of Mediassist India TPA Pvt Ltd, we are harassed, and in unnecessary mental agony, trauma and financial stress. We have following complaints against the Mediassist India TPA PVt Ltd. : 1.They delayed decision for approval by more than 6 hour. 2.Had unwanted queries.Their query included the same document which was provided earlier. 3.They said on telephone that patient had hypertension, which is false and no where near fact. 4.Did not provide documents related to denial of cashless policy with reason 5.Their is lack of transparency in working of Mediassist India TPA Pvt Ltd 6.Due to which we are harassed and in mental agony, trauma and undue financial stress. So now we demand: 1.Approval of my cashless policy immediately 2.All documents on the basis of which cashless policy was denied be provided immediately 3.Assessment report by Doctors of Mediasssist TPA along with their name, and medical registration number be provided 4.On account of your aforesaid dereliction of duty and failure and neglect to rectify the same we have suffered mental trauma, which you are liable to compensate.Secondly you are now called upon to give compensation of Rs 50 00 000 (Rs Fifty Lakh only) for mental trauma, agony, financial stress and harassment . 5.Pay compensation for financial loss/injury/interest suffered due to your negligence in sum of Rs 50 00 000(Rs 50 Lakh) with 12% interest per annum within 15 days of receipt of this notice .Failing which we shall be constrained to initiate against you for redressal of my aforesaid grievances and the recovery of the aforesaid amount such proceedings, both civil and criminal as warranted by law, besides filing a complaint under the statutory provisions of the consumer protection act, exclusively at your own risk, cost, responsibility and consequences. Regards, Abhinav