[Resolved]  The New India Assurance Co. Ltd. — Delay in Claim Processing

I am having Mediclaim policy from TNIACL. My claim was registered with Raksha TPA Pvt Limited on 28th Dec, 2009. All the original Bills of Hospitals along with discharge cerfiticates were submitted to Raksha TPS in the month of Dec 2009. After 15 days I got letter form TPS asking for Indoor case papers, I requested the hospital for indoor case papers and these papers were submitted to TPA.

Now on 18th Feb, 2010 I got letter from TPA stating that documents submitted by me (Original Bill of Hospital and Indoor case papers) are not sufficient to process the claim. They want letter from Doctor stating the exact duration and probale mode of transmission of Hepatitis E.

I really think that the documents submitted by me are sufficient enough for processing the claim, but as such company dont want to admit they are just delaying the claim.

In my case the amount is not very big, but the attitute of TPA seems to be very casual and unprofessional.

I appeal The New India Assurance Co. Ltd to please look in to the matter or as a educted consumer I will raise this issue under appropriate law and with appeal to appropriate authority for the justice.