New India Assurance — my claim no.[protected]

Address:

C-157 Kalpana Estate, Kallipashchim, Lucknow

Dear sir,
I have submitted my claim of rs.6721/- against my mediclaim expenses for admission from 19.08.2020 to 24.08.2020 in l. P. S. Institute of cardiology, kanpur.
01. My claim was settled only for rs.3721/-
02. My claim of rs. 3000/- for ambulance charges was declined by raksha tpa quoting reason "rs.3000/- proper pre-numbered receipt not attached of ambulance charges."
As the owner of ambulance have not any these type of receipt at the time of my payment made him at lucknow (My destination point/residence). I have used the ambulance for considering my health condition at that time.
I have to submit that my claim is genuine.
You are kindly requested to please pay me the difference of rs. 3000/-earliest & oblige.
Thanking you,

Yours faithfully

Rajender kumar khatri, (Sr no. 216705)
Asstt. Secretary (Marketing)
Lic of india, nczo, kanpur
Mail id r. [protected]@licindia.com / [protected]@gmail.com