[Resolved]  National Insurance Company — Mediclaim payment not received

Address:Mumbai City, Maharashtra, 400016
Website:nationalinsuranceindia.nic.co.in

Name of insurance co : national insurance company ltd.
Phs id : 22657954
U/w office name : mumbai direct agents branch x
Name of beneficiary : gita prashant pandhare
Policy number : 240401/50/16/10000060
Name of proposer/employee : prashant narayan pandhare
Group name : associates of rediff.com india ltd
Policy period : 01/04/2016 to 31/03/2017
Employee number : - gender : female
Address : 1st floor, mahalaxmi engg estate, l. J. Road no. 1, mahim (W), mumbai - 400016 relation : wife

Claim registration
Name of provider : devpushp meternity & laproscopic hospital processing branch : 022
Insurance co claim no :
Date of admission / probable date of admission : 31/03/2017
Fir date : 20/04/2017
Date of discharge/probable date of discharge : 03/04/2017
Al request date : -
Fir number : 3490661
Al/denial date : -
Fir extention :
Al amount: 0
Partial payment seq: 0
Additional al amount: 0
Date of file received : 19/04/2017
Deficiencies : -

Claim processing
Bill received date : 19/04/2017
Amount cleared : 39454
Provider bill amount : 51123
Amount cleared beneficiary : 39454
Pre/post provider bill amount : 819
Amount cleared provider : 0
Total amount claimed : 51942
Discharge voucher sent date : 24/04/2017
Processing status : approval received and awaiting payment details from insurer claim processed date : 24/04/2017
Discharge voucher received date: 24/04/2017
Not payable expenses : 12488
Service tax : 0 tds amount :
Deduction reasons :, rs.413/- tegaderm pad,, pre post limitations of rs. 675 from pre post hosptalisation, rs.9863/- co-payment as per policy t & c., rs.144/- sterillium, rs.480/- underpad, rs.39/- feeding tube, rs.280/- gloves, rs.129/- betadine, rs.110/- urine bag, rs.355/- mop,
[ click here to view discharge voucher ]
* note : claim has been approved from the insurance company and payment will be released approximately in 10 working days.in case you have received the payment, please ignore this. *
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Jun 12, 2017
Complaint marked as Resolved 
they have settle the amount next 48 hrs
National Insurance Company customer support has been notified about the posted complaint.
Complaint comments 

Comments

I have mediclaim policy with National India Insurance company limited .My 2 mediclaims were approved successfully for the same hospital however from the time Health India TPA has tied up with the company they are not willing to approve claim no HI-NIC[protected].On policy terms treatment is approved they don't check that neither past records.

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    National Insurance Company Address
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