Raksha Tpa Pvt Ltd — mediclaim policy

Address:

400080

Sub: complaint against raksha tpa pvt. Ltd.
Ref: policy no: [protected]p[protected]
Member id: uic[protected]
Claim ref no.: [protected] (United india insurance co. Ltd.)

Greetings for the day,
My self mr. Mayur m. Darbar holding a family mediclaim insurance policy with united india insurance co. Ltd. Since 29/09/2000 to my 1st policy no.: 020100/48/037/010818/2000.

I was admitted to aditi hospital on 29/06/2017 at 6.35pm. The very same day at 7.30pm i informed raksha tpa pvt. Ltd. For cashless claim. Next day i. E. 30/06/2017 raksha tpa pvt. Ltd. Initially approved a claim amount of rs.18000/- to aditi hospital and told them to submit all the bills. But till 8.00pm they did not gave any confirmation to the hospital about the same even after submitting all the bills. Hospital advised me to pay my bill or i will be needing to stay for a night till raksha tpa pvt. Ltd. Clears the bills. So i cleared all the bills and after discharge with all the bills and with dr. Certificate i submitted the claim on 10/07/2017.

After 50 days of my claim submission they have raised a query regarding the document submission. Documents were already been given at the time of claim and even the hospital had mailed them during the cashless claim.

Please look into the matter and do the needful.