New India Assurance — unfair settling of medical bill of my son

New India Assurance — unfair settling of medical bill of my son

K kuriangeorge1 Feb 20, 2018

Policy#760403/34/16/25/00000236 For the hospitalisation of my son. I presented a bill for Rs 49, 495/-. Settled amount was Rs 712/- Unsettled amount is Rs 48, 783/- It was noticed that New India Assurance has outsourced the settling of the medical claims to a third party private agency (Medi Assist Insurance TPA Pvt Ltd). I do feel that this agency is not settling the claims fairly. We do feel that as a policy holder, we are being cheated by NIA in settling the medical claims. Hence we request New India Assurance top management to look into this matter or I will be forced to approach the Jurisdictional Insurance Ombudsman. +2 photos Was this information helpful? No (0) Yes (0)
New India Assurance customer support has been notified about the posted complaint. Feb 21, 2018 Updated by kuriangeorge1 New India Assurance Policy# 760403/34/17/28/00000405 For my son's follow up operation, I submitted medical bill to Medi Assist Insurance TPA Pvt Ltd., Ernakulam, Kerala State. For a medical bill of Rs 19, 789/-, settlement amount is Rs 6531/-. New India Assurance is a public sector Insurance Co., and it has outsourced the medical bill settlement to a private agency ie Medi Assist Insurance TPA Pvt Ltd. Sole priority of this private agency ie Medi Assist Insurance TPA Pvt Ltd., will be to deny medical reimbursement to policy holders so that they can enhance their performace inorder that their contract is renewed. New India Assurance is harming the interest of genuine policy holders by outsouring medical bill settlement to a private agency. Hence I request top management of New India Assurance should look into my bill and settle fairly.
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