Family Health Plan [Fhpl] — harassment of relating to medical claims for claim id: 2272685_ , uhid: sbig18205539

arunoday ganguly

from Delhi, Delhi

Address:

712250

Dear Sir/Madam,

Many time we will contact to the customer care regarding this claim, and all time they misguide me. continue one month they misguide us regarding claim. I had clarify all the details on mail but they could not guide any of the time.They try to west my time only and try to cover up this march claim only.

With reference to your request for providing doctor's prescription for hospital admission dated[protected], I would like to reiterate that the patient Mr. Subhas Chandra Ganguly was shifted from Relife Nursing Home to Institute of Neurosciences Kolkata (INK) on[protected]. The arrangement was made on emergency basis as patient needed specialised care and the kind of ailments he was having could be best handled in INK, being a reputed hospital for curing neurological disorders. We therefore made the necessary arrangements as soon as possible and got him transferred so that his condition could be improved on urgent basis. Also, Doctor's prescription dated[protected] was already attached and sent on mail dated[protected]. The perscription was issued by Dr. Kausik Datta, the doctor visiting the patient while he was in Relife Nursing Home.

Furthermore, all the required details have already been shared in the chain mail. Why is it that additional prescription for hospitalisation is required? Are the details already provided not enough? We have provided everything including prespcriptions and discharge certificates which should hold good for claiming the expenses. Please check and recheck all the details already provided and process the claim. I would be expecting no further queries in the process.

Kindly look into the matter on priority basis.

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Mar 15, 2019

Updated by arunoday ganguly Please help to recover the claim and do the needful.

Regards

Arunoday Ganguly

[protected]
[protected]

Mar 19, 2019

Updated by arunoday ganguly Dear Sir/Madam,

With regard to the above details, I have constantly followed up with the executives of Family Health Plan TPA for the medical expenses claim of my father, but the officials have not been responding well. Initially while receiving my claim requests, they asked me to mail all the documents and details and said they would look into the matter after that. I provided them with all the documents but after that they simply denied having asked for any mails. So how can I expect to receive the service when they keep on changing their versions? After doing so much of work in arranging and sending the requested documents, they are still refusing the claim requests. Also the FY is close to end which will make me unable to request for any claims after this. So how can I now get a solution? Kindly solicit my request to them and guide me on this.

Regards,

Arunoday Ganguly

[protected]
[protected]

Mar 29, 2019

Updated by arunoday ganguly This is to inform you that in spite of repeated followups with the FHPL TPA for the claim requests, they have again demanded the same set of documents and statements as asked earlier, image of their intimation letter attached. The queries that they have raised in the FHPL letter (which I received just yesterday after so many days of constant followups) have already been attended to, please refer mail screen shot of my Mar 15, 2019 conversation. Furthermore, I have already provided doctor's advice which contains the patient's condition and history. Please understand, how many times will I pursue for the same thing again and again? When will this end? Will I get a solution? Please help in mediating the issue as I have already clarified.