United Insurance And Raksha Tpa — Policy No.[protected] Insured: M/S. Jubliant Food Works, Complainant: Vinita Sonal.

Address:Faridabad, Haryana

reimbursement of mediclaim is becoming tedious job. we do take medi-claim to ease and make our life sorted but this is becoming really complicated process. Despite repeated requests on e-mail and in person to the tpa that we will not be able to submit death summary as if now(the reason for this has been already communicated to them) and my case already been closed by TPA.other document is already submitted to TPA. we have only been asked for more and more documents to clarify the illness and claim. i have been running from pillar to pillar but misguided by everyone, insurer say that TPA will do and TPA say insurer will do.I really don't know which door to knock and whom to consult . I am getting mentally harassment by this process as my condition is itself is not favorable as i am burn patient not fully recovered and i lost my father in due course. brief:- my case has all ready been authenticated by TPA from hospital itself. Document submitted are:- o All original investigation Report o All receipt worth rs 8.65 lakh approx and my claim is of 6 lakh.(include corporate bonus) computer generated bill with receipt detail. o all the medicine detail which was provided to my father during hospitalization. Affidavit o Photocopy of death certificate issued by udyaan hospital with death of reason mentioned on that. o photocopy of death certificate issued by municipal corporation Patna, Bihar. o Application in writing explaining and requesting the same. My father was admitted to the udyaan hospital on 16th sept'14 and was death on 2nd nov'14.On the admission of my father, same day information was communicated to TPA. I lost my father in due course, This is really painful and topping to that following this medi-claim has become mental harassment . what is required by my side apart from the above communicated thing, will really obliged and expecting a positive and last solution from you. with regards vinita (vini.[protected]@gmail.com)
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