ICICI Lombard General Insurance — Pending Mediclaim With ICICI Lombard GI Since 2 yrs

Address:

Indore, Madhya Pradesh

There are three medi claim of Rs85920/-(Accidental:25506 Pregnancy:42813 Child:17601) which are pending since May’08 & July’08 respectively with ICICI Lombard general insurance. There was a corporate health policy being taken by my company Virgin Mobile India from ICICI Lombard under that I had submitted my claim to my company which were given to Raksha TPA for reimbursement & till date the reimbursement has not been made.



Earlier the same was being followed with Mr Dhiraj Sharma of ICICI Lombard N.Delhi & as per his requirement had furnished the below additional required documents needed by him :



Date: 24th June’08

Ankit Tiwari - LV0251VIRM

Query: treating doctors certificate mentioning the date, mechanism of injury, MLC/FIR copy, h/o alchol intake at the time of injury., original discharge summary, original hosp. bill with break-up, all original investigation reports with x-ray films.



Late on follow-up with my company came to know that Mr Dheeraj has resigned & same has gone into pending since then.


In addition to that on 27th June’09 got the mail from my company to submit below docs which were required by ICICI Lombard for clearing my claim, had provided the required docs on 30th July’09 & the same was submitted at ICICI lombard end also but still the claim is not settled.


Ankit Tiwari
Wife
LV0251VIRM
Original main hospital bill with break up. as per our data patient name is shraoh tiwari, while as per claim papers are sharda tiwari, kindly clarify by treating doctor certificate.

Ankit Tiwari
Self
LV0251VIRM
Copy of mlc. medicine used during hospitalisation.


Aside to this the claim of child Rs17601/- which was submitted on 16th July was processed after an year on 20th Jul’09 but neither my company nor I have received the cheque.



Was provided Email of ID of below ICICI Lombard employees by my company but they are not replying to my mail sent to them :



Sachin.[protected]@icicilombard.com, 'utkarsh.[protected]@icicilombard.com', 'kunal.[protected]@icicilombard.com'



Kindly help in getting my mediclaim amount reimbursed as it’s been 2years & I am in dire need of the same.



Also the accident has led to partial disability in my left leg & back bone, have been spending spending huge amount of money on the treatment of the same.



Aside to this do not issue any notice/mail to my employer Virgin Mobile as this can come down to my Job.



Details Of Policy:

Policy No : 4016/0002591

ID Number: LV0251VIRM

Company: Virgin Mobile India

Insurance: ICICI General Insurance

TPA: Raksha TPA



Details Of Pending Medicalim:



1> Ankit Tiwari

Claim No.
[protected]

Memberid
LV0251VIRM

Unique Policy Number
4016/0002591

Insured Name
Ankit Tiwari

Patient Name
Ankit Tiwari

Relation
Self

Admission Date/ Discharge Date
30-mar-2008 / 03-apr-2008

For the Treatment of
RTA

Hospital Name
Bombay Hospital - null

Claim Received Date
09-MAY-2008

Claim Amount
Rs. 25506/-


2> Shradha Tiwari

Claim No.
[protected]

Memberid
LV0251VIRM

Unique Policy Number
4016/0002591

Insured Name
Ankit Tiwari

Patient Name
Shraoh Tiwari

Relation
Wife

Admission Date/ Discharge Date
27-mar-2008 / 02-apr-2008

For the Treatment of
FTP

Hospital Name
Bombay Hospital - null

Claim Received Date
09-MAY-2008

Claim Amount
Rs. 42813/-




Cheque Not Received Case:



Claim No.
[protected]

Memberid
LV0251VIRM

Unique Policy Number
4016/0002591

Insured Name
Ankit Tiwari

Patient Name
Arush Tiwari

Relation
Son

Admission Date/ Discharge Date
14-jun-2008 / 18-jun-2008

For the Treatment of
BRONCHOPNEUMONIA

Hospital Name
Bombay Hospital - null

Claim Received Date
16-JUL-2008

Claim Amount
Rs. 17601/-

Document Check List

Claim Processing Date

Cheque No./ Amount
326574 / 14609

Deduction:
RS.1077/- BILL NOT RECEIVED.,RS.1090/- NAPPI PAD, MASK, INFUSION PUMP, DIETICIANS, TRANSPORTATION, REGISTRATION,RS.825/- BACTEC ANTIBIOTIC REPORT NOT ATTACHED,

Despatch Date/Courier Name (Latest Despatch Details)
20-JUL-2009 First Flight Couriers(Cheque)


Regards..

Aankit Tiwari

Call-[protected]