Medi Assist India Complaints & Reviews

Hope you are well.

This is regarding submitted claim[protected] on 6th nov 2018 by meddiassist processing team because they have mistakenly cancelled my original claim 18184755 due to amount mismatch which is changed by meddiassist only.

I have checked status on meddiassist portal for my claim and can see the current status is 'claim processed-physical documents awaited'; however i have submitted the hard copy...

I rahul is working in bank of baroda with employee no 91061. I was covered under corporate health insurance where in tpa was dhs dedicated healthcare services tpa india private limited wherein the app is medibuddy. I have claimed health insurance with claim no 18128848 for master takshay (My son) which is pending since 22 oct 2018. I have called customer care at [protected] and also mailed as [protected]@mediassistindia.com but didnt not get any response. My insurer claim id is [protected]c[protected] and insurer member id is [protected]p[protected]. Please do the needful. I will be thankful to you. I am attatching the screenshots of medibuddy app of my claim. They have also mentioned that procedure charges are not payable which i have highlited in the attatchment.

I mohammad imran khan have a claim in my spouse's name mrs nishad khan having claim number 17985120 this claim was processed in 13/10/2018 by meddy assist but the insurer has not made the processed amount yet.

Please help me get the processed/settled amount as soon as possible.

Thanks
Mohammad imran khan
Bank of india
Gotegaon branch...

I am suppose to be discharged on 23/11/2018, still haven't received approval on my discharge bill submitted. Medi assist i'd: [protected], i am in the hospital from last 2 days waiting for nothing this is really frustrating when i have already suffered a lot, when i call u guys don't pick up, or reply with exact time of processing, really disappointed with your servies

I have medical official medical limit 2.5 lac for family. My wife was not feeling well in her pregnancy. As per doctor it was special case so they put her under observation and she suffered also. She was in hospital for 27 days. Before this two time she was admitted for same reason. I got mediclaim for that. Last bill was more than 1.5 lac which is still my under mediclaim limit. But mediassist did not approved. Given reason that, the limit for maternity benefit are 50000/- for both normal & cesarean delivery. But its dont come under this case.

Can help me. I have all detail documents and email communication.

Thanks,
Anand vastrad
[protected]
Email id: anandkumar. [protected]@gmail.com

Dear sir,

Name : soorya s. S
Employe id :1013269
Company : quest global engineering services pvt ltd
Quest towers, technopark campus, trivandrum
Pin: 695581

Documents of insurance claim number[protected] 4693210
Registers ticket ids: 4693210, 5085486, 5237868

After rejecting this claim, i requested them to return my original documents by registering one ticket on 26 sep at 2:43 pm. But still now i didn’t get any documents. I have sending reminder mails and call every week.

Mail contents:
Hi,

Regarding the insurance claim number[protected] 4693210
I didn't get those documents till now.
So please share as soon as possible.

Regards,
Soorya s. S

From: quest [mailto:quest. [protected]@mediassistindia.com]
Sent: saturday, september 29, 2018 6:30 pm
To: soorya s s
Subject: re: insurance claim number[protected] 4693210

Dear soorya s s,

Thank you for writing to medi assist.


We will share you the document asap.


Regards,
Medi assist support team

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Carry your world of healthcare on-the-go with the medibuddy app. Cashless hospitalisation | health checks |
Medicines | claims tracking and much more. Call[protected] or click here to get your app now.
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On thu, 27 sep at 10:44 am, soorya s s wrote:
Hi,

Please find my contact details.

Soorya s s
Emp id : 1013269

Quest global engineering service pvt. Ltd.
Quest towers
Technopark campus
Trivandram – 695581

Mobile no: [protected]

Regards,
Soorya s. S

From: quest [mailto:quest. [protected]@mediassistindia.com]
Sent: thursday, september 27, 2018 10:40 am
To: soorya s s
Subject: re: insurance claim number[protected] 4693210

Dear soorya s s,

Thank you for writing to medi assist.

Request you to share the contact details.

Regards,
Medi assist support team

Web | social | blog | app
_
Carry your world of healthcare on-the-go with the medibuddy app. Cashless hospitalisation | health checks |
Medicines | claims tracking and much more. Call[protected] or click here to get your app now.
_


On wed, 26 sep at 2:43 pm, soorya s s wrote:
Hi,

Could you please process this ticket as soon as possible?

Regards,
Sooryas. S

From: quest [mailto:quest. [protected]@mediassistindia.com]
Sent: wednesday, september 19, 2018 4:48 pm
To: soorya s s
Subject: we’re working on your ticket number:[protected] insurance claim number[protected]

Dear soorya s s,

Thank you for reaching out to us. Our support team is working on your ticket number 4693210 and you will receive an update from us within the next working day.

In the meanwhile, do try giving medibuddy an opportunity to help you instantly get the information you need – claim status, policy conditions, enrolment status and e-cards, network hospital list, reimbursement claim document submission and more. Need help signing in? Here are some tips.

You can also consider browsing through our blog - we have a range of posts around frequently asked questions on health benefits that you might find relevant.

Thanks again,
Team medi assist

Ps: have you given us all the information we need to resolve your query? Send us your policy number and claim number, quoting this ticket number, to help us process your request faster.


Carry your world of health insurance with you on your smartphone. Cashless hospitalization | health checks | medicines | real-time claim tracking and much more.
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4693210:206014
— disclaimer — this e-mail contains privileged and confidential information intended solely for the use of the addressee (S). If you are not the intended recipient, please notify the sender by e-mail and delete the original message. Opinions, conclusions and other information in this transmission that do not relate to the official business of quest global and/or its subsidiaries, shall be understood as neither given nor endorsed by it. Any statements made herein that are tantamount to contractual obligations, promises, claims or commitments shall not be binding on the company unless followed by written confirmation by an authorized signatory of the company. —
4693210:206014
— disclaimer — this e-mail contains privileged and confidential information intended solely for the use of the addressee (S). If you are not the intended recipient, please notify the sender by e-mail and delete the original message. Opinions, conclusions and other information in this transmission that do not relate to the official business of quest global and/or its subsidiaries, shall be understood as neither given nor endorsed by it. Any statements made herein that are tantamount to contractual obligations, promises, claims or commitments shall not be binding on the company unless followed by written confirmation by an authorized signatory of the company. —
4693210:206014

Dear sir,
My claim no is 16576746
It's going to be one year approx but till now there is no progress in reimbursement of mediclaim. Even though i have submitted each and every documents relevant to this, but not yet processed. People have faith on your company if you are not going to help us on time then who will take your policy and why we will rely on health insurance company.
Kindly do needful as soon as possible and request you to act immediately.

Thanks and regards
16576746

I have submitted my 2nd claim on 3rd november 2018 and have received confirmation via sms and email stating documents received. However till date website shows no claim on file. Inspite of multiple follow-up there is no response. They are just passing my email internally to each other to respond my email. Pathetic service. Its a corporate plan. Waste.

My patient was admitted in mata roop rani hospital on 29 th on november 2017 and was dischared on 5 th november 2017 .And i have followed all the process for the claim as per the rule, but after a long periond of time i have not recived my claim amount after his death also and i am deeply hopless with this company . i want my money to be reimbursed with the company my reference number is CCN# 15699841 under policy# 272900/48/2017/30500 (Emp Name -Mohanlal Jain ), This company is totally harased the people of reimbursement claims.

Hi Team,

This is regarding the Claims for Maternal expenses, as given in the below mail chain, I have submitted all the required details in July’18 for the overall amount of 79200 INR and have submitted all the relevant documents with the bills even after 4 months of my request, it hasn’t moved a step ahead also.

Please find the details below on the Claim request & Medi Assist membership:

Claim No : 17514157
Media Assist Member Id : [protected]

Here, Medi Assist person who came to verify the details in the hospital has incorrectly updated the records of Mother & Doctor name as given in the below email chain. Because of which I am unable to get the Claims till date.
Many times I have requested the Medi Assist team to approach the hospital again and get the verification done properly and update the records in correct way, so that I can request for the claim, but nothing is moving ahead, instead they are rudely behaving and confirming that, no one can help for further movement of the case ahead. As given below Kavitha holding mobile number (+91 [protected]) & Mani holding mobile number (+91 [protected]), Vijay Kumar (+91 [protected])
have been contacted numerous times, but they are not considering my request and are not of any help in moving the request ahead and they are saying to raise compliant with anyone and of no use, which is definitely wrong way of responding.

As given in the records your names published as the escalation point of contacts, that’s the reason, would like to request you to take stringent action on the Medi Assist team to get the records updated properly and move my claim request ahead, as its purely mistake done by Medi Assist team in interchanging the names of Patient and Doctor (which I came to know, when checked with Mani in my first call with him).

Please find below the names of Doctor & Patient:

Doctor Name: N.S.Rani
Patient Name: ASWANI

PFB details:
Claim No : 17514157
Dedicated id : [protected]@Infy
Employee id: 645161
Contact no : +91 [protected]
Infosys, Pocharam,
Hyderabad

Aswani + Baby =64000 (Date[protected] to[protected]
Baby =15200 (date[protected] to[protected]
Total Amount = 79200(INR)

Total amount is 79200(INR).

Can you please update your records as given above and let me know the status on the request as early as possible. It has already been delayed very long and would like to get this resolved at the earliest.

Let me know for any issues.

Regards,
Mahesh,
Infosys,
Pocahram,
Hyderabad,
cell : [protected]

I have sent many email and they replied like will process but still now no actions taken.
Claim no: 17716543

Could you please let me know the status of claim 17716543. I got a message about the claim, it stating “claim has been processed for rs 6102/-” even though i have sent the missing report for rs 1750/- through email and sent the hard copy in mail with other documents which is not considered.
Please find the below email chain for your reference and let me know what is the reason for amount 1750 is not been considered for claim approval.
I have been following up this claim for nearly two weeks and sent all the required documents whatever you expected but finally these thing are not been considered.
If you are not consider the report cast with this claim then please send me the original documents (Bill & report) for the amount 1750. I will raise the new request and claim the amount.

And they replied for the above email on sep 11 2018 as like below

Dear karthi murthy,

Thank you for writing to medi assist.

We sincerely apologize for the inconvenience caused.

Your claim number 17716543 is in approved status. Once this claim gets settled, we will reopen your claim once again and process the remaining amount. Please intimate us once the amount credited to your account.

We look forward to your co-operation and patience in helping us serve you better.

Hi,
Intimation bearing id 10669461
Have corporate policy. Since september 22 claim is not settled. My database like employe name is updated wrongly on your database hence your team is asking blank cheque and other documents which is not possible to give. Last time same thing was happened and you team has updated data. Now again have to struggle. Really very bad experience.

Claim no : 17514157
Media assist member id : [protected]
As per my discussion with mani (+91 [protected]) and kavitha (+91 [protected]) (Medi-assist customer care officer) on finding the reason for claim rejection, came to know that the issue was because the doctor & patient names have got interchanged, because of the mistake by med-assist agent.

Med-assist employees kavitha and mani is not properly responding

Please find below the names of doctor & patient:

Doctor name: n. S. Rani
Patient name: aswani

Pfb details:
Claim no : 17514157
Dedicated id : [protected]@infy
Employee id: 645161
Contact no : +91 [protected]
Infosys, pocharam,
Hyderabad

Aswani + baby =64000 (Date[protected] to[protected]
Baby =15200 (Date[protected] to[protected]
Total amount = 79200 (Inr)

Total amount is 79200 (Inr).

Can you please update your records as given above and let me know the status on the request as early as possible. It has already been delayed very long and would like to get this resolved at the earliest.

Let me know for any issues.

Address:

Media assist,
Ibc knowledge park, tower d, 4th floor, bannerghatta main rd, 4/1, bengaluru, karnataka 560029, india

Claim settlement of claim no17477603 date of discharge : 07/07/2018

I have a national insurance company name : chandubhai savajibhai malaviya, i taken a treatment in smt. R. B. Shah mahavir super sp. Hospital, surat. I have submitted necessary documents.

Please consider the above matter and settle the claim as earlier as possible

Contact no.[protected]

I have made a reimbursement claim and submitted all the original bills and other documents provided by hospital. They asked for few other additional documents which i have submitted. Now again they have asked me to submit twb - original invoice or sticker. Tbw means tension band wiring and it is a procedure name and not the name of implant. So, how can i get the original invoice and sticker for it.. The wire that is used for my surgery is just a 93 rupees stainless steel wire and no invoice or sticker exists for it. It's clearly mentioned in the discharge summary that tbw is the procedure and there is no other implant cost mentioned in the pharmacy bills. I am telling this to the customer care service people from past one week and the response i get is that it is a mandatory document.. It is completely senseless to ask for something which doesn't exist. Mediassist doesn't go through the documents and just sends the unnecessary requirements list.

Iam j siva sankar my claim no 18126963
After 10000 free approval after treatment given doctor total amount applied after my clim denied that details i will sumit

(This is approval messege medi assist india pvt ltd)

{claim no 18126963 for j siva sankar of inr 10000 for policy issued by united india insurance co. Ltd is authorized for cashless on 21 oct 2018 16:43:47 the total authorization as on date is inr 10000 for hospitalization between oct 21, 2018 and oct 22, 2018 at aashritha hospital, hyderabad. Use link https://mbudy.in/uhlsx6c to track your claim details. Sign into medibuddy https://mbudy.in/emdtf7t for complete access to your health benefits.}

This is after teratment total bill applied
After message

{enhancement request of inr 54049 has been denied. However, your cashless claim 18126963 stands authorized for inr 0. Use link https://mbudy.in/uhlsx6c to track your claim and reasons for denial. Download the medibuddy app https://mbudy.in/emdtf7t to know more about your policy. Please do proceed with hospitalization as advised by your medical team.}

Starting mediassit approval not given means doctor treatment not given. When i have money that time i will join hospital

My wife smt. Shibani sen was admitted to mittal hospial for the operation of overian cancer by dr. Mau roy on 11th july 2018. But she had to transfer to mmi narayana hospital on 12h july as she was collapsed after giving anesthesia before doing the operation. Tpa at mittal hospital refused the claim and i had to pay the hospital charges by cash. Then i applied for the reimbursement of hospitalisation at medi assist indore. My claim was rs. 43, 068.00. Medi assist indore sanctioned only rs. 16, 104. Saying that the remaining amount could not be paid as the amount in the policy exhausted. Now my policy no. 191200/48/2018/1475 expired on 23rd july 2018, and the new policy no.191200/48/2019/1440 started from 24th july 2018, so there is no gap in between the two policies. So, i would request you to kindly pay the retaintion amount of rs. 24, 948.00 in this policy no.191200/48/2019/1440 as both the policies are in continuation and oblige. My claim id and claim no. Are as above.

My reimbursement claim i'd 96980223
Insurer name - mohini pillai
Insurer claim i'd - tp[protected]
Claimed amount was rs 64752
Approved amount was rs 35000

Rs 1702 was deducted towards non payable drugs
Rs 28050 is deducted towards excess of defined / aliment limit
Brief reason - as per ppn tarriff package / 10% deduction for non utilisation of cashless/ inclusing 10% sterilisation

This is ridiculous and makes unhappy. How do a common man would know hospital tarriff and deduction on sterilisation.

We dont cheat insurance company however this type of deductions makes the customer dissatisfied. I need my funds to be reimbursed otherwise would file a case on consumer forum.

My phone no. [protected]
Email id - [protected]@gmail.com
Office id - mohini. [protected]@tcs.com

My mother had been treated with a laparoscopy operation for removal of lymph on her liver in jehangir hospital pune and the same was covered through mediassist which was the tpa. There was a claim i had made of rs. 11, 500 which was paid to jehangir for conducting an opinion on the lymph that was removed and was done after my mother had been discharged from the hospital and which was thus not covered under the cashless. So i had raised it under post hospitalization claim which was allowed as per their policy. I had received numerous queries from them relating to the claims for which i had provided all the relevant documents and bills in hardcopy to them. After 3 months of continuous follow ups the company rejected the claim on the grounds that details of the expense are not available. I have written a mail to the company on the same and they are not providing any response on the same.

Respected sir,

I would like bring you in your notice that my claim 17962857, submitted to mediassist has been delayed due the mistake of staff. While scanning they have made wrong entry of cheque details and because of that wrong details it has been delayed.

I visited the mediassist ahmadabad office personally and submitted the new cheque again. But even after 10 days i am not getting update.

I would request you to please look into it and do the needful at the earliest

Claim no[protected]
Policy no[protected]

Thanks,
Atul bhavsar