Medsave Healthcare (Tpa) Limited — * imp claim settlement *

Address:

Mumbai City, Maharashtra

Please be informed that we are very much un-satisfied with the services and reply which is given by your company pertaining to my claim settlement.

As per your records we have submitted our claim file on 27th june 2017, post till 01 month we haven't took any follow - up's as we were informed by our agent that the claim settlement will take around 45 business working days, in the month of july 2017 we had received a letter from med save stating that they would require ct scan supporting report.
During my mother's medical treatment we haven't gone under any ct scan then too we had visited our doctor and he had given a letter stating that it was not required in current medical treatment the same was submitted to the agent post we haven't took any follow-up keeping in mind that the agent is taking care of the same, later in the month of aug 2017 i started taking follow - up with the agent to which he replied that medi-claim company is not pacify with the document which we had produced hence the claim cannot be settled and i had given the helpdesk #[protected] to take further follow - up on my claim.

On 29th aug 2017 i had called on the said helpdesk # and discussed my issue with the executive ms. Priti at around 13:45 hrs ist on which i had clearly informed that the said claim file has been closed as they haven't got proper documentation after discussing she informed me that we need to produce the said report as i was having my earlier claim reports which was submitted to your company hence they have got the report and she informed me that she will re-open the claim file and it will take atleast 15 business working days to process the re-opened claim.

On 13th sept 2017 at 10:45 hrs ist discussed with ms. Priti and inquired on my claim status to which she informed me that as it's a re-open claim file so it will take some additional days to settle but she was unable to provide me the tat and told to call me next following week.

Again on 25th sept 2017 i had called to check on my claim status to which again she informed me that still it will take 01 more week and informed me to call next following week.

Post at 06th nov 2017 i had called so the executive informed me that the claim is under process it will take additional days so when i had asked what is the tat to close the re - open claim so they informed that they don't have any tat but it takes time and asked me to call on 08th nov 2017 as i was aware that will not get positive response hence i didn't called on 08th nov 2017 instead today 13th nov 2017 i had called and as expected i have received the same feedback that the claim is under process and asked me to call in the evening post 17:00 hrs ist.

Mean while i have sent a follow up mail but haven't received any proper reply.