Suggestion Complaint Remedies सुझाव / Suggestion शिकायतें / Complaints निराकरण / Remedies

not pay insurance policy money

Complain ID : CCN043967   40  

Insurance Complaint Complaint Date: February 23, 2020
  • State :  Odisha
  • City :  Cuttack
  • Address: At-dumalborei,po-siaria,via-kanpur,dist-cuttack
Insurance Company Name -
the oriental insurance company
Policy No: 111200/48/2020/790

tpa-paramount health service pvt ltd

policy no-111200/48/2020/790
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 company

Share Now Ask Question Reply Now Contact Submit Complaint

Related complaints

Complaints

    Service issue | Complaint | Query | Feedback | Suggestion | Reply

    eConsumer Court (Online Upbhokta Forum) take the complaint directly to the escalation team of the company, which has the power to resolve your grievance. We send a well-drafted letter to the company, explaining the details of your complaint along with the inconvenience caused to you. Jago Grahak Jago is specially to help consumers to redress their issues and grievances. We ensure to take quick actions on every complaint filed by the customers. We work hard and tirelessly to resolve the case.