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My father is admitted to hospital due to malaria. I am trying hard to get claim number from mediassist who is tpa for national insurance. But with various means I am not able to get claim I'd also. This is very frustrating and ridicuy.
Reply
I have taken mediclaim of National Insurance through Bank Of Baroda Mosali branch near Surat as I am living at Township of GIPCL. On 3rd April I was told to move on towards Charanka for office work. So, I moved towards Charanka and while staying at Vadodara for to attend the meeting on 5th April at our corporate office. Unfortunately during the stay in night at Vadodara I was suffered from the abdomen pain and consulted radiologist in the matter and Dr. Sanjeev C Shah o[censored]rocare hospital, Vadodara. As per the advise from Dr. Sanjeev C Shah I was admitted in Uro care hospital for the removal o[censored]retic stone.
I was hospitalized on 05/05/2018 and discharged on 08/04/2018 with an advise that stent removal is balance and within a week time readmit in the hospital and stent will be removed. Accordingly i was re admitted and stent was removed. I have intimated medi assist on 6th april for the hospitalisation.
As per the custom I have intimated TPA Agency medi assist on 6th April regarding hospitalisation. For submitting documents I asked on telephone to Ahmedabad representative . He told that form the medi assist web portal down load the form and as per the instructions given in the form submit all documents to Surat office. Accordingly I have approached his office on 18th of April. At the time I was advised that the form B is balance to submit. I asked for the availability of form from website, He told that it is not on the portal. You may get this form from other site and issued us a form B. He checked other documents and asked for the validation or authentication of reports with a seal stamp and signature of Doctor. As I am living near to Surat, again I have to return back to Vadodara and got the reports sealed and signed with filling form B from the doctor and submitted all documents with previous year policies from inception period on 24th of April' 2018. They issued receipt as an acknowledgement for receipt of documents. While asking for the settlement of the claim they told that within 15 days you will be answered for claim settlement. So from 18th to 24th six days wasted.
After 15 days on 8th of May' 2018 I received a massage from IX-MBUDDYthat they have received documents on 8th of May and the tracking no is AHM00017955 and successive massage informed for claim no is 16951463 with an intimation within 5 working days. So total 21 days wasted.
On 6th of June on my utter surprise I got a massage that they need some documents as policy documents from inception time which is already submitted to them on 24th April to their branch office.
Second documents for the medical treatment taken for the same kind of treatment for which I have put the claim which I have never taken.
Third document is Internal case papers from the Urocare hospital with hospital seal and signature. The concern Dr. is out of country and may come in July.
So total no of days wasted till today are 45 days. My claim was for Rs. 113616.00 is not settled even after 45 days.
You are requested to look in the matter and settle my claim as early as possible
Regards,
Naishadh
I was hospitalized on 05/05/2018 and discharged on 08/04/2018 with an advise that stent removal is balance and within a week time readmit in the hospital and stent will be removed. Accordingly i was re admitted and stent was removed. I have intimated medi assist on 6th april for the hospitalisation.
As per the custom I have intimated TPA Agency medi assist on 6th April regarding hospitalisation. For submitting documents I asked on telephone to Ahmedabad representative . He told that form the medi assist web portal down load the form and as per the instructions given in the form submit all documents to Surat office. Accordingly I have approached his office on 18th of April. At the time I was advised that the form B is balance to submit. I asked for the availability of form from website, He told that it is not on the portal. You may get this form from other site and issued us a form B. He checked other documents and asked for the validation or authentication of reports with a seal stamp and signature of Doctor. As I am living near to Surat, again I have to return back to Vadodara and got the reports sealed and signed with filling form B from the doctor and submitted all documents with previous year policies from inception period on 24th of April' 2018. They issued receipt as an acknowledgement for receipt of documents. While asking for the settlement of the claim they told that within 15 days you will be answered for claim settlement. So from 18th to 24th six days wasted.
After 15 days on 8th of May' 2018 I received a massage from IX-MBUDDYthat they have received documents on 8th of May and the tracking no is AHM00017955 and successive massage informed for claim no is 16951463 with an intimation within 5 working days. So total 21 days wasted.
On 6th of June on my utter surprise I got a massage that they need some documents as policy documents from inception time which is already submitted to them on 24th April to their branch office.
Second documents for the medical treatment taken for the same kind of treatment for which I have put the claim which I have never taken.
Third document is Internal case papers from the Urocare hospital with hospital seal and signature. The concern Dr. is out of country and may come in July.
So total no of days wasted till today are 45 days. My claim was for Rs. 113616.00 is not settled even after 45 days.
You are requested to look in the matter and settle my claim as early as possible
Regards,
Naishadh
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