Insurance | India Consumer Forum

Category: Insurance

Regarding Raksha TPA not settling medical claim

Sir I am insured by the raksha tpa co ltd  I am ex employee  of punjab national bank  I am cronic patient of diabities and I take regularly  expenses  of domacil  treatment on monthly basis. Unfortunately I was effected from covid in the month of april 21 i was hospitalised  for 7 days i.e. 16 …

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Medical claims not settled by Mediassist even after four months

I submitted a claim on Nov-2020 against the policy but till date I have not receive any claim or proper answer from TPA MEDI ASSIST almost More than 4 months gone Medical claims not settled by Medi assist even after four months. I discuss with Hospital Doctors but they told me that no any person …

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Medical claim not reimbursed by new India assurance

I have a medical claim policy in THE NEW INDIA ASSURANCE COMPANY LTD with policy, however i have applied for medi claim reimbursement with original documents post discharge of my wife from hospital for delivery. The hospital bill is around 1 lakh, but new india reimbursed Rs. 5000/- only. Background: My wife was admitted in …

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Complaint against Reliance general Insurance for closing claim

Reliance general Insurance Co Ltd.  Value: 9000. I want to complaint against this insurance company, in spite of  sending all the required documents and proof of the claim the company customer care team denied receipt of it. I kept following up and eventually stopped as we were facing Covid situation by then. The company ruthlessly …

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Complaint regarding delay in settlement by Raksha TPA

I have claimed Rs. 31437 for my wife treatment on dec 20, 2020. On feb 5th 2021, they have raised query to get extra papers from hospital. And that paper also i sent them. Those papers also received and they also changed to ” Query reply received ” as status. I called many time to …

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Complaint regarding claim repudiation by Raksha TPA

This is to bring in to your kind notice that I had a delivery with C Section whose all the bills and documents were attached and submitted to Raksha TPA in hard copy for Claim Reimbursement amounting Rs 95771/- but the amount approved for reimbursement is Rs 45155/- stating that Pre and Post Amount is …

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Non settlement of claim for more than four months by Raksha TPA

I have applied to raksha tpa for reimbursement of claim vide for my policy No UIC5xxxxxxxI The request for the release of corporate buffer has been sent to raksha tpa officials but they didn’t release the buffer and rejected the claim citing sum insured exhausted Its been more than 4 months. They have not processed …

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