DELAY IS SETTLING OF CLAIM
Complain ID : JGJN043025 30
Insurance Complaint
Complaint Date : December 7, 2019
- State : Maharashtra
- City : Palghar
- Address: P501 Durvas Chs Opp Dmart Nallasopara East
MY MOM (SUMAN DUBEY) WAS ADMITTED TO OZONE HOSPITAL ON 12TH OCT AND DISCHARGE OF 16TH OCTOBER 2019 THE TOTAL BILL WAS OF RS. 59337.
LATER WE HAD TO ADMITTED HER TO GLOBUS HOSPITAL AGAIN ON 22ND OCTOBER AND SHE WAS DISCHARGE ON 24TH OCTOBER. THE BILL OF THE HOSPITAL WAS 24423.
I HAD SUBMITTED THE CLAIM FOR RS 59337 ON 26TH OCOTBER AND CLAIM OF RS 24423 ON 01ST NOVEMBER. SINCE THEN THE TPA (MEDIASSIT) IS HARASSING EVERYTIME WITH THE EMAIL STATING THAT 1 DOCUMENT IS MISSING AND OTHER DOCUMENTS ARE MISSING. WHEN WE CALL THEIR CLIAM NUMBER 18004191159 THEY ASK FOR A NEW DOCUMENTS EVERYTIME. IT IS ALMOST A MONTHS TIME SINCE I HAVE BEEN CHASING THEM TO SRTTLE MY CLAIM. EARLIER THEY WERE BEHIND ME STATING TO RENEW MY POLICY WHICH I HAVE ALREADY DONE. BECUASE THEY MENTALLY TOURED ME FOR APPROX 15 DAYS FOR RENEWAL. HAD A CALL ALMOST EVERYDAY APPROX 5 CALLS IN A DAY. PLEASE ASSIST ME IN GETTING MY CLAIM SETTLED ON PRIORITY, BECAUSE IT WAS REIMBURSEMENT CLAIM AS THE TPA DOESNT HAS THE NETWORK COVERAGE IN MY AREA. ALSO I WOULD REQUEST A STRICT ACTION AS WELL. THE STAFF STATED ME THAT SINCE YOU HAVE PURCHASED THE POLICY ON LINE HENCE WE COULD NOT ASSIST YOU. AND CUSTOMER CARE IS OF MEDIASSIST HENCE THEIR IS NO PROPER TRACKING MECHANISM AVAILABLE FOR THE SAME. LOOKING FORWARD FOR THE REPLY AT THE EARLIEST.
LATER WE HAD TO ADMITTED HER TO GLOBUS HOSPITAL AGAIN ON 22ND OCTOBER AND SHE WAS DISCHARGE ON 24TH OCTOBER. THE BILL OF THE HOSPITAL WAS 24423.
I HAD SUBMITTED THE CLAIM FOR RS 59337 ON 26TH OCOTBER AND CLAIM OF RS 24423 ON 01ST NOVEMBER. SINCE THEN THE TPA (MEDIASSIT) IS HARASSING EVERYTIME WITH THE EMAIL STATING THAT 1 DOCUMENT IS MISSING AND OTHER DOCUMENTS ARE MISSING. WHEN WE CALL THEIR CLIAM NUMBER 18004191159 THEY ASK FOR A NEW DOCUMENTS EVERYTIME. IT IS ALMOST A MONTHS TIME SINCE I HAVE BEEN CHASING THEM TO SRTTLE MY CLAIM. EARLIER THEY WERE BEHIND ME STATING TO RENEW MY POLICY WHICH I HAVE ALREADY DONE. BECUASE THEY MENTALLY TOURED ME FOR APPROX 15 DAYS FOR RENEWAL. HAD A CALL ALMOST EVERYDAY APPROX 5 CALLS IN A DAY. PLEASE ASSIST ME IN GETTING MY CLAIM SETTLED ON PRIORITY, BECAUSE IT WAS REIMBURSEMENT CLAIM AS THE TPA DOESNT HAS THE NETWORK COVERAGE IN MY AREA. ALSO I WOULD REQUEST A STRICT ACTION AS WELL. THE STAFF STATED ME THAT SINCE YOU HAVE PURCHASED THE POLICY ON LINE HENCE WE COULD NOT ASSIST YOU. AND CUSTOMER CARE IS OF MEDIASSIST HENCE THEIR IS NO PROPER TRACKING MECHANISM AVAILABLE FOR THE SAME. LOOKING FORWARD FOR THE REPLY AT THE EARLIEST.
Related complaints
-
deduction of amount from claimManoj Prabhakar Chaudhari / Insurance Complaint / December 4, 2019 / Nashik / MaharashtraI have put the claim for Rs.70884/- , but amount deducted from the claim Rs.14100/- I recd the charges for the ICU only and 7 days was in hospital after ICU, those amount deducted & now denying to give the deducted amount. Communicated so many ti... -
Refund for cancelled policy- 12-9910-0000045084-00 xColonel Prakash Vishwe / Insurance Complaint / November 28, 2019 / Pune / MaharashtraI, Colonel Prakash vishwe, am an Army Veteran and a Senior Citizen.I took online travel Insurance policy 129910000004508400 on 11 Oct 19 from Bajajallianz. I made the payment of Rs 863 through credit card. The duration was from 10 to 13 Dec 2019.Howe...
-
Mujhe online forms bhara gaya but I don't knowPushpa / Insurance Complaint / November 18, 2019 / Mumbai / MaharashtraPacl india limited me paisa dali thi ab pata chal raha hai ki ab jisne online forms bhara hai usi ko milega main village main thi Mujhe pata nahi chala to bhara nahi to uske liye please help me
-
Fraud done with my insurance premium moneyAnonymous / Insurance Complaint / November 8, 2019 / Thane / MaharashtraThis is Neeta. I have insurance in reliance Nippon insurance company. I paid Rs 30,500/- to Yasin Sheikh (Emp code - 22359629) and Mr Shrinivas to revive my policy. At the same time I filled up forms for change of name and address, change of nominee ...
-
Not claimed amount till date - Postal life insurance New DelhiAier Sonu Pandharinath / Insurance Complaint / October 7, 2019 / Sawantwadi / MaharashtraSir iam serving in defence And I have opened pli on year of 2009 It maturity 05 Oct 2018 and I have processed depend documents produced correct date and not claimed till date Please reconcile above the subject My PLI polio no is APS 1018386L Army no ...
-
Not settle claim and cancelled policy without proper intimation - TATA AIG General Insurance Ltd.Deepak Singh / Insurance Complaint / October 3, 2019 / Pune / MaharashtraTata AIG General Insurance ltd. denied to settle my car damage claim and said your policy is cancelled before the due date They do not even care to intimate about this issue over email or mobile number before cancelling the policy in between the tenu...
Service issue | Complaint | Query | Feedback | Suggestion | Reply