Medi Assist India — regarding my spouse claim which is pending since one and half month

Address:Krishna, Andhra Pradesh
Website:www.consumercomplaints.in

Dear sir/Mam,

Im Sudha.G working in Axis Bank LTD.On[protected] my spouse(husband-dependant of my claim-Naveen Kumar Nomula) has undergone under PRPO treatment due to self Leg Injury .I have submitted all the original bills and documents under pre-hospitalisation which has reached Medi Assist office on 08.01.18 of amount Rs 12805.

But they have wrongly processed my claim as Main Hospitalisation and kept my claim in pending stage.

Details:
My Name:sudha Padmini.G
My spouse Name:Naveen Kumar Nomula(dependant of my claim)-(Patient in the present claim)
My MAID:[protected]

My claim was pending since one and half month.After so many follow-ups, no one from Medi assist has responded to my calls properly and finally Suguna garu(Superiori who looks after Medi claims) has told on 12.02.18 that my claim will be settled under Pre-Hospitalisation by weekend(i.e 17.02.18).

I had a call with the customer care representative(Mithun), he had a word with suguna mam and telling now that it cant be settled under Pre-hospitalization claim.

Pre-hospitalisation claim settlement doesn't relate with main hospitalization claim as my previous claim of pre-hospitalisation(Self claim-of Typhoid) was settled with no hospitalisation documents

DETAILS:
MAID NO:[protected]
NAME: SUDHA PADMINI G
COMPANY: AXIS BANK LTD

And one more info is the Main Hospitalisation claim is settled under other TPA of my spouse.Hence the hospital people were saying that they cannot provide the Hospitalisation documents for two different TPA'S.

Request the Medi-Assist to process the present pending claim under Pre-hospitalisation atleast now.

Regards
Sudha.G
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