Medi Assist India — settlement of claims of domiciliary treatment under iba scheme

Address:	380015
Website:	www.mediassistindia.com

From:[protected]
Rajan h. Oza
Vijaya bank
Employee code 8083

Sir,

Reg: delay in crediting approved claims to my bank account. – nefts not initiated after approval of claim-tpa id no. – ma – id [protected] rajan h. Oza and ma-id [protected] of kalpana oza
—
In all i have sent 9 claims for the period from the month of march, 2017 to july, 2017, however only in one case claim amount is reimbursed to my account.

With reference to the following claim numbers, i am finding remarks in your web site/mobile app. That claims have been paid to me, however, there is no credit entry in my account pertaining to these claims.

Sl. Claim no. Claim paid to me as per information in tpa web site date of credit to my bank
Account
No. Rs.
[protected]=00 not credited as yet
[protected]=00 not credited as yet
[protected]=00 not credited as yet

Apart from the above three claims, 5 more claims are pending for reimbursement, 3 of them are transferred from pending claim files of erstwhile tpa vidal health pvt. Ltd. And remaining two claims were submitted just yesterday.

In all, 8 out of 9 claims submitted by me so far are pending for settlement and reimbursement.

I request you to kindly look into the matter and expedite the settlement and reimbursement of pending claims.

Also please let me know when above mentioned 3 claims are shown as paid in your portal, why the settled amount is still lying with you and not paid to the credit o my bank account.

I have also observed that so far an amount of rs. 1232/= only is credited to my account towards reimbursement of only one claim, however, my policy sum insured is reduced from rs. 400000/= to rs. 394021/- i. E. Reduction of rs. 5979/=, without giving credit of remaining rs. 4747/= plus other pending claims.

I fail to understand when you have so far paid me only rs. 1232/= to the credit of my bank account, how the sum insured is reduced by rs. 5979/= before giving credit to my account for remaining sum?

Please expedite sending neft for those claims which are appearing as paid in your portal as well a in your mobile application, but you have not credited this so called paid amount to my bank account.

With thankful regards

Rajan h. Oza
Employee code 8083 of vijaya bank