[Resolved] Ttk Healthcare Tpa Pvt Ltd — Rejecction of Mediclaim | |
Dear Sir, My wife is covered under insurance with ICICI Lombard, she had undergone Acute Calculom Cholecystitis. On 4th April 2008 at Malar Hospitals at Chennai. Subsequently I submitted the claim form with TTK Healthcare at T Nagar and the claim was rejected. Reason being -- Exclusion Clauses No. 2.2.3 " All charges towards Treatment of Stones In Urinary System are Not Payable within first two years from Policy Inception " However, Surgeon gave one more letter claiming that this operation had nothing to do with Stones in Urinary System. I had to resubmit this claim for claim re-open. I filed the same on 5th of June 2008, till now they have not given me any update on my claim. Every time I have to call one €No. in Mumbai[protected] and they tell me that claim is under process. For last four months I would have called them 20 times from Chennai and calls last minimum 10 minutes. The amount that I have claimed is Rs. 58,000/- . I know for sure that they will not process my claim cuz they have no sense what they are talking as phone calls are handled by some girls who have no idea what so ever, I assume that every time they keep your call on hold and sneak in to a back room to get opinions ( from so-called Doctors ) and reply will be call them after 3 days, 8 days or 14 days. They assume that they are smarter then HOD of Surgery of a Reputed Govt hospital and they think that I am at their mercy. If they can term Acute Calculus Chlecystitis as Kidney Stone I can call term them with worst possible denominations. Frankly I don’t really care about the bill amount, as I was happy that my wife is healthy and I met a wonderful doctor and his team. My suggestion to all is that if surgery can be postponed for a day or two get the claim pre-approved ( Cash less ) . Else you have run like me. warm regards, Naveen Prakash Was this information helpful? | |
Aug 14, 2020 Complaint marked as Resolved | |
 2 Comments | |
Comments
ttk healthcare tpa pvt ltd — non availability of services
i feel sorry to state that though ttk health care services has been sold but then too the staff havent learned how to behave. my father has been admitted in kar hospital and i contacted local branch ---NO BODY WAS AVAILABLE.when contacted kolkata branch pre-auth department the reply was horrible. when contacted HO no body picked up phone.I think IRDA SHOULD ACT ON SUCH COMPLAINS AND STOP RENEWING LICENSE
Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good
a company is at responding and resolving complaints by granting from 1 to 5 stars for each
complaint and then ultimately combining them all for an overall score.
Read more
Read more
71%
Complaints
78
Pending
0
Resolved
55
+91 44 2811 6110
+91 44 2811 6109
+91 44 2811 6108
6, Cathedral Road,, Chennai, Tamil Nadu, India - 600086
View all TTK Healthcare contact information
ttk healthcare tpa pvt ltd — Extreme delay in process
Dear Sir / Madam,I had applied for claim for my United India Insurance company health card. TPA for the same was TTK. I had submitted all the required documents, as asked, but still I am waiting for the claim, to be passed since last 2 months.
Normal process for claim is only 10 days. I did not even received any response for my emails. At call center they only request to call after 4-5 days.
They even register complaints and give complaint no. When we give reference of this complaint no, after few days, they reply that it was not registered then and simply handover new complaint no. This is an unprofessional working and they don't care at all for their customer.
I don't know if it is actually TTK or United India Insurance company, which is playing with me.
I am just struck, because of some unknown reason, and the most important is No proper authentic reply.