[Resolved]  Medi Assist India Tpa Pvt. Ltd. , Bangalore — Change of name in cheque issued

Here is my complaint brief:

If you want peace of mind with cashless claim, please don’t go with Medi Assist TPA.

We ( I, my wife and new born baby) had to wait in the hospital lobby for 8 hours; thanks
to Medi Assist’s lethargic inhuman service! The fax for enhancement of the cashless claim was sent at around 4:00 PM. Every hour, I was calling the customer service of Medi Assist and the hospital administration was also contacting them in between. Every time, the claim was under process and will be completed by 6:00 PM, 7:00 PM, 8:00 PM, 9:00 PM... Thanks to merciless customer care executive, finally, we called it a day and paid the cash by ourselves and got discharged from the hospital at 10:00 PM.

The claim was finally settled after 2 days!!! Now, I have to visit the hospital to collect back the money I had paid upfront.

Lessons learnt:
(1) Please don’t ever rely on Medi Assist. It is severly understaffed and customer care executive have no common sense. ( same case with all of them. I had talked with Sagar, Reddy and Kumar during this time and all have same no sense attitude.)
(2) Don’t believe 24 hour call centre services unless you test before hand. Try your self for medi-assist call centre:[protected] and if you get someone to talk to you in less than 5 minutes, I would say, you are extremely lucky!!
(3) Have enough cash with you to pay upfront and possibly claim later.

Please spread this word to your friends and collegues so that they would avoid such treatment of making their loved ones to wait in the hospital lobby for several hours swallowing infections.

priya medical — money sms

Hi i got an sms from OTDC regarding the prize money of $3, 00, 000 to my mobile if it is true contact me and my moblie number is [protected] and am from india .I[censored] need any further information regarding personal details and reference numberyou can mail me or contact me.

My daughter Rudra Parmar was admitted to hospital because of life threating condition VIRAL FEVER with THROMBOCYTOPENIA ( platelets 8000/cumm). She was in the hospital for eleven days and her claim was denied because of the reason LESS THAN 24 HOURS ADMISSION AND FEBRICATED CASE. The height is not body had ever visited the hospital during her stay in hospital.
So its my humble request to everyone that they shoud avoid taking insurance of RELIANCE GENERAL INSURANCE and other compinies whose TPA is MEDIASSIST.
For referance her policy no. is[protected] and CCN 4176811.
Thanks,
Dr.Hiren Parmar

mediassist processing time too much, u people take around 8hrs to process one final bill discharge summary approval(final enhancement).
plzzzz do some justice for patients.
regards,
sagar hospitals

refer 4209568 claim in respect of bhanu priya d/o jitender kumar. I would like to inform that Mr jitender kumar has already dispatched origonal documents to your bangalore office through courrier in spite of that your again and again asking same docuemnts which is not possible, i feels that you are ignoring my claims.
further it is observed you have sent the reminders wherein you have not mentioned the person to whom may be contract for resloving the issue and reminders should be in reginal langugage which can be easely understand by the policy holder for resoliving query
.
in last it is our request kindly reconcile the docuemnts submitted by mr jitender and contract telephonically to resolve the longoutstanding claim. contact no is [protected]/[protected] (bk bararia)

further to me previous request I furthe clarifed that orional documents was dispatched on 12 Jun 09 to your balgaore office. telephone no of Mr jiterender verma is [protected]. please contract tellepohincially for settlement of calms

The following is the most in human torture meted out to me by the Medi assist on the eve of my discharge at Narayana hrudayalaya on 15th To: [protected]@mediassistindia.comDear Sir/ Madam,

I am terribly upset over the ordeal I had at the Narayana hrudayalaya hospital yesterday. Whatever be the criteria you are following in approving the Insurance coverage in denying the requests, it is really annoying and inhuman. You just cannot imagine the ordeal; I went through that evening between 5:30 pm and 11 pm. The Doctor had ordered my discharge in the morning itself. But for some unknown reasons writing the discharge summary took some time and it was ready by 5 pm. I made my wife to go to the insurance man and came to know that, it was faxed to only at 5 pm. My son got an assurance from your office that it will be processed with in 2 hours. Two hours became 3 hours. 3 hours became 4 hours. I sent my wife go down to the counter at least 30 times. Finally at 9.30 my son called me and told me that you have denied the approval, and told me we will have to settle the bill paying cash and get the discharge. I sent my wife to counter again to know
that the man at the counter has gone for his dinner and will be back only at 10.30 pm and he has to check the emails.
I was under terrible tension, my blood pressure shot up and I almost collapsed thinking how to raise that much money at that hour. My son who was on night shift could not do any thing. Finally at 10.15 pm. the man at the counter informed my wife that if we are making the payment before 11.30 he would get me discharged. From 2pm the hospital staff stopped all my medication and treatment to me because as per them, the patient is discharged. I did not eat or take my medicines on time, because I didn’t have any medicines. I was not allowed to go out of my room. My wife who is 53 years old unwell has to do all the running around. I informed the situation to Dr. Nithin Hegde; He being good human being arranged the money for the payment. Seeing my plight and condition of health gave me medicines.
If I am staying there that night and get the discharge the next morning, I will have to pay another 2600 rupees. At last I got the discharge at 11pm. Any body can imagine the difficulty we endured reaching our home at 2am, 40 kms away at the dead of night from the hospital to Malleshpalya.
I very much doubt your competency in judging a case like mine. In the discharge summary, it is clearly mentioned that I am a chronic diabetic; I have lost sight on my right eye, and have Poly Cythemia Vera which means my blood thickness is so high that needs constant medication and Venasection, which means 500ml. blood to be removed, checking my Hemoglobin count regularly. Other than that I have Breathing problem, due to a small deviation of a bone inside the nose. My Blood pressure was erratic. If something had happened to me that night, you would have been responsible.
I am 62 years old man with no income of my own and vision only in the left eye with difficulty in walking and mild renal mal function, the medical expenses with Insulin IOnjection and tablets will be more than Rs. 2500 per month.
Because of your incompetency I have suffered so much in one night. Hence I request you kindly to review my case in sympathetic and humanitarian manner with a panel of experienced Doctors and arrange to reimburse the Bill amount at the earliest possible.
I am very sure that, if I go to the Consumer court I will get the Bill amount, Court expenses, and a hefty compensation from you for the ordeal I had that night. Please don’t take me to that level for such a small amount of Rs.11564/- My doctor will come and testify in the court for me.

Sincerely,
Madhusoodanan M.A
Patient Id: 119129
Vikram Madhusoodanans Employ No: 908267
DOA:[protected]
DOD:[protected].



oct. 2009., and the complaint i made them.

Your Fax No do not[protected] Work properly
Send the Alternative Fax No Who has been work properly

Nares Kr. gupta
(PRO)
Kashyap Memorial Eye Hospital
Purulia Road Ranchi Jharkhand

i submit my wife's medical bills on 06.10.2009 but till now any cheque has not received to me. my policy No.[protected]. please tell me how time it will take?

Dear Sir/Madam,
i submit my Renue insurance fee on dated[protected] .my policy expiry dated
[protected].i apply for renue[protected] . mymediclam Policy No[protected]. plz tell me this policy is reissue or not


Best Regard

umesh kumar

h no -2197, gali no 35, sanjay colony
sec -23 faridabad haryana

CRM Executive -Post, Client servicesing and make satisfied them, .

I have your policy no.[protected] Since Last 2 Years & Last[protected] i take benifiet to your policy for the patient to ( Shiksha) But Last 2days u r denied for the paid the payment. but our patient not well position. while our policy limit is Rs. 1, 00, 000.00 ( Rs. One Lac Only).

So. Plzzzzzzzzzzzzz can u confirm how is possible at your end.
If, i not received your earliest action then i may be knock the Consumer court door.

Thanking you

Regards,
Policy No.[protected]

Hi Mediassist Team,

My Father got heart attatch. I am a Corporate Hewlett Packard Globalsoft Employee.Emp No : 20341341.

I am doing bypass surgery to my father through NIMS hospital, Hyderabad.

Please let me know whether i am eligible to claim the surgery charges under MediAssist Claim.


Thanks
Subhan.

sir,
i need the information about the "NEW ADDRESS OF M/S MEDI ASSIST INDIA TPA PRIVATE LTD" we sent the hospitial bill insurence medi claim form to mumbai but it came return to us by saying that the building is shifted to another place so by changing the address we got back that medi claim reports to us i request u to send me the correct address of that as early as possible
thanking you

Hello, all medi assist staff

Ur staff be-have very very bad bad

Dear sir/madam
I had deposited all documents on dated[protected] at medi Assist, east of kailash, New Delhi.My son had discharged from Apollo Hospital on dated[protected] and admitted on[protected] with complaint of high fever and vomiting .He had unable to take a little bites of meals from[protected].Your person verified case on[protected].after 25 visit made by Insured person.and says you will find your chaque after 15 to 20 days.On dated[protected] you are sending a letter with CLAUSE [exclusion 28 and 21]. what is this ? Is your children admitted by you for intertenment, enjoyment and time pass.There are 12 page
diagnostic [lab test] report.Is it made by ...whom? summary of medicine and treatments presented via FAX during treatment period, when you had send sms on mobile no.[protected] on approx.24/25 December2009.This payment had made by credit card.you must imagine figure of amount 32700/- is going up or down.WHO WILL PAY IT ? I think to make fire to myself in your sant nagar's office after confirm consumer forum and police station.I am too depress after this harassment decision, which made by Medi Assist and Reliance general Insurance.


THANKING YOU DATED
24-03=2010

YOUR'S SINCERELY

Ravindra Kumar Tiwari
CLAIM NO. :4640904
Claimant :Daksh Tiwari

Dear Sir/Mam

Ref:Policy No.140100/34/09/11/00014404

Sub : Medical Calim

With Referance to the above subject, I am filing here with medi claim of My wife Mrs.Parul.S.Vakani.She is having problem of left angkle joint paining.she is taking treatment of Dr.Kulkarni's Orthopadoc Nursing Home, Ground floor, Veetrag-11, Opp.Jain Mandir, Devchand Nagar Road, Bhayandar (w) 401 101 for Rs. 7055/=.

Claim Submited on 6th April 2010 and when ever i follow for this claim all time says you medical polcy is not updated in our computer.

My Medical Policy is Renew on 04.02.2010 by the new india assurance co.ltd.
till date your comuter data not updated so please give me reply for the same

my mail id is shailesh.[protected]@gmail.com and contat no. is [protected]


regards
shailesh vakani

insensitive staff...they shouted and banged the phone on me on a simple query of a claim status and upon asking what all documents they require to issue cheque to hospital. the lady on the phone misbehaved and did not listen to my problem instead just kept on saying that it was my fault that i gave the cheque to hospital...my patient would not have been discharged if i did not do that. All this time i was quietly and patiently listening to her...she however was on top of her voice. these people must realize that we are not begging from them its a policy that we purchased. This was a cashless request but the hospital however has taken a cheque from me to let my patient go and is still waiting to receive payment on the claims that are already approved.

Thanks,
Pallavi
Claim no. 1703684

Dear Sir,
I had submitted my Mediclaim reimbursement Claim on 18/10/2010 by Registered Post to Medi Assist India TPA Pvt Ltd., at "GREEN ARCH" B-BLOCK
J P Nagar Bangalore-560078.
After many reminders the TPA replied on 29/11/2010 that since the policy is only 2 years old I am not eligible for the claim.I immediately replied by E-mail followed by a Registered Letter informing them that my policy is more than 10 years old and that it has been renewed every year with in the due dates.It was also informed to them that the policy is in continuous operation since more than 10 years their pressumption that the policy is only two years old is very much wrong and hence I am eligible for the claim. Though I had furnished convincing facts and figures the TPA has failed to settle my Claim.
Since then I had sent more than 6 reminders but still there is no reply.
My Mediclaim Policy No. is 671001/34/10/11/00000081 issued by New India Assurance Co., Ltd.,
My Medi Assist Claim Reference number is 5378828.
Please help to settle my claim.
Thanking you,
CLIFFORD RASQUINHA([protected]@yahoo.co.in).

PRADEEP VYAS
CLAIM 5285547 DT[protected]

MY CLAIM IS PENDING THOUGH ALL REQUIREMENT HAVE BEEN COMPLIED WITH