Mediclaim complaint against Oriental Insurance / Raksha TPA – Rs.2,00,000/-:
Mr. Manoj Agrawal of Powai, Maharashtra (agrawalmanoj(at)hotmail.com) submitted a medical reimbursement claim for Vascular surgery (jugular vein) under policy with Oriental Insurance Co. LTD. Mumbai and their (TPA) Raksha TPA pvt.ltd on 5th March 2010. He had also submitted all the documents required by the TPA. However, the TPA was delaying the settlement and there was no communication from them. Mr. Manoj submitted his complaint to ICF on 03-06-2010 which ICF took up with Oriental and Raksha TPA. The claim was finally settled on or about 05-07-2010 after follow-up by ICF and Mr. Manoj Agrawal.