Address: | Ahmedabad, Gujarat, 382415 |
Dear sir / madam,
I am grand son of parvatiben gajera and my policy number is 251100/46/17/[protected] and my claim number is HI-NIC[protected].00) & claim number HI-NIC[protected].I hearty request to recheck my claim file because i am not satisfied with your decision and also I show the policy terms & conditions. I mark it only 20% co payment is applicable to cut. also i attachment of doctor case complication note
(1) {for claim number is HI-NIC[protected].00) total hospital bill is 304892 at 20% co-payment is 60978 + your total approval is 179332 then total amount 240310 and our pending amount is 64582.}
(2) {for claim number HI-NIC[protected] total hospital bill amount is 235419 at 20% co-payment is 47083 + your total approval is (60, 000+26327 = 86327) then total amount 133410 and our pending amount is 102009.}
So i requested to you please reconsider this case.
I am waiting for your valuable answer as soon as possible.
Thanks for your kind co-operation
Yours faithfully
bhumil gajera
mo. no. [protected]
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