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not paid money

Complain ID : CCN044211   40  

Insurance Complaint Complaint Date: March 11, 2020
  • State :  Odisha
  • City :  Cuttack
  • Address: At-dumalborei,po-siaria,via-kanpur,dist-cuttack,pin-754037
Name Prasanta kumar sahoo Mobile No-9439152891 Insurance Type (Please mentioned Insurance Type -group mediclaim floater Non Life type Insurance Company Name-the oriental insurance company Date of Birth of Policy Holder- 14/04/1984 Policy No:- 111200/48/2020/790 tpa-paramount health service pvt ltd claim no-4467549,4467560. I had submitted two claim files of my wife for maternity. 1) one was NAVA JEEVAN SEVA SADAN HOSPITAL (primary LSCS done on 06/10/2019 at 8.30am my baby came).total amont expenditure Rs17867/-,but clear amount RS13467/- . After that on date 07/10/2019 at 11.30pm,my baby suffering in sepsis or severe infection ,then the peditrician suggest me to transfer u r baby to KALINGA HOSPITAL LTD. Then i want to transfer both kalinga hospital on date 08/10/2019 at 1.00am. 2) At that time my wife fill pain on abdomain & also fever(i.e. 41 hours over LSCS),then i admitted to my wife on kalinga hospital.total amount expenditure Rs 34591/- ,but they clear amount only Rs5000/- . But the paramount person raise many time deficiency letter.i had submitted all required document time to time.but they didnot clear same. I want to clear all required amount of claim no-4467560 I have already mail to oriental insurance company but they did not any replied till now.
Complaint Against / To: the oriental insurance

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