Safeway Tpa Services Pvt Ltd Hired By M / S New India Assurance Co. Ltd — non receipt of full claim
SuSudharani H Singh
Sir, I Sudharani H singh is the member of Sahara Care house of M/s Sahara India Ltd vide I No. 4294. Under the scheme I got Mediclaim policy which cover Mediclaim of Rs.2,00,000/- from M/s New India assurance Co. Ltd. . There is M/s Safeway TPA service , 6/2, Ist floor, Kirti Nagar, Industrial Area, Near SBI, New Delhi-15 which is middle agency to process the claims. Policy dated 30.10.2008.
My husband got seriously ill having sever Neck and shoulder pain and got admitted in M/s Navin Orthopedic and Trauma centre at Surat on 10.8.2009 and discharged on 13.8.2009. He was consulted on 7.8.2009 and given medicines for reducing pain and referred to Civil Hospital for MRI on 8.8.2009.
The claim was for Rs. 9254/-out of which Rs. 8764/- were sanctioned. I put a representation against the settled claim since the fee of s. 300/- paid on 7.8.009 was not paid to me. Further a traction set costing R. 190/- was not sanctioned in my claim. Now again I got a letter dated 10.11.2009 that the Fee of Rs. 300/- and traction set amount could not be sanctioned. Traction set is used by me now also for every day exercise so as to cure the problem in total. Even if the cost of Traction set is not given to me, the consultation Fee of Rs. 300/- must be given to me. It is almost three and a half months passed, my claim is not settled even when I have provide all original documents.
Please look into the problem and advise me what to do ? I also want your honour to ask TPA doctors as why they did not pay the remaining charges i.e. consultation and instrument amount.
Your kind co-operation is highly solicited. Waiting for early reply please.
Sudharani H singh
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