[Resolved] National Insurance Company — Mediclaim payment not received | |||||
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. * Was this information helpful? | |||||
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. | |||||
1 Comment | |||||
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.
Reply
17%
Complaints
940
Pending
0
Resolved
164
+91 33 2283 1706
+91 33 2283 1705
3, Middleton Street, Prafulla Chandra Sen Sarani, Kolkata, West Bengal, India - 700071