Complaint regarding non-reimbursement of dental treatment charges

This has reference to above refered Policy no. & claim file no. which was submitted to Vipul Medcorp TPA in the last week of Nov. 2014. By their e-mail dated 31/03/2015 Vipul Medcorp TPA rejected our claim giving reason DENTAL TREATMENT IS NOT PAYABLE.

Hereby we would like to draw your attention that Dental Treatment  i.e. Dental Implant Surgery is done only because of JAW SURGERY which was done on 23/06/2014 and for which claim also passed by Vipul Medcorp TPA. In that matter Doctors already suggested Dental Implant Surgery & it was necessary. Accordingly we have done Dental Implant Surgery and submitted our part claim of Rs. 62410 in the last week of Nov. 2014, which was rejected. There after we have submitted our final claim of Rs. 48000 on 24/04/2015 which is still pending.

We already submitted  Doctors detailed report in support of my claim wherein Doctors are strongly recommended my Dental Implant surgery. In short we have done Dental Implant Surgery only because of JAW SURGERY.

We much appreciate if could cooperate in this matter and advice us should we proceed to take up this matter in the Court for justice.

Harshad Adak
A/12, Ashwaghosh CHS, Datar Colony, Bhandup (E), Mumbai – 42, Maharashtra,
Contact No. 9324709070 / 31/05/2015 / 4:57 pm

Leave a Reply

Your email address will not be published. Required fields are marked *

Answer the below question * Time limit is exhausted. Please reload CAPTCHA.