The Oriental Insurance Company Limited — appeal for claim denied by healthindia insurance tpa services pvt. ltd.

Address:	Oriental House, A-25/27, Asaf Ali Road,, New Delhi, Delhi, 110002
Website:	orientalinsurance.org.in

Hello Sir/Madam,

HEALTHINDIA INSURANCE TPA SERVICES PVT. LTD. has denied Rs 15, 970/- for the claim which I am claiming with proofs. Please find the policy no, claim no and TPA information as below.

Policy & Claim Details :
[protected]
Policy No : 141500/48/2019/10468
Claim Number : HI-OIC[protected]
Insurance Company : The Oriental Insurance Company Limited
Policy Number : 141500/48/2019/10468
Corporate/Retail : INDIVIDUAL
Type of Claim : Reimbursement
Patient Name : Pankajkumar M Shah
Hospital Name : Apex Heart Institute
Hospital City : Ahmedabad
Date of Admission - Discharge : 08/06/2019-10/06/2019
Ailment : CORONARY ARTERY DISEASE, SINGLE VESSEL DISEASE, LEFT BUNDLE BRANCH BLOCK, BRONCHIAL ASTHMA, DILATED CARDIOMYOPATHY
Claim Amount Rs.76493/-

TPA Details :
[protected]
TPA ID : YA[protected]
TPA Name : M/S HEALTHINDIA INSURANCE TPA SERVICES PVT. LTD.
Address : NeelKanth Corporate Park, Gala No : 406 to 412 4th Floor, Kirol Road / Village, VidyaVihar Society VidyaVihar West
MUMBAI 400086

- Policy URL : https://orientalinsurance.org.in/documents/10182/4798831/HFF-2015+Policy.pdf/43e...⇄
- I am attaching images of mail thread in which Healthindia Insurance TPA Service has denied to give my claim amount which is valid.
- I am also attaching policy details which is clearly mentioning that I am supposed to get money which I am claiming.
- Also attaching received stamp receipt document for lab charges of Rs. 2100/- which was not submitted before and after I have submitted and Oriental Company Ahmedabad office on 26-Jul-2019

I will be waiting for the positive response from The Oriental Insurance Company Limited and I am also demanding the interest on the amount which is not given by the company of Amt Rs 15, 970/-

Thanks,
Sunny Shah