Medi Assist India — Claim Settlement Related

I Claim for My Ankle fracture injury for medical aid of rupees 28642/- with all bills and doctor treatment report to New India Assurance Co ltd but compney has paid me only 20539/ Details is below ..kindly look into the matter and help claim to full amount . here is the all bills attached within.

Dinesh Kumar,
PNB Metlife India Insurance Company Limited
Sohna Road, Gurgaon, , Gurgaon-

Dear Member,

Your claim bearing No 24045000 against policy issued by The New India Assurance Co. Ltd has been processed for Rs 20539 against the Amount Claimed for Rs 28642 towards Medical Expenses incurred for treatment o[censored]nspecified fracture of right lower leg, sequela at Healing hospital And Institute Of Paramedical Sciences, Chandigarh for the period from 31 Dec 2020 to 01 Jan 2021. The details of the claim are as follows:

Patient Details

Patient Name Dinesh Kumar
Policy Holder PNB Metlife India Insurance Company Limited
Primary Beneficiary Dinesh Kumar
Medi Assist ID [protected]
Policy No. [protected]
Relationship with Primary Beneficiary Self
Employee ID 3404687
Procedure / Treatment Planned Conservative Treatment
Insurer Claim No TP[protected]
Insurer Member ID MEMBER9545

Summary of Approval

Processed Amount (INR) 20539
Mode of Settlement NEFT
Processed Date 08 Mar 2021
Account Holder Name Dinesh kumar
Bank Name PUNJAB NATIONAL BANK
Account Number 33***********744

Category-Wise Breakup

Charge Type Bill Amount (INR) Payable Amount (INR) Non Pay Amount (INR) Reason for
Non-Payment
Pharmacy & Medicine Charges 14842 14842 0, , , , , , , ,
Consultant Charges 13000 7179 5821, , walker, betadine bandage gloves cotton roll spirit,
Investigation & Lab Charges 800 800 0
Total 28642 22821 5821

(LESS)Hospital Discount 0
(LESS)Copay 2282
Net amount recommended for payment 20539

You will receive the payment advice once the claim is settled by the The New India Assurance Co. Ltd.

We assure you the best of our services, always.

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Warm Regards,
Medi Assist Insurance TPA Pvt. Ltd
(Formerly known as Medi Assist India TPA Private Limited)
CIN: U85199KA1999PTC025676. Regd Off: Tower "D", 4th floor, IBC Knowledge Park, 4/1, Bannerghatta Road, Bangalore - 560 029.
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