Paramount Health Service — insurance fraud

Address:New Delhi, Delhi

Hello Sir/Mam This is in regard to my reimbursement case for the medical treatment I underwent at Kailash ?Hospital. I was been given a cashless TPA insurance card of Paramount under the employee ?insurance cover of Adani Wilmar Limited, Delhi. On request, my TPA was approved and partial amount for my medical treatment was ?transferred to my cashless card. I got admitted to the hospital on the advise of the doctor and ?underwent the complete treatment. At the time of getting discharged during full and final ?payment, I was taken aback when instead of providing full payment Paramount withdrew even ?the partial amount offered previously on initial approval.? The reason given was that ?hospitalization wasn?t required for the treatment I underwent. If the insurance was to be denied, it should have rejected straightaway because paramount ?knew I was to go what treatment, at what hospital, on which dates and with which doctor. If it ?got approved once, there was no sense to deny it later as it was on Paramount assurance and ?basis that I went for the full treatment, having confidence that my treatment charges would be ?taken care by paramount but I felt let down and duped and I was forced to lend money to pay ?for my charges. I put in the case for reimbursement via my company along with the doctor?s prescription that ?indeed the hospitalization was requirement for my treatment defying the grounds on which ?Paramount denied my insurance but it again rejected my insurance request without even ?commenting on it or citing any reason. I am requesting you to consider my case as it is genuine and kindly help to process my ?insurance payment so that I can return my lent amount. Thanking you in anticipation. Regards. Rishabh Varshney [protected] DOA: 16/3/2015 DOD: 18/3/2015 Doctor/Hospital: Dr. Ritesh/ Kailash Hospital ( Noida) TPA: Paramount Health Services PHS ID: NAAHM 22585848 ADANI E Policy no.: 311400/46/14/[protected] Please contact for any other information.
Was this information helpful?
No (0)
Yes (0)
Jul 01, 2015
Updated by rishabh2207
Can we have some update on the resolution of this complaint ?
Please
Complaint comments 

Post your Comment

    I want to submit Complaint Positive Review Neutral Comment
    code
    By clicking Submit you agree to our Terms of Use
    Submit

    Contact Information

    New Delhi
    Delhi
    India
    File a Complaint