[Resolved]  The New India Assurance Company Ltd. — Un-necessary deduction from Medicalim reimbursement

Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]
From : crcm <[protected]@rakshatpa.com> Mon, Oct 12, 2009 03:57 PM
To : [protected]@indiatimes.com •
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Cc : vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>, [protected]@rediffmail.com, [protected]@rakshatpa.com
Reply To : crcm <[protected]@rakshatpa.com>


Dear Sir;

Your file has been received back from the regional office with their opinion
which is under consideration , we will revert back soon with the updates.

Regards,
CRCM
----- Original Message -----
From: <[protected]@indiatimes.com>
To: "Customer Care" <[protected]@rakshatpa.com>
Cc: "vd halbe" <vd.[protected]@newindia.co.in>; "cmd nia"
<cmd.[protected]@newindia.co.in>; <[protected]@rediffmail.com>
Sent: Monday, October 12, 2009 10:23 AM
Subject: Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]


>I feel, customer satisfaction is not a part of your business so taht I am
>force to take appropriate action By 19th Oct' 2009.
>
> Sorry for inconvivence.
>
> Regards
>
> ----- Original Message -----
> From: crcm <[protected]@rakshatpa.com>
> To: [protected]@indiatimes.com
> Cc: vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>,
> [protected]@rediffmail.com
> Sent: Fri, 25 Sep 2009 17:43:32 +0530 (IST)
> Subject: Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]
>
> Dear Sir;
>
> Your file has already been delivered to the Regional office of The New
> India
> Assurance Co. Ltd. for their advice. We will revert you shortly on this.
>
>
> Regards,
>
> CRCM
>
> ----- Original Message -----
> From: <[protected]@indiatimes.com>
> To: "Customer Care" <[protected]@rakshatpa.com>
> Cc: "vd halbe" <vd.[protected]@newindia.co.in>; "cmd nia"
> <cmd.[protected]@newindia.co.in>; <[protected]@rediffmail.com>
> Sent: Friday, September 25, 2009 4:59 PM
> Subject: Re: Fw: DISAGREEMENT OF CLAIM NO. [protected]
>
>
>> It is regrate to write again, after 10 days gone no one revert.
>> Now I am going ahead to take appropriate action in interest to get my
>> money with interest and expenditures incurred in this regard.
>>
>> Thanks
>>
>> ----- Original Message -----
>> From: crcm <[protected]@rakshatpa.com>
>> To: [protected]@indiatimes.com
>> Cc: vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>,
>> [protected]@rediffmail.com
>> Sent: Wed, 16 Sep 2009 18:06:00 +0530 (IST)
>> Subject: Fw: DISAGREEMENT OF CLAIM NO. [protected]
>>
>> Daer Sir;
>>
>> Your claim file will be referred to the Regional Office, The New India
>> Assurance Co. Ltd.,
>> we will revert you shortly with the status.
>>
>> Regards,
>>
>> CRCM
>> ----- Original Message -----
>> From: "contact" <[protected]@rakshatpa.com>
>> To: "Customer Care" <[protected]@rakshatpa.com>
>> Sent: Monday, September 14, 2009 5:34 PM
>> Subject: FW: DISAGREEMENT OF CLAIM NO. [protected]
>>
>>
>>
>> Dear Team,
>>
>> FYA.
>>
>>
>> Regards,
>>
>> CRCM Mumbai

Fw: DISAGREEMENT OF CLAIM NO. [protected]
From : crcm <[protected]@rakshatpa.com> Wed, Sep 16, 2009 06:06 PM
To : [protected]@indiatimes.com

Cc : vd halbe <vd.[protected]@newindia.co.in>, cmd nia <cmd.[protected]@newindia.co.in>, [protected]@rediffmail.com
Reply To : crcm <[protected]@rakshatpa.com>


Daer Sir;

Your claim file will be referred to the Regional Office, The New India
Assurance Co. Ltd.,
we will revert you shortly with the status.

Regards,

CRCM
----- Original Message -----
From: "contact" <[protected]@rakshatpa.com>
To: "Customer Care" <[protected]@rakshatpa.com>
Sent: Monday, September 14, 2009 5:34 PM
Subject: FW: DISAGREEMENT OF CLAIM NO. [protected]

Dear Team,

FYA.

Regards,

CRCM Mumbai
________________________________________

----- Forwarded Message -----
From: [protected]@indiatimes.com
To: [protected]@rakshatpa.com, [protected]@rakshatpa.com
Cc: vd.[protected]@newindia.co.in, cmd.[protected]@newindia.co.in,[protected]@rediffmail.com
Sent: Thu, 00 Sep 2009 23:45:11 +0530 (IST)
Subject: Fwd: DISAGREEMENT OF CLAIM NO. [protected]

REMINDER PLEASE................

K.Attn.:- Chairmen cum Managing Director / Chief Manager - The New India
Assurance Co. Ltd.
Please look in to the matter and do the needful.

Respected Dr. B.S.Rawatji - Office of Insurance Ombudsman

W.r.t. G1/66/NIA/09 dated 15.07.2009, I need your help to resolve the issue
with satisfaction.

Best Regards


Y.S.RANA

----- Forwarded Message -----
From: [protected]@indiatimes.com
To: [protected]@rakshatpa.com, [protected]@rakshatpa.com
Cc: vd.[protected]@newindia.co.in, cmd.[protected]@newindia.co.in,[protected]@rediffmail.com
Sent: Fri, 28 Aug 2009 12:17:03 +0530 (IST)
Subject: DISAGREEMENT OF CLAIM NO. [protected]

Friday, August 28, 2009
To,
Raksha TPA Pvt. Ltd.
15/5, Mathura Road,
Faridabad, Haryana – 121 003

Reference: Claim No. [protected]
Subject: Disagreement of settlement of said claim
Member id N8565915
Policy Number 310400/34/07/11/00001177 Type: Renewal
Policy Period 10/03/2008 to 09/03/2009
Period of Hospitalization - DOA: 07/06/2008 DOD: 08/06/2008
Claim Amount 17568/-
Approved Amount 10862/-
Deducted amount is Rs. 6706/- & details are as under mentioned:-
Sl. No. Charged for Charged Allowed Deducted Remarks
1 Room Rent 2400 1000 1400 Disagree
2 Operation 2900 1450 1450 Disagree
3 Anaesthesia 1680 840 840 Disagree
4 Surgery 3500 1750 1750 Disagree
5 HIV 550 Nil 550 Agree
6 HBSAG 480 Nil 480 Agree
7 Miscellaneous 80 Nil 80 Agree
8 Mask 31 Nil 31 Agree
9 Admission 125 Nil 125 Disagree

Dear Sir/Madam,

As per your CLAIM SETTELEMENT VOUCHER, the above said deducted amount is as
per policy while as per my knowledge [noted from the Co. site] it is not
like that therefore you are requested to re-check it and revert back along
with extra deduction made for Rs. 5565/- [As mentioned disagree] as soon as
possible.
In addition to above, if my knowledge is in complete then please don’t
hesitate to up date me [by sending details of amendment w.e.f.] with the
relevant amendment done and applied on computation of the said amount.
Since it is after awarded from INSURANCE OMBUDSMAN, I am expecting
appropriate action and satisfactory response with in one week there after
shall be force to escalate the matter.

Thanking you,

Yours truly,


YOGENDRA SINGH RANA