Mediassist India — negligence by tpa-mediassist delhi office.

Address:

Vasundhra Enclave,Delhi-96

Sir/mm,
My subject medi
Insurnce policy no : 272900/48/2019/14493 was discontinued from 29/10/2019 because o[censored]tter despair with tpa's working on number of occasions, the last being on 10/10/2019 when i was rushed 1st to dsnss, delhi & then to max ppganj with nostrils and mouth bleeding profusely. The tpa rejected cashless admission & my son had to rush to atm at 12 pm to arrange money despite me paying a hefty premium because of reasons not told to me, it may be my crossing some age landmark inlife.
A week after discharge i submitted my mediclaim form together with xerox of d. S, pxs, bills around 20/10/2019. The claim was for rs 33989/ only.
When tpa did not get back to me till march, 2020, i wrote to mr deepak mittal d. M at oicl, who sent an em to mr suresh gupta of legal, & vig wing of the tpa who accepted that my cashless request was rejected but insured - me did not file any claim and he may raise it now. This being corona period he advised me to send all original papers at his office where staff will receive it. I made a file & couriered it on 20/5/2020. On 8/7/2020 when i enquired the status he replied through email that my claim papers file is not traceable. When i mailed him copy of the courier docket, he replied that since march 2020 he is working from home only, he may have missed it. So that is how things are at this office. Kindly treat it as my complaint against this office and clear my bills of treatment on the basis of photo copies which are with mr suresh gupta. I want my payment of medi expenses of rs 33989/with no further delay. I am enclosing image of courier slip as proof of me having couriered documents.
P. S : most appaling factor is mr gupta is not reachable on phone.
. Bir bahadar malhotra.