Medi Assist India — Experience shared as a stakeholder

Address:

Kolkata

Experience shared as a stakeholder

Respected sir/madam,
Recently i come into interaction with medi assist insurance tpa pvt ltd. For my cashless hospitalization process.
I want to bring my poor experience in the notice of the directors, medi assist, driven by my strong belief that it may improve the tpa service in future.
1. Poor access to medi assist person through communication channels available to insured customers. -
(A) helpline no. [protected] appearing in medi assist claim related letter is found switched off since tried to contact on 10.08.2020
(B) my claim id[protected] is showing as 'pending claim adjudication' in medi buddy app based mobile portal with last action in history as 'cashless repudiated' since 5.08.2020. Whereas message through sms from [protected] is nothing as claim number invalid.
(C) status of ticket no. [protected] booked on 8.08.2020 in medi buddy system is showing open. How it is getting priority is unknown.
(D) no information is properly obtained through free telephonic communication numbers in case it is a bit different from faq.
2. E-cards issued through medi assist portal is very casual. Without taking date of birth of policy holder/ beneficiaries from insurer with authentic verification, used in e cards which may cause difficulty during ecashless medical treatment in due time.
3. No specific time target for grievance redressal/ closing differences between insured and tpa about deduction made in cashless hospitalization process.
4. No clear outline to insured people to know about initial approval amount against estimated bill value of ppn hospital.

Hope the situation will be improved after your acknowledgement of the experience an insured individual on cashless hospitalization process with medi assist.
Thus medi assist will definitely become a friend in need, a friend indeed to us.