Oriental Insurance Company — Genuine claim unfairly disallowed

Address:

Mumbai City, Maharashtra, 400016

Extract of the email sent to oicl/tpa by me


From :[protected]@gmail.com


Mar 24 (13 days ago)

To : manojrewale, abhi, dr.Nitin, grivances, csd, shirishk, payyappannair


Dear all,

Ref: claim i.D. No 1014065

This has reference to your reimbursement settlement letter dated 23rd march, 2016 in regard to my above referred claim. In the said letter it is intimated that consultation bill of rs. 1400/- has been disallowed for the reason " xerox bill & bill not in proper format" .L have clarified in my claim dated 11th march, 2016 that i have filed only original documents.

Your query letter dated 15th march, 2016 in regard to the claim, makes no mention of the aforesaid bill of rs.1400/-. However the query letter raised a query about another post operation consultation bill for 900/- dated 3rd march, 2016, alleging that i submitted xerox copy of the bill and was advised to submit original bill. In my reply dated 20th march, 2016 to the query, i reiterated that i submitted only original documents and the query does not stand. This bill of rs, 900/-has been paid.

It is painful to note that after having confirmed repeatedly that i have submitted only original documents, it is alleged that consultation bill for rs 1400/- dated 12th february 2016 for consultation with dr nayak is a xerox copy. Further the bill is said to be not in proper format. You will appreciate that the bill formats are not decided by patients. Treatment was taken in a professionally managed hinduja hospital and they have their standard bill formats.

I once again reiterate that i filed only original documents in my aforesaid claim. Therefore disallowing a genuine claim by false allegations is totally unfair an unjustified.

In view of what is stated above, i am sure wiser counsel would prevail and my aforesaid genuine and justified bill for rs. 1400/- would be paid soon.

Regards,
P. K. Samant
Mumbai
[protected]

Uhid no : 0ic.[protected]
Policy no.: 111700/48/2016/502


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