Medi Assist India — claim reimbursement settlement

Address:500045

Below is the e-mail chain that i have initiated from my end to your team with absolutely no response.
[protected][protected][protected][protected]------
adilla vivek
5:58 PM (8 minutes ago)
to corporateresponse, shivananda.mahadeviah

Hi Team,

Please have the courtesy to at least acknowledge the e-mail that i have been sending.

Thanks,
Vivek Adilla

On Sat, Aug 4, 2018 at 2:54 PM adilla vivek wrote:
Hi,

My name is Vivek, I hold a individual policy numbered [protected]P[protected].

I raised a reimbursement claim numbered 16776850 on 9/4/2018 for Rs 177559 thru the Medi assist office Begumpet, Hyderabad.

Subsequently I was told to submit policy copy and medical reports on 2/5/2018 for which I submitted the documents on 8/5/2018.

I received another mail to submit
Require discharge summaries with investigations pertaining to pulmonary thromboembolism treated 2 yrs prior along with treatment given for COPD.
Require all previous consultation papers.
On 20/6/2018 for which I submitted the documents on 25/6/2018. In this mail sent on 20/6/2018 it was mentioned that the claim will be closed in 10 days if documents are not submitted, but I submitted the documents on 25/6/2018 well before the 10 day deadline.

Then I receive a message on my mobile on 22/6/2018 that the claim has been closed due to non submission of documents just 2 days after the mail was sent from your end.

I enquired with the team in Hyderabad as to how the claim can be closed before the 10 day window expires and they told me that the status is just a temporary and will be reopened as I had submitted the required documents. I was told that it will take 20 days for the claim to be processed, which I took it at face value.

I checked the status of the claim in the first week of July and found that the claim status was still closed, so I visited your Begumpet, Hyderabad office to know what is going on. An associate after going thru the details assured me that the claim will be processed and it will take another 20 days which I unfortunately agreed to.

I checked the status today i.e 4/8/2018 and the status was still closed. I visited your Hyderabad office again and now I am being told to contact the customer care and Bangalore office as this claim is closed. I was told to drop an e-mail to one shivananda mahadeviah to reopen the claim, this is unacceptable. Why should I go around pillar and post to get the claim reopened when the problem is from your end.

Consider this e-mail as a official complaint and take necessary action with regards to the claim.

If the claim cannot be reopened or processed then I would require an official communication in writing as to the reasons for the same, with which I can proceed with other alternative forums for redressal.

Thanks,
Vivek Adilla
[protected]
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