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[Resolved]  Raksha Tpa / Mediclaim — non payment of medical bills

I have taken my son to Kailash Hospital for some injury and after initial discussion they told me that there will be some surgery So pl pay some advance amount or deposite your medicliam detail and card no so the treatment can be started But to my surprise the raksha tpa contract was cancelled from such reputed Hospital and when i contacted Raksha so they told us it has been cancelled two month back only but you can continue with your medical treatment and submit your bills so we will pay the amount within 15 days.
But fter chasing 3 month to our agent (Rajeev Sethi) for which he was giving some false stories, finaly i have contacted raksha tpa then they told me your bill will not be paid because it is not 3 year old.My question is that why Raksha team has not told us this when i contacted them before treatment? Why they have not me informed such clause in which simple injury is not considerd which require 3 year policy period.
Almost this is the 3rd year and till date they have not given us my photo id card after my long chase us.Pl some body suggest me the way by which i can my unpaid bills. Regards
K.Tripathi
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Complaint marked as Resolved Aug 13, 2020
Complaint comments  2 CommentsShareTweet

Comments

dear
sir
iamkishorejena mymemberid BO0136ICSE iamclim on29 1 09 andcliam no [protected]
cliamwassettled and cq no299902 iamcolling on 01.3.09 mumbaisaid.
butihavenot received my cliam amount tilldate.

andtoday colling 10.30 mumbai said after 7 day

so you are requested to look into this mater and do the needfull


thaking

mob[protected]
kishore jena

tpa raksha — photo id card

sir my family medical health insurencedated31/10/2010 but photo id card not send til date.igave photo31/10/2010 but raksha tpa say not recived photo.then after second time photo igave 10/2/2011 but he say photo missing. please send me photo id card

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    Raksha Health Insurance TPA
    Customer Care Service
    Customer satisfaction rating
    32%
    Complaints
    97
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    Resolved
    31
    Raksha Health Insurance TPA Phone
    +91 12 9428 9999 [Faridabad]
    +91 22 6787 6666 [Mumbai]
    +91 80 4283 9999 [Bangalore]
    Raksha Health Insurance TPA Address
    India
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