Oriental Insurance Company — Mediclaim rejected by company

Address:

Vadodara, Gujarat

Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Mon, 07 Sep 2015 12:37:14 +0530 To: "Oriental 5 "[protected]@orientalinsurance.co.in Cc: [protected]@irda.gov.in, "Manoj Aslot"mu.[protected]@orientalinsurance.co.in, "Oriental 1"[protected]@orientalinsurance.co.in, "Oriental 2"[protected]@orientalinsurance.co.in, "Oriental 3"[protected]@orientalinsurance.co.in, "Oriental 4"[protected]@orientalinsurance.co.in, "customercare"[protected]@mdindia.com, "baroda"[protected]@mdindia.com, "contact"[protected]@mdindia.com, [protected]@mdindia.com Subject: Re: Meaningless 10 years relationship with Oriental insurance : why not giving reply??? Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Fri, 04 Sep 2015 16:57:18 +0530 To: [protected]@irda.gov.in Cc: "Manoj Aslot"mu.[protected]@orientalinsurance.co.in, "Oriental 1"[protected]@orientalinsurance.co.in, "Oriental 2"[protected]@orientalinsurance.co.in, "Oriental 3"[protected]@orientalinsurance.co.in, "Oriental 4"[protected]@orientalinsurance.co.in, "customercare"[protected]@mdindia.com, "baroda"[protected]@mdindia.com, "contact"[protected]@mdindia.com, [protected]@mdindia.com Subject: Re: why not giving reply??? Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Dear sir, U all also know that I m right though u r not giving me my claim amount.. All these conversations will be printed by me and I have to go to legal case procedures.. I m also not interested to do such legal procedures and consumer court.. But u r forcing me by not giving reply.. Sir, not a single ENT hospital in gujarat has more than 15 BEDS... SO what is the fault of mine?? Secondly, I called to ur MD INDIA branch of baroda and he agreed that no ENT specialist has 15 BEDS.. SO he advised me to admit and they will clear claim amount within 20 days.. But it's already 65 days passed and no answer from your side.. I m asking about expenses towards my father ENT operation and put the claim file within ur time line with ur all necessary requirements of claim form... Though I m facing these difficulties.. I have paid all my last 10 years premiums before the due date... SO IS THIS the services to customers?? That's why people not taking mediclaim from Oriental insurance... All agents are giving me advise that do the mediclaim from Bajaj or future Generali.. They r very fast in customer satisfaction and even claim payment... But u r not giving me money for my father ENT operation... As I have no choice of ENT specialist with 15 BEDS hospital... I can understand your concern of 15 BEDS in case of orthopedic, gynecology, general surgery, MD medicine, radiology... That I will completely follow of 15beds rule in future... But what can I do for ENT specialist operation?? Because in gujarat, it's not possible at present.. SO please send me the claim amount with interest of last 65 days ASAP. At least reply... Regards, Dr BUTESH Sakaria Mobile no - [protected] Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Fri, 04 Sep 2015 16:55:00 +0530 To: "Manoj Aslot "mu.[protected]@orientalinsurance.co.in, "Oriental 1 "[protected]@orientalinsurance.co.in, "Oriental 2 "[protected]@orientalinsurance.co.in, "Oriental 3 "[protected]@orientalinsurance.co.in, "Oriental 4 "[protected]@orientalinsurance.co.in, "customercare "[protected]@mdindia.com, "baroda "[protected]@mdindia.com, "contact "[protected]@mdindia.com, [protected]@irda.gov.in, [protected]@mdindia.com Subject: Fw: why not giving reply??? Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: Suresh Chandra [protected]@orientalinsurance.co.in Sent:Fri, 04 Sep 2015 16:32:33 +0530 To: [protected]@orientalinsurance.co.in Cc: [protected]@orientalinsurance.co.in, DALIP KUMAR ARORA [protected]@orientalinsurance.co.in, [protected]@rediffmail.com Subject: Fw: why not giving reply??? Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Dear Sir/ Madam, Kindly look into the matter as per the trail mail and arrange to get the complaint resolved expeditiously. Thanks & Regards, SURESH CHANDRA Direct No.[protected] Customer Service Department, The Oriental Insurance Co. LTD HEAD OFFICE, NEW DELHI CIN-U66010DL1947GOI007158 From: butesh sakaria Sent: Friday, September 04, 2015 11:11 AM To: Oriental 2 Cc: Oriental ; Manoj Aslot ; Oriental 1 ; Oriental 3 ; contact ; baroda ; customercare ; [protected]@mdindia.com ; [protected]@irda.gov.in ; [protected]@orientalinsurance.co.in Subject: Re: why not giving reply??? Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Fri, 04 Sep 2015 11:07:42 +0530 To: "Oriental "[protected]@orientalinsurance.co.in Cc: "Manoj Aslot"mu.[protected]@orientalinsurance.co.in, "Oriental 1"[protected]@orientalinsurance.co.in, "Oriental 2"[protected]@orientalinsurance.co.in, "Oriental 3"[protected]@orientalinsurance.co.in, "contact"[protected]@mdindia.com, "baroda"[protected]@mdindia.com, "customercare"[protected]@mdindia.com, [protected]@mdindia.com, [protected]@irda.gov.in, [protected]@orientalinsurance.co.in Subject: Re: Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Fri, 04 Sep 2015 11:05:31 +0530 To: "butesh sakaria "[protected]@rediffmail.com Cc: "Manoj Aslot"mu.[protected]@orientalinsurance.co.in, "Oriental"[protected]@orientalinsurance.co.in, "Oriental 1"[protected]@orientalinsurance.co.in, "Oriental 2"[protected]@orientalinsurance.co.in, "Oriental 3"[protected]@orientalinsurance.co.in, "contact"[protected]@mdindia.com, "baroda"[protected]@mdindia.com, "customercare"[protected]@mdindia.com, [protected]@mdindia.com, [protected]@irda.gov.in, [protected]@orientalinsurance.co.in Subject: Re: Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Dear sir, Please reply at least... Just give wrong reassurance as given since last 66 days from ur customer care... Which is not working for customer queries reply center but it's just to harass customers .. I m asking u in a very light manner for solving the issue.. I have paid premium since last 10 years and now u r telling that claim not payable.. This is not acceptable from me.. Reply or call me on [protected]... Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Fri, 04 Sep 2015 10:58:42 +0530 To: "butesh sakaria" [protected]@rediffmail.com Cc: "Manoj Aslot"mu.[protected]@orientalinsurance.co.in, "Oriental"[protected]@orientalinsurance.co.in, "Oriental 1"[protected]@orientalinsurance.co.in, "Oriental 2"[protected]@orientalinsurance.co.in, "Oriental 3"[protected]@orientalinsurance.co.in, "contact"[protected]@mdindia.com, "baroda"[protected]@mdindia.com, "customercare"[protected]@mdindia.com, [protected]@mdindia.com, [protected]@irda.gov.in, [protected]@orientalinsurance.co.in Subject: Re: Already 65 days passed - - Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Thu, 03 Sep 2015 11:16:45 +0530 To: "Manoj Aslot "mu.[protected]@orientalinsurance.co.in, "Oriental "[protected]@orientalinsurance.co.in, "Oriental 1 "[protected]@orientalinsurance.co.in, "Oriental 2 "[protected]@orientalinsurance.co.in, "Oriental 3 "[protected]@orientalinsurance.co.in, "contact "[protected]@mdindia.com, "baroda "[protected]@mdindia.com, "customercare "[protected]@mdindia.com, [protected]@mdindia.com, [protected]@irda.gov.in, [protected]@orientalinsurance.co.in Subject: Fw: Reply at least... Reminder-126... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Wed, 02 Sep 2015 17:36:50 +0530 To: "Manoj Aslot "mu.[protected]@orientalinsurance.co.in, [protected]@orientalinsurance.co.in, [protected]@orientalinsurance.co.in, [protected]@orientalinsurance.co.in, "contact "[protected]@mdindia.com, "Oriental "[protected]@orientalinsurance.co.in, "customercare "[protected]@mdindia.com, "baroda "[protected]@mdindia.com, [protected]@mdindia.com, [protected]@irda.gov.in, [protected]@orientalinsurance.co.in Subject: Fw: Reminder-123... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Wed, 02 Sep 2015 17:26:02 +0530 To: "Manoj Aslot "mu.[protected]@orientalinsurance.co.in Subject: Fw: Reminder-123... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Wed, 02 Sep 2015 12:28:38 +0530 To: [protected]@orientalinsurance.co.in, hitesh.[protected]@orientalinsurance.co.in, "Oriental "[protected]@orientalinsurance.co.in, "contact "[protected]@mdindia.com, "baroda "[protected]@mdindia.com, "customercare "[protected]@mdindia.com, [protected]@mdindia.com, tech.[protected]@irdaonline.org Subject: Fw: Reminder-122... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Tue, 01 Sep 2015 18:19:01 +0530 To: hitesh.[protected]@orientalinsurance.co.in, "contact "[protected]@mdindia.com, "customercare "[protected]@mdindia.com, "baroda "[protected]@mdindia.com, [protected]@mdindia.com Subject: Fw: Reminder-114... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Dear Sir, What is the progress? Already 63 days passed of lodging the claim.. Still I do not get any claim amount... Reply me.. SO ASAP let me know your decision.. Because after 62 days, u replied that claim will not be payable because of less than 15 bedded ENT hospital... Kindly give me the list of 15 bedded ENT hospital in all over gujarat.. Because I have already asked to ur MD INDIA BARODA OFFICE before admission to ENT HOSPITAL With less than 15 BEDS... Because he also know that all ENT specialist has less than 15 bedded hospital... Reply me ur final decision.. SO I will print out all our conversations and put the legal claim including my mental harassment plus interest charge of last 63 days.. Because it's already 63 days passed and u r forcing to me for lodging the legal case procedures in consumer court of karelibaug, baroda... SO it's my humble request to reply me in positive way on my number - [protected]...this is not the way of behaving badly with good customers.. SO kindly give me my claim amount with interest to my savings account asap on the basis of good customer relationship with the company.. Regards, DR BUTESH SAKARIA [protected] Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Tue, 01 Sep 2015 18:15:22 +0530 To: hitesh.[protected]@orientalinsurance.co.in, "contact "[protected]@mdindia.com, "customercare "[protected]@mdindia.com, "baroda "[protected]@mdindia.com, [protected]@mdindia.com Subject: Fw: Reminder-54... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Sent from RediffmailNG on Android From: "butesh sakaria"[protected]@rediffmail.com Sent:Tue, 01 Sep 2015 17:44:54 +0530 To: hitesh.[protected]@orientalinsurance.co.in, "contact "[protected]@mdindia.com, "customercare "[protected]@mdindia.com, "baroda "[protected]@mdindia.com, [protected]@mdindia.com Subject: Fw: Reminder-62... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Dear sir, Claim was rejected by MD INDIA due to just 15 bedded hospital issue... Not a single ENT hospital run with 15 BEDS..SO IS THIS MY FAULT TO ADMIT? I have to Lodge the legal case against u for this issue..this is totally fraud with me... I called to ur baroda MD INDIA office for admission to ENT hospital with less than 15 BEDS and he agreed that no ENT hospital available in all over gujarat.. SO he has told me to admit in ENT hospital with less than 15 BEDS.. He told me that claim will b paid within 15 days... SO what should we do for such ENT operation?? So it's not my fault by anyway... I will prove it in consumer court.. This is my humble request to u that kindly look into the matter.. Already 62 days passed and now u r telling that claim is not payable.. This reason u can also give to me within 15 days.. U cannot treat customers like this.. Kindly look into the matter and please credit me my claim amount..next time I will do portability to any other good and helpful insurance company... But surely u r giving me force for lodging case against u... Kindly do the needful.. I have also no time for legal case procedures with good lawyers.. Please reply me with some positive response.. Kindly give me my claim amount ASAP.. Regards, BUTESH SAKARIA MOBILE NO - [protected] Sent from RediffmailNG on Android From: "MDI - Customer Care / MDIndia / Head Office-Pune" [protected]@mdindia.com Sent:Tue, 01 Sep 2015 10:00:01 +0530 To: [protected]@rediffmail.com Cc: "'grievance '" [protected]@mdindia.com, "'baroda '" [protected]@mdindia.com Subject: RE: Reminder-62... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Good Morning Sir, CCN:- MDI2206401 We regret for the inconvenience caused. The claim of patient Ramjibhai lodged under claim number MDI2206401 has been sent to our technical team for an opinion and will take a minimum of 15 days to revert. We request you to allow us time to resolve this issue and revert. Kindly feel free to revert incase of any query. Thanks & Regards, Purva.Mumbriskar, Customer Support Team, MDIndia Healthcare Services (TPA) Pvt. Ltd. S. No. 46/1, E-space, A-2 Building, 3rd floor, Pune Nagar Road, Vadgaonsheri, Pune 411014. Email Address:[protected]@mdindia.com UAN No:[protected],[protected] Toll Free:[protected],[protected] Visit us @ www.mdindiaonline.com “18th Asia Insurance Industry Awards 2014: Service Provider of the Year” “The Indian Insurance Awards: Best TPA Award 2013 & 2014” Disclaimer: The content of this message and any attachments with it is intended only for the named recipients. Information contained in this message may be subject to legal, professional or other privilege or may otherwise be protected by other legal rules. If you are not the intended recipient you are not authorized to disclose, copy, distribute or retain this message or any part of it .If you have received this message in error, please notify the sender and destroy the original message. Any opinion expressed in this communication may be personal to the author and may not necessarily reflect the opinion of MDIndia Healthcare Services (TPA) Pvt. Ltd. While we scan all e-mails, we cannot guarantee that any e-mail is virus-free and accept liability for damages caused by any virus transmitted by this email From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com] Sent: 30/August/2015 11:45 AM To: grievance ; customercare ; baroda Subject: Reminder-62... Claim intimation policy no. 171300/48/2016/148...MDI2206401 Dear Sir, i m regularly checking claim status of below mentioned claim intimation...though 60 days passed of claim file submission to baroda MD INDIA office, i have not got claim amount.. at the time of premium payment, the agent has told that customer will get claim settled amount within 15 days of claim file submission, but it is already 60 days passed..so what is my fault? i called to customer care regarding this 7 times but the customer executive Mr. Kristoffer was talking very rudely to me..so is this the way to deal with good customers??i want to go to customer satisfaction center at gandhinagar court regarding this if this claim was not paid to me ASAP..this is the extreme level for me also.. because i have given 60 days to MD INDIA for this..but i did not get claim amount.. i called to ur baroda branch for this ENT operation to be done at private hospital..the person told that i will get full amount within 20 days...but i did not get anything.. so call me ASAP for claim amount credit to my account as i mentioned in claim form...i m asking for expenses which i used for my father operation...i have regularly paid the premium amount each year since last 10 years.. Regards, Butesh Sakaria [protected] Regards, Dr Butesh Sakaria [protected] From: "butesh sakaria" Sent: Sat, 04 Jul 2015 11:20:15 To: "customercare " Subject: Claim intimation policy no. 171300/48/2016/148 Claim Intimation The Oriental Insurance Company Limited Policy No :-171300/48/2016/148 Policy Period :- 06/04/2015 to 05/04/2016 Mob. No. [protected] Patient Name :-RAMJIBHAI K SAKARIA Sex : - Male Email id :[protected]@rediffmail.com Diagnosis:- Mastoidectomy Admission Date :- 03/07/2015 Treating Doctor Name :- Dr. HEMANT SHAH (M.S.-ENT) Hospitsl name & address :- PARTH HOSPITAL, A-4, MAHESHWARI SOCIETY, NEAR PRATHAM COMPLEX, ISKON TEMPLE ROAD, OFF GOTRI ROAD, VADODARA. Please Send claim form. And give me confirmation reply of receipt of claim intimation. . Regards, BUTESH R SAKARIA Mob no.[protected] Sent from RediffmailNG on Android Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More 18th Asia Insurance Industry Awards 2014: Service Provider of the Year The Indian Insurance Awards: Best TPA Award 2013 & 2014 Disclaimer: The content of this message and any attachments with it is intended only for the named recipients. Information contained in this message may be subject to legal, professional or other privilege or may otherwise be protected by other legal rules. If you are not the intended recipient you are not authorized to disclose, copy, distribute or retain this message or any part of it .If you have received this message in error, please notify the sender and destroy the original message. Any opinion expressed in this communication may be personal to the author and may not necessarily reflect the opinion of MDIndia Healthcare Services (TPA) Pvt. Ltd. While we scan all e-mails, we cannot guarantee that any e-mail is virus-free and accept liability for damages caused by any virus transmitted by this email Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More Get your own FREE website, FREE domain & FREE mobile app with Company email. Know More