[Resolved]  Oriental Insurance Company — Reimbursement of Medi-claim policy for Mr. D N Ghosh - policy no. 311101/48/2014/1663

Address:

New Delhi, Delhi

This is in reference to my father, Mr. D. N. Ghosh’s policy no. 311101/48/2014/1663 of ‘The Oriental Insurance Company Limited'. The cataract operation of him was done on November05, 2014 by Dr. Mahipal Sachdeva. At the time of operation I was asked to deposit Rs.45, 000.00 (Rupees forty five thousand only) by Centre For Sight. By the time the operation was completed and there was no VB64 available at that point in time to Vipul (TPA), I was handed over a bill of entire Rs.45, 000.00 by Centre For Sight, instead of cashless facility. After making a claim as per rule, after month and a half, today concerned person of Vipul informs that the amount which can be reimbursed would be Rs.35, 200.00 out of Rs.49, 417.00 (Difference of Rs.14, 218.00, which is the fees of surgeon/physician). Please find the reason below which is available online, by Vipul and the invoice of Centre of Sight for your necessary review in concerned departments of Centre for Sight and Vipul Med Corp. I will appreciate if you please look into the matter and do the needful for reimbursement of Rs.14, 218.00 (Rupees fourteen thousand two hundred eighteen only), as this is something internally should be handled between two organisations.