Ericson Tpa Complaints & Reviews

I had claimed for reimbursement against my medical expenditure. After submitting all documents, I received final settlement amount mail from ericson dated 26th Aug, 2022 and it was mentioned that if any query it needs to be raised 2 days. I raised a query regarding non-consideration of 1 bill on same day vide mail but my query was ignored and I received settlement amount...

MANISH MEHTA
To:[protected]@ericsontpa.com
Mon, 12 Apr at 5:07 pm

Ramniklal Vasantlal Mehta joint holder of above policy has been detected covid19 symptom, you are requested to register claim and send necessary documents for the same.

He has been admitted at Sterling Hospital, 150 ft. Ring Road, Opp. Gandhigram Police Station, Rajkot 360 007.

Details as below

PATIENT NAME : RAMNIKLAL VASANTLAL MEHTA
UHID : USER 1711496
Emp Code : [protected]
POLICY NO : 2839/62497573/00/000
ADDRESS : PUSHPANJALI, 88, JANTA SOCIETY, STREET NO 1, OPP LIC BUILDING, RAJKOT 360001
POLICY PERIOD :[protected] TO[protected]

Attached copy of card for ready reference,


Waiting for immediate reply.

Thanking you,

Manish R Mehta

MANISH AUTOMOBILES
( Manish R. Mehta )
GONDAL ROAD
RAJKOT 360 002
Gujarat (INDIA)
Ph. :- O. +[protected] R. +[protected]
Mob.:- +[protected] / [protected]


o
MRM Card 2021.pdf
91.6kB

•
MANISH MEHTA
To:[protected]@ericsontpa.com
Fri, 16 Apr at 1:39 pm
Dear Sir / madam,

Till date no ckaim no. Or confirmation received from your end.

I am constantly in touch on toll free no. for the same, and was told that conformation would be sent, but regret to say that nothing has been received.

Please do needful.

Thanking you

Manish R Mehta
Sent from Yahoo Mail on Android

Show original message
•
MANISH MEHTA
To:6Saal New
Tue, 25 May at 10:30 am
Dear Sir / Madam,

Today I had tele talk and informed that claim no 137636 & 136174 have been rejected due to late information and late submission of paper.

I had already intimated in 12/04/21 5.07 pm and patient claim No 137636 was admitted on 11/04/21 10:35Pm and discharge on 19/04/21 (Papers submitted on 8/5/21 by Courier for which confirmation received via SMS on 14/5/21) which shows that both intimation are quiet in time i.e. within 24 hours & 30 days after discharge.

Moreover I had also tried to contact on cell no.on 13/4/21 regarding non receipt of claim no. for which I was informed that due co lockdown it will tale time for generation of claim no. You are requested to re open anc settle the said claim.

You are requested to please settle claim immediately without any further delay.

Waiting for immediate relpy.

Manish R Mehta

MANISH AUTOMOBILES
( Manish R. Mehta )
GONDAL ROAD
RAJKOT 360 002
Gujarat (INDIA)
Ph. :- O. +[protected] R. +[protected]
Mob.:- +[protected] / [protected]

Show original message
o
o
o
o
________________________________________
• Reply
•,
• Reply all
• or
• Forward
• Dear Sir / Madam,

My Mediclaim No 137636 lodged with Ericson TPA.

It seems lots of people of our JAIN community is facing problem through Ericson TPA regarding claim settlement by raising false problems.

I have attached my email & correspondence for claim and there is no fault from our end, even though claims are rejected stating late submission.

You are requested to please look into matter on behalf of our community and do needful.

Please note that we had approached Sterling Hospitals, Rajkot only after confirmation on Ericson poral as cashless, so there was no reason for intimation prior to hospitalization, but when reached hospital at 10.15 Pm and admitted my Father, age 85, Covid +ve, I was informed that Ericson TPA is no longer cashless since many months and even after several reminders they are knowingly not removing our name from portal. I had no alternative but to deposit Cash of Rs. 1, 00, 000/- (One Lakh ) else patient would not be admitted.

See the scenario as it was Lockdown. carfue in Rajkot and nithg 10.15 PM. and so I had to request relatives & friends to collect cash and deposit.

Please take this matter seriously and do needful as I have full faith in our community persons looking after Mediclaim.

Waiting for immediate reply.

Manish R Mehta

MANISH AUTOMOBILES
( Manish R. Mehta )
GONDAL ROAD
RAJKOT 360 002
Gujarat (INDIA)
Ph. :- O. +[protected] R. +[protected]
Mob.:- +[protected] / [protected]


o
o
o
o
________________________________________
•
notification jiojac
To:[protected]@yahoo.com
Wed, 26 May at 11:56 am

Message not delivered
There was a problem delivering your message to [protected]@jiojac.com

The response from the remote server was:
No valid recipient

For any queries, kindly RAISE a Support Ticket on http://www.jiojac.com/HELP with all your proper details.

Show original message
o
o
o
o
________________________________________
• Reply
•,
• Reply all
• or
• Forward
Send
26
Settings

Dear Sir,
My one claim[protected] is pending since March 2020. Despite repeated emails and calling call center, there is no action. Every time edelweiss says 'assist member on priority 'and Ericson just ignores it. I am literally fade up of this cheap tactics.

In another claim 80586, partially it is paid but on the deduction details (which I have provided ) they are lingering.I am following this since last 4 months.

There are almost 15 - 20 mails. They are just ignoring. Call center guys are taught to postpone. Their job is to just calm down and forward your saying.

I have all the emails. Kindly look into matter. JIOs prestige is at stake due to these co's. Jio should resolve this.

Regards,