[Resolved]  The Oriental Insurance Company Ltd. — No response to health insurance claim

Address:

Mumbai City, Maharashtra

Mediclaim Complaint:

I have submitted a medical claim reimbursement for Vascular surgery (jugular vein) under policy no.124200/48/2010 with Oriental Insurance Co. LTD. Mumbai and their (TPA) Raksha TPA pvt.ltd on 5th March 2010 with acknowledgement of claim no.[protected].

Post submission there was acknowledgement letter with a request for original document, whcih were submitted immediately. Till now there is no communication from the TPA. Whenever I rang up enquiring about the case they asked for a new document. It reveals that they are not serious in resolving the case and has been looking for pleas to delay and not settle the claim.

Details of Insurer and their TPA provided below. request if this be raised to the right desk for resolution

Oriental Insurance Company Ltd.
Lakshmi Commercial Center, Senapati Bapat Marg, Dadar West, Mumbai 400028 ,

Tel :[protected]/24373748, Fax[protected]

Rakha TPA pvt.ltd
7 Kumtha Street, Ballard Estate, Mumbai 400001
[protected], Fax –[protected],
Email : [protected]@bajoria.in

Manoj Agrawal
Mumbai-400076
Email: [protected]@hotmail.com