[Resolved]  Icici Lombard — Complain for health claim settlement

Address:	Mumbai City, Maharashtra, 400015
Website:	www.icicilombard.com

To,
ICICI Lombard Health Care

Sub : Second Complain Letter

After a long waiting period and unprofessional behavior, i am forced to write this email and Expecting a result now!!

This is Regarding Reimbursement of the Health Care Claim which is Pending which is pending past 2 Months

The Documents were received by ICICI Lombard Head Office Hyderabad
On 19/10/2016
Claim Inward No.CL[protected]

Claim Registered
on 22/10/2016
Claim No[protected]

Mail from ICICI Lombard Regarding Additional Information
on 16/11/2016

Mailed Additional Information Documents to ICICI Lombard
On 24/11/2016
Interaction ID[protected]

Also
Dr.Zaheer Abbas from ICICI Lombard visited our House regarding same
On 29/11/2016
and gave a word that with 10-15 working day the claim would be clear

Request for Claim Request on[protected]
on Date 20/12/2016
Reply Received "Claim is Under Process within 15 working days it will be settled"

NO Response after more than 15 working days

First Complain Mail Sent to ICICI Lombard
([protected]@icicilombard.com,
[protected]@icicilombard.com, [protected]@icicilombard.com)
on 2/1/2017
Interaction ID[protected]

Reply received on Email from ICICI Lombard for First Complain

from Naveena Gajarla (Customer Relationship Manager)
Customer Service Desk
ICICI Lombard GIC Ltd.
"your query is under investigation, kindly allow us 6-7 working days we are in the follow up with the verification team to process the claim on top priority."

On the Same Thread mail was again sent since more than 7 working days were over and no response was obtain
on 16/1/2017

Request for Claim Request on[protected]
Call Center and also Priority Desk
(Sneha Pardesi replied saying claim is under investigation and she'll we respone in 48 hours)
on Date 16/1/2017

According to the Telephonic Conversation i was informed that "within 15 days of receiving the documents the claim shall be processed and cleared" by the employee of ICICI Lombard

I have also requested claim status on Phone Line No[protected] but there was to no positive responses.
In all 4 calls made to ICICI Lombard the only replied i got is till
16th January 2017 "Sir your Claim is Under Process"

This is very discouraging behavior expected from such a renounced HEALTH INSURANCE COMPANY.

I believe within 48 Hours there will some clarity toward this endless delay to clearing the claim.

Information to expected in write beside just replying "Your Claim is under process"


_________________________________________________________________

Details of Patient
Claim Number [protected]
Claim of Dhanvanti Zaverchand Savla
UHID ILGIC/2HN/00/[protected]/M
Policy Number 4015/[protected]/00/000
Coverage Period 31-OCT-15 to 30-OCT-16
Date of Admission 20-SEP-16
Date of Discharge 23-SEP-16
Diagnosis Fracture of femur
Hospital Name Bhatia Hospital.