[Resolved]  Company:national Insurance Company Ltd. Tpa:vipul Med Corp — Claim amount not received

Address:Delhi

Complain regarding:policy no: 361003/48/09/[protected]
card no: 2FL0003479A


Sir/Madam
I own a cashless policy of National Insurance Company Ltd(TPA agent:Vipul Med Corp).I was admitted to Sir GangaRam Hospital,Rajinder Nagar,N.D.-60 on 5/9/10 on doctor's advice.TPA counter told about this to Vipul Med Corp through fax on the same day.But they did not considered my
claim.So,i paid myself and got discharged on 8/9/10.Then i contacted National Insurance Company Ltd.,2/3 Central Mkt,Punjabi Bagh,N.D.,Delhi,110026 and submitted all the original documents on 21/9/10 and they assured me that they will send all the documents to Vipul Med Corp.After a few days i went to Vipul Med Corp(Gurgaon)and i again submitted all the required documents again on 18/10/10 and they gave me the reciept for the same.But After a few days they told me that they have rejected my claim...I request you to kindly consider the case as fast as possible.

Thanking you
Yours Sincerely
Sunil Jain
BB/56B Janak Puri
New Delhi-110058
Email ID:[protected]@yahoo.com,[protected]@gmail.com
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Aug 13, 2020
Complaint marked as Resolved 
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I have also faced such a situation. It seems to be the common practice by the insurance company. I got my claim through the Insurance Ombudsman at Dariyagang, Delhi.
I can help you if you so need my help.
Rajan Mathur
[protected]@gmail.com
[protected](M)
Sir,
I had filed a medi-claim with Genins India TPA Ltd. & my claim no. is NI[protected]. My claim amount has been settled at Rs.2, 58, 070/-. Now TPA has sent for Zero voucher on 17-02-16 to National (Divisdion Off.- X, 24 C R Avenue, Kolkata-12) but they have still not cleared due to non availability of staff.

My grievance is that I am not getting my claim amount which has been processed by TPA but pending with your Division office - X, Kolkata. I am in urgent need of funds and the same is pending for one month without no fault of me
This is serious lacuna on your part and if you will not remove this type of obstacles which is being faced, than confidence built by you will be finished.

INDIRA DEVI HIMATSINGKA
25 Ballygunge Park, Kolkata - 700 019
Mobile No.[protected]

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