National Insurance Company — complaint for non approval of mediclaim cashless facility against the policy no[protected]

Address:

Mumbai City, Maharashtra, 400067

Dear sir,

Kindly note my father mr. Kamlesh meshram having the policy no[protected] which provide cashless facility at time of hospitalization. But your heritage health tpa pvt ltd is asking for the bank passbook copy as they want to verify as the premium for the same policy is paid or not. As per the agreement between customer and insurance company as receipt no[protected] has been issued only after the full payment of premium via cheque which was honour from your side on 9-1-2017 post all the formality was completed then only your officer's issued the receipt no[protected] to my father. Then was such irrelevant and unethical query are been raised from by your tpa, as you're aware that receipt itself is a legal document that we have made full payment of premium and issued to us only after satisfy the full norms and conditions by your officers to us. As my father denied cashless facility as he is admitted to (Oscar hopsital in charkop kandivali west). I want to seek legal redressal to my grievance which note. I request you to treat this e-mail as notice for initiating legal proceeding against you and your tpa.

I am enclosing document issued from your side as follows.
1) collection receipt issued by your company after the full payment of premium.
2) policy certificate issued by your company after fulfillment of all norms between client and your company.
3) premium certificate issued by your company after full payment of premium.

Regards,