New India Assurance — Illegal Deduction of amount in medicine settlement claim
S
Sanjaykumar Vasantdas Shah
from Pune, Maharashtra
Jan 9, 2023
I Sanjaykumar Vasantdas Shah participated in Group Insurance Policy of IDBI Bank for the year Nov21 to Nov 22 My PHS No 26173602 and employee Id 701465 I was recently admitted to Sahyadri Hospital Deccan Gymkhana Pune for lumber Stenosis operation on 11 Nov 22 and discharged on 14Nov 22. At the time of discharge my insurance claim was settled but they deducted the amout regarding Administrative and operation theater related charges. I emailed regarding this to Paramount Health Services TPA Pvt Ltd who was party to get this sanction. I also reclaim the deducted amount by sending documents through regisered post. In Nov 22 I was provided IDBI Group Insurance Policy silent features Document wherein it is clearly stated that administration and operation theater related charges are covered.So I emailed this document to Paramount Health Services TPA and IDBI pension department by email underlining my point in red colour. But till this day I Neither received reply through email or by post But on Paramount Health Services TPA company website I found their Repudiation for reclaim under clause 4 4 21 but they did not provide the details of clause with documents So my complaint is regarding companis double crossing in two ways first in IDBI Bank group Insurance Policy silent features and their statement denial of claim by clause no 4 4 21. So below 👇 I am sending the screenshot of documents of silent features and their statement of denial by clause no 4 4 21 on their website
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