National Insurance Company — partial claim settlement of patient name karishma gupta card no.: [protected]e emp. code: 98- medsave | |||||
Dear sir, Greetings of the day. I would seek your help in the following matter: I would like to inform you that i had submitted healthcare expenses claim of my daughter (Karishma gupta) on 8th nov'2017 to your national insurance company office at malad (W) against our policy no.[protected]. The claim included healthcare expenses incurred during jan 17, mar'17 & aug/sept'17 of rs. 1110, rs.910 & rs. 2965/- respectively (Totalling to rs. 4985/-) I have received only rs 2965/- along with final settlement claim from our tpa medsave (Attached for your reference) wherein partial claims of rs 2020/- of jan17 & mar17 have been disallowed on account of 'bills after 15/30 days" I would request you to refer to your attached policy (Pages 1 to 6). As per clause no 5.6.4 of your policy (Pg 5 & 6)," the claim documents of healthcare expenses has to be submitted at least 45 days before the expiry of 4th policy period". The policy does not indicate the following: 1. Documents have to be submitted within 15/30 days as mentioned by your medsave manager mr shetty through attached final settlement. 2. Health check reports cannot be clubbed and submitted at a time. As the healthcare expenses of all the above three periods of submission of my reports meet your above policy, you are humbly request to re-reimburse them at the earliest. Further i should not have received even rs.2965/- as bills were of aug/sept'17 and submitted on 8th nov.'17 which also should have been disallowed on account of 'bills after 15/30 days" I would appreciate you to confirm the total payment by an email. Regards Mukesh gupta M-[protected] Was this information helpful? | |||||
National Insurance Company customer support has been notified about the posted complaint. | |||||
Add a Comment | |||||
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
Post your Comment