[Resolved] United India Insurance Co. Ltd. — Mediclaim non reimbursement

[Resolved] United India Insurance Co. Ltd. — Mediclaim non reimbursement

S Sanjoy Chatterjee from Mumbai, Maharashtra

I have submitted a medical claim reimbursement for cataract surgery under policy no.030800/48/08/20/00005414 with United India Insurance Co. Kolkata and their (TPA) Heritage Health TPA pvt.ltd on 1st week of August 2009 with acknowledgement of claim no. 1001495 and 1001841.Post submission there have been 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.The contact details Details of Insurer and their TPA provided below. request if this be raised to the right desk for resolution 1.United India Insurance Co.,DAKSHINAPAN COMPLEX 2 GARIAHAT ROAD (S) DHAKURIA KOLKATA WEST BENGAL-700068 ,tel :[protected]/[protected]/[protected]. 2.Heritage Health TPA pvt.ltd McLeod House, 3 N. S Road,Kolkata -700001,India,Ph.- [protected], Fax[protected], Email : [protected]@bajoria.in Was this information helpful? No (0) Yes (0)
Aug 14, 2020 Complaint marked as Resolved
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Comments

mysticrose

from Chennai, Tamil Nadu

Usually only 10% of the insured amount can be claimed for cataract operation upto the maximum of 25000. But from this year onward i.e. 1-3-2009, one can migrate to a revised policy, where one can claim 25% of the insured amount. But there is some clause regarding re-imbursement of rent for hospital. Please check before migrating ?