Compliant over claim settlement by insurance company- united india insurance
Complain ID : CC28532 128 Complaint's Reply
Insurance Complaint
Complaint Date : November 15, 2017
- State : Tamil Nadu
- City : Coimbatore
Dear sir,
I am N R Natarajasivam. I am a Bank employee in Indian overseas bank.i have the insurance from united india insurance company (MDIndia) for cash less treatment.
I had an surgery (vestibular scwannoma) on head on 2016 September. And made a claim for the same in united india insurance company. My claim was 2 part 1 is from sree chithirai thirunal hospital, thiruvanathapuram. 2 is from kmch, coimbatore.
The 2nd part of my claim was settled on October 2017,
But from the 1st my claim on Sree chithirai thirunal hospital thiruvanathapuram was on problem. The insurance company was saying that i didn't submit the 2nd page of the bill. They are saying that, they received only page 1 and 3. But the 2nd page is on backside of the page 1 of the same paper. I have told this to the insurance company. And also sent a Xerox copy of the same, along with my scan report. (The insurance company asked for those papers). MDIndia also have the original bill copy. Now they ve closed my claim saying that they didn't receive the 2 page of my bill.
It makes me feel worse. I am writing this because I feel rejected in all possible ways. I am still suffering from those side effect of the surgery (my entire Right Hand Side is affected) to this the pain of claim rejection is added an additional pressure.
I am ready to forward all the email exchange with MDINDIA if i get your email address
Please do the needful..
Here i have given the mail sent by MDIndia
Good Afternoon Sir/Ma’am,
CCN Number: MDI3094261
Insurance Company Number:NA
We have received the claim for Natarajasivam N R for Rs. 226840/-. Currently the claim is closed as we have till date not received the additional documents requested to patient. Accordingly, please have the following documents submitted for further processing ;
1.Please provide Page Number 2nd of Final Hospital bill ( as we Received Final Hospital Bill with Page page number 1 st 7 3 rd There is Missing Page number 2nd From final Hospital bill , Plesae Provide it ,Madetory for further processing )
2.Please provide all original reports for Investigations done during the hospitalization supporting the diagnosis. ( Ct scan, X ray, All blood test reports Done during Hospitalization)
Kindly feel free to revert in case of any query.
Thanks & Regards,
Nilesh Apre,
Customer Support Team.
MDIndia Health Insurance TPA Pvt. Ltd.
S. No. 46/1, E-space, A-2 Building, 4th floor,
Pune Nagar Road, Vadgaonsheri, Pune 411014.
Email Address:[email protected]
UAN No: 1860-233-4446, 1860-233-4448.
Toll Free: 1800-233-1166, 1800-233-4505.
Visit us @ www.mdindiaonline.com.
Your's sincerely
N R Natarajasivam
I am N R Natarajasivam. I am a Bank employee in Indian overseas bank.i have the insurance from united india insurance company (MDIndia) for cash less treatment.
I had an surgery (vestibular scwannoma) on head on 2016 September. And made a claim for the same in united india insurance company. My claim was 2 part 1 is from sree chithirai thirunal hospital, thiruvanathapuram. 2 is from kmch, coimbatore.
The 2nd part of my claim was settled on October 2017,
But from the 1st my claim on Sree chithirai thirunal hospital thiruvanathapuram was on problem. The insurance company was saying that i didn't submit the 2nd page of the bill. They are saying that, they received only page 1 and 3. But the 2nd page is on backside of the page 1 of the same paper. I have told this to the insurance company. And also sent a Xerox copy of the same, along with my scan report. (The insurance company asked for those papers). MDIndia also have the original bill copy. Now they ve closed my claim saying that they didn't receive the 2 page of my bill.
It makes me feel worse. I am writing this because I feel rejected in all possible ways. I am still suffering from those side effect of the surgery (my entire Right Hand Side is affected) to this the pain of claim rejection is added an additional pressure.
I am ready to forward all the email exchange with MDINDIA if i get your email address
Please do the needful..
Here i have given the mail sent by MDIndia
Good Afternoon Sir/Ma’am,
CCN Number: MDI3094261
Insurance Company Number:NA
We have received the claim for Natarajasivam N R for Rs. 226840/-. Currently the claim is closed as we have till date not received the additional documents requested to patient. Accordingly, please have the following documents submitted for further processing ;
1.Please provide Page Number 2nd of Final Hospital bill ( as we Received Final Hospital Bill with Page page number 1 st 7 3 rd There is Missing Page number 2nd From final Hospital bill , Plesae Provide it ,Madetory for further processing )
2.Please provide all original reports for Investigations done during the hospitalization supporting the diagnosis. ( Ct scan, X ray, All blood test reports Done during Hospitalization)
Kindly feel free to revert in case of any query.
Thanks & Regards,
Nilesh Apre,
Customer Support Team.
MDIndia Health Insurance TPA Pvt. Ltd.
S. No. 46/1, E-space, A-2 Building, 4th floor,
Pune Nagar Road, Vadgaonsheri, Pune 411014.
Email Address:[email protected]
UAN No: 1860-233-4446, 1860-233-4448.
Toll Free: 1800-233-1166, 1800-233-4505.
Visit us @ www.mdindiaonline.com.
Your's sincerely
N R Natarajasivam
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CCNO28532 by N R Natarajasivam:
(4 of 5)
Respected consumer court
I am N R Natarajasivam. My complaint no. CCNO28532. I got no response from United India insurance company.
Is this normal to take a week to respond, i didn't know. If it is normal just ignore this mail. I just brought it to your notice.
Your's sincerely
N R Natarajasivam
CCNO28532 by N R Natarajasivam:
(4 of 5)
My complaint is still pending but it shows under complaint resolved
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