| Address: | 411038 | | Website: | www.vipulmedcorp.com |
Respected sir,
Sub : reimbursement of bills under hospitalisation scheme
Claim file no. 18rb03nat0273 with tpa vipul mediclaim pvt. Ltd
Policy no. 271005/48/16/[protected]
Insurer – ravindra chunilal kalal
1. I request reference to my claim with your tpa with references as captioned.in this connection i wish to submit as under:
2. Sir, inspite of lapse of two months i have not been sanctioned / paid the amount eligible under the above policy.in between a few queries being raised by them were promptly addressed and replied by me. Shockingly after having complied with all their queries they have, at this late stage told me that i nor the hospital have given prior intimation to them according to the new rules. No intimation in this regard is either received from them or from your office, by me. For your information a couple of claims in the recent past have also been sanctioned and paid by them without this requirement.
3. Upon my countering with them as regards the intimation to be given to me in the event of any rule changes they said that they will have to refer to the insurance company for their clearance.
4. Sir, i am suffering from a terrible illness because of which i am also mentally depressed for which i am taking a separate treatment from a psychiatrist. The treatment meted out to me by the tpa for reasons best known to them always has puts me in a dilemma. My present mental state makes it a very torturous one i am always asked for previous policies without any reason and when countered they delay up the matter before sanctioning in the normal course.
5. I shall be grateful if you make enquiries with the tpa for such unfair and troublesome practices followed by them for unknown reasons.
6. Soliciating your express attention to redress my grievance.
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