[Resolved]  . Raksha Tpa Pvt. Ltd — False Denial of cashless facility

Address:

Ludhiana, Punjab

April 10, 2010

The Manager,
Raksha Tpa pvt. Ltd. SENT BY E-Mail
Ludhiana/Chandigarh/Faridabad.

Ref.: The New India Assurance Co.Ltd.
Policy No. : 360100/34/09/11/00001087
Raksha TPA Identity card no.: N8572252
Subject :False Denial of Cashless facility
Dear sir/madam,
It is matter of Great Regret that you Denied the Cashless facility on Admission of my Wife Sushma Goyal in D.M.C. & Hospital in Ludhiana who suddenly fell in Toilet & became Unconscious on 02/04/2010 & was admitted in Emergency in above Hospital.
In application form for Cashless facility, the Junior Doctor on Duty in Emergency Hospital mentioned “Anxiety” also with other prima facie findings. And seeing the word “Anxiety” and Ignoring all other ailments, you Denied the cashless facility simply considering it a Psych. Illness. Pl. inform when a patient is Fully UNCONSCIOUS & unable to talk, how it was assumed by you that” Anxiety” is ONLY Feature for Admission & thus Denial by you of Cashless facility ? Whereas she was Admitted due to Unconsciousness after falling down in Toilet and was kept in Hospital for 5 days. She again fell down from bed to Ground in Hospital by Accident during unconscious stage & got pain & injury in Right shoulder & is advised Traction & care for at least 2 weeks.
Also, after all Tests, Exams., Clinical evaluations & specialists consultations. It was denied to have “Anxiety” as in Discharge card & MRI was suggested to investigate But due to Unconscious Movement of patient (my wife) which was not made possible. Also, Due to Lack of proper care & Negligence, I want to continue Treatment of my wife in other Approved hospital only if you Reimburse Expenses Incurred till yet & ALLOWING CASHLESS Facility NOW after seeing the discharge card of Hospital.
So, pl. INFORM where & which Documents to be sent or shown & this time after seeing the same you assure to give cashless facility for her Right Shoulder Treatment, Traction, Rest & MRI for Unconsciousness is still pending . So, Pl. reply urgent as any delay may be fatal for her and for us also as due to lack of money her treatment is pending & I am harassed on your Denial of cashless facility.
Thanking you,
Yours faithfully,
Jatinder Kumar Goyal