[Resolved]  ICICI Lombard Health Care — RE:'ICICILom=[protected]' Regarding Claim number :[protected]

Please find the Trail mail attached which i am suffering after taking ICICI Lombard Health insurance through my Credit card

To
pushpa.[protected]@icicilombard.com, jyothsna.[protected]@icicilombard.com
cc
[protected]@gmail.com
Subject
Fw: RE:'ICICILom=[protected]' Regarding Claim number :[protected]


Hi Pushpa/Jyothsna,

Request your intimation in getting my Claim for the medical expenses which i have incurred on my mother's treatment,Please refer the trail mail you will come to know in detail...

My Two Claims i.e[protected] &[protected] have been rejected and i do not know what is the reason,When i call your Customer care they put on hold on they disconnect the call without providing reason....

Below they have given some reason when i sent mail to Ihealtcare which i dint understand

Below are the claims which is approved with the same policy with the same personal information

Claim num 1 :[protected]
Claim num 2 :[protected]
Claim num 3 :[protected]

Please help me in getting my claim amount,as the same is needed for furthur treatment


Thanks & Regards

Harish R
Touchpoint Team Member
[protected]
----- Forwarded by Harish R Ramaiah/RCOM/RelianceADA on[protected]:27 AM -----
Harish R Ramaiah/RCOM/RelianceADA
[protected]:02 PM
To
[protected]@icicilombard.com
cc
[protected]@gmail.com
Subject
Fw: RE:'ICICILom=[protected]' Regarding Claim number :[protected]





Dear Team,

Still no revert it is almost 5 days that i sent this mail...can any one kindly Call me are revert to my concern.

Thanks & Regards

Harish R
Touchpoint Team Member
[protected]
----- Forwarded by Harish R Ramaiah/RCOM/RelianceADA on[protected]:56 PM -----
Harish R Ramaiah/RCOM/RelianceADA
[protected]:31 AM
To
[protected]@icicilombard.com
cc
[protected]@gmail.com
Subject
Fw: RE:'ICICILom=[protected]' Regarding Claim number :[protected]






Dear Team,

In the event whatever the reason provided below ,i would like to bring to your notice that whatever the reason which you are providing is totally wrong,i need some one to call and explain what does all this below statement means,as far as my knowledge there is no incorrect statement,the documents provided is of KIDWAI (Which is a reputed Cancer hospital),if you have any doubt on the case papers kindly refer the File number (9212/09) file number in KIDWAI for inhouse papers,For which you will get very clear picture,Please do not hurt my sentiment by giving the below statement, More over wth the same without any concern raised the following claims have been approved[protected]/[protected]/[protected],,,the same treatment is getting continued...Request you to reopen the case and kindly refer the file number (9212/09) from KIDWAI


Standard Exclusion - INCONTESTABILITY AND DUTY OF DISCLOSURE - THE POLICY SHALL BE NULL AND VOID AND NO BENEFIT SHALL BE PAYABLE IN THE EVENT O[censored]NTRUE OR INCORRECT STATEMENT, MISREORENSENTATION, MISCESCRIPTION OR NON DISCLOSURE IN ANY MATERIAL PARTICULAR IN THE PROPOSAL FORM, PERSONAL STATEMENT, DECLARATION AND CONNECTED DOCUMENTS OR ANY MATERIAL INFORMATION HAVING BEEN WITHHELD.

Thanks & Regards

Harish R
Touchpoint Team Member
[protected]
----- Forwarded by Harish R Ramaiah/RCOM/RelianceADA on[protected]:51 AM -----
"ICICI Lombard Health Care" <[protected]@icicilombard.com>
[protected]:38 PM
To
"Harish.R.[protected]@relianceada.com" <Harish.R.[protected]@relianceada.com>
cc

Subject
RE:'ICICILom=[protected]' Regarding Claim number :[protected]









Dear Sir/Madam,


We share your concern as a valued customer of the ICICI Lombard family.


This is with reference to your mail dated 13 Feb,

Please be informed that we regret to inform you that your claim has been rejected due to the below mentioned reason:

Standard Exclusion - INCONTESTABILITY AND DUTY OF DISCLOSURE - THE POLICY SHALL BE NULL AND VOID AND NO BENEFIT SHALL BE PAYABLE IN THE EVENT O[censored]NTRUE OR INCORRECT STATEMENT, MISREORENSENTATION, MISCESCRIPTION OR NON DISCLOSURE IN ANY MATERIAL PARTICULAR IN THE PROPOSAL FORM, PERSONAL STATEMENT, DECLARATION AND CONNECTED DOCUMENTS OR ANY MATERIAL INFORMATION HAVING BEEN WITHHELD.

You can also login or visit http://www.icicilombard.com/app/ilom-en/icare.aspx to track claims status and access other services.


For further clarifications, please write to us at [protected]@icicilombard.com


Note: Kindly maintain the same subject line for all e-mail interactions concerning to this transaction.


Regards,
S. Soupya
Customer Service Manager
Team I-Health Care
Toll Free Help Line[protected]
Toll Free FAX No.[protected]

-----Original Message-----
From: Harish.R.[protected]@relianceada.com (Harish.R.[protected]@relianceada.com)
Date: Saturday, February 13, 2010 05:14 PM
To: [protected]@icicilombard.com ([protected]@icicilombard.com)
Cc: [protected]@icicilombard.com ([protected]@icicilombard.com); [protected]@gmail.com ([protected]@gmail.com)
Subject: Regarding Claim number :[protected]


Dear Team,

I would like to know the reason for Rejection of my claim number :
[protected],Please also refer my previous claim numbers which has got approved for your referance if the reason for rejection belonging to any such,The same treat ment is getting continued,Kindly get the case opened and please approve the same as the money requirement is very urgent for furthur treatment

I have taken insurance trusting that it will help in future,If you people reject the case with out informing the reason then it will become very difficult for us to maintain the medical expenses

Claim num 1 :[protected]
Claim num 2 :[protected]
Claim num 3 :[protected]

Please note :I have called several times to your contact centre to find the reason for rejection,No one has given me proper information/Justification,The Exectives in contact centre put on hold and the line will get disconnected

Please find the request numbers for reopening on the case :80210376 & 80210196 for which i do not know the status

When i called on 10-Feb Executive told he will arrange a call back from supervisor ,till now no one had called me





Thanks & Regards

Harish R
[protected]


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