Medi Assist India — claim issue

Address:

110091

Hi my name is Rajit Ram employee ID D0501043 I am working in MTNl I have a claim as my spouse is in hospital max hospital and today is the discharge date, claim no 15841411 Medi Assist send the approval to me final approved amount is INR 65218 and proportionate deduction 47738 Non medical deduction INR- 4002/

Note:- In the max hospital I have taken the general Room as hospital don't have lower than general Ward so why proportionate deduction is applicable for me.

Also most important when I received the pre approval in the letter they haven't mentioned my room limit in approval letter as in the preauth form send by hospital room taken by me is mentionemed so it's Tpa duty to inform me very first time.

Also Medi assist Tpa call center number not contactable ever time after 10 to 15 min on IVR call got disconnected.

Once i got connected with mediassist Tpa call center they are not assisting properly when I asked send the approval letter to my email I'd she said we have already sent the same collect with hospital and she transfer the call to floor supervisor i informed to him about Room which I opted he is saying we can't do any thing.

When I requested to him please send me the policy details where it's mentioned my Room limit is INR 1500/ he is denying me I asked for manager he disconnected my call.

I tried to calling Mediassist but line is so busy not Abe to contact I am not getting any proper Answer.

I need non medical deduction list also

Kindly resolve this issue on high priority.

Otherwise I will send email to IRDA directly it's not a way to dealing with customer.

Rajit Ram
[protected]

Employee ID D0501043
Mediassist I'd [protected]
Claim no 15841411