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Raksha Health Insurance TPA Complaints & Reviews

www.rakshatpa.com
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Updated: Feb 29, 2024
Complaints 235
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36
Unresolved
199
So far, so good. Raksha Health Insurance TPA is working on building a stronger response system and taking steps to address most of the complaints. While there's room for growth, their efforts show a positive trend in customer support. We hope Raksha Health Insurance TPA will keep up the work and continue to help more customers with their concerns even better 🤝
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5
Chandigarh tpa office for not settling claim of Sandeep Kumar Jyani pf 1359119
4
During Hospitalization Expenses not being covered
3
Claim put on hold due to requirement of documents

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Reimbursement pending for long time
Rejection of my claim with out asking any query
Claim amount not passed stating bills and receipts not attached, where each and every document is submitted in hard copy

Raksha Health Insurance TPA reviews & complaints page 3

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M
Mukesh maherani
Jul 26, 2022
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Can't connect to CUSTOMER CARE

Address: 40 VISHVAKARAMA SOC, RAMNAGAR RANDER

I am trying to connect the customer care of Raksha Health TPA from last few days but unfotunately the has been connected every time pls do the needful....
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J
jats00921
from New Delhi, Delhi
Jul 25, 2022
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Health Insurance Claim Status

I have submitted the claim on 13th July with all required documents along with hospital registration at Faridabad location but they are asking the same again n again.

No one pick the call at customer care
No call Back
And Finally got the call back after 6 days but executive disconnected the call before telling the member id

I am fed up with the service.

Regards
Jatin Mittalbr...
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N
Nagendraprasad Mullapudi
Jul 20, 2022
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Medical reports are not uploading

Address: Hyderabad

Proposed tech term plan online and LIC digital sales team assigned to RAKSHA TPA Hyderabad to conduct medical tests and attended for medical tests on 29th June 2022 and today is 20th July 2022 and still not uploaded all the reports properly and even though diagnostic center is ready with reports on 29th June 2022. Still asking 1 or 2 days time to upload....
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S
SheelaLalchandani
from New Delhi, Delhi
Jul 5, 2022
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Raksha Health Insurance TPA - File closed for PEG ( Cancer Treatment )

Address: New Delhi

Dear Sir/Madam,

This is reference to a letter of deficiency letter received from Raksha TPA with regard to my claim ref. no. [protected], where I am pained to inform you that all the relevant documents had been dispatched to your office twice and till date I have not received the reimbursement. The claim was first documented in Dec 2021. Receipt to deficiency letter, I dispatched all the documents for second time where...
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S
Shivani Kotnala
Jun 30, 2022
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I m complaining about worst service not responding and delay in my claim

Address: Chandigarh

I have claimed last year but there's no response from raksha TPA...
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A
anurag leo
Jun 30, 2022
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Complaint reg Claim Registration Mr. Anurag yadav-(Member ID-M58330775PNBA) policy no. 251100502110000169 claim no. 5842223108365

Address: krishnapalli, alambagh,Lucknow-226005

Ref:
Raksha Health Insurance TPA Complaint Status Update [ID: 3220849]

I have to inform you that the baby was born on date 20.04.2022 and the name of the baby has been added in HRMS dated 26.04.2022. The pdf attachment has been added along with the mail with date and timing of adding the dependent "baby of Shambhavi Singh" as a proof to the Raksha TPA. The raksha tpa app also reflecting the dependent details after adding...
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Z
Zahid ch
from Baddi, Himachal Pradesh
Jun 29, 2022
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Cancel my Claim

Address: Unit no.2,A wing Time Square,3rd Floor, Marol,Andheri Kurla Road Mumbai-400059,

I Zahid Ahmed Policy No[protected] of National Insurance. I lodge a Claim in Sept 2021 of my wife Delivery of Baby under Raksha TPA. Claim No of Raksha TPA is [protected]. All the Original Documents related to Caesarean of Wife and Original Bills are sent to Raksha TPA Office. So many time i want to call on Toll free no but there is no response from toll free number. I am also touched with Raksh TPA via mail and thet reply me your...
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H
Hbcy
Jun 25, 2022
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Claim not settled for last 7 months

Claim no CLAIM no [protected] Leela chandaliya...
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A
anurag leo
Jun 20, 2022
Jun 29, 2022
This thread was updated on Jun 29, 2022
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Complaint regarding Claim Registration Mr. Anurag yadav-(Member ID-M58330775PNBA) claim no. (5842223108365)

Address: Lucknow

I have to inform you that the baby was born on date 20.04.2022 and the name of the baby has been added in HRMS dated 26.04.2022. The pdf attachment has been added along with the mail with date and timing of adding the dependent "baby of Shambhavi Singh" as a proof to the Raksha TPA. The raksha tpa app also reflecting the dependent details after adding in the HRMS.Hence You are requested to initiate the claim settlement process of...
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A
anurag leo
Jun 20, 2022
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Complaint regarding Claim Registration Mr. Anurag yadav-(Member ID-M58330775PNBA) policy no. 251100502110000169 claim no. 5842223

Address: Lucknow

Sir/Madam,
With reference to your trailing mail, I have to inform you that the baby was born on date 20.04.2022 and the name of the baby has been added in HRMS dated 26.04.2022. The screenshot has also been added in this mail and also the pdf attachment has been added along with this mail with date and timing of adding the dependent "baby of Shambhavi Singh" as a proof. The raksha tpa app also reflecting...
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K
KBS kumar
from Hyderabad, Andhra Pradesh
Jun 19, 2022
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My son medical reimbursement

Address: Sarigam Macleods

One year completed but claim is not registered and not settled...
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D
Dharam344034
from Yamuna Nagar, Haryana
Jun 4, 2022
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Claim not settled and arise unnecessary query

Address: FARIDABAD

I lodge claim on raksha tpa website dated[protected] and i has been sent all original document via courier. But company not settled my claim yet to now. i tried many phone calls and mail but not body respone. when i checked online in website where show only query pending but not mention which query pending.

NAME - DHARAM PAL
POLICY MEMBER ID - M58344034SHGB
CLAIM NO - [protected]
MOB - [protected]...
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G
Gopal Shinde
Jun 2, 2022
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Claim not credited

Sir I had sent my claim and it is passed before one month. My claim had already sent to payment section one month ago. But still claim amount not credited to my account.
No body entertain my mail
My ID is M58171772BOI, ....
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R
rishabh bantu
May 30, 2022
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Claim not settled

Address: Vini castle B 103, Infront of jbcn international school

We had sent a claim of Rs. 4600/- on march 2022 through speed post. my member id is M58175257BOI. after passing of almost 3 months claim is still yet to settled. they not pick call or rplied in mail once after mailed many times that your claim is under process.
very poor service. may i know when my claim will be settled or will get rejection letter....
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J
Jakkaiah
May 17, 2022
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Returning of original documents

This is syami with member ID : M58190191BOI
an employee of bank of india. claim got rejected for some valid reason we asked for returning of original bills to submit in other insurance company.
We followed with Hyderabad team and they never responds particularly an executive called priyanka who has no knowledge about insurance give reckless answers
Then followed up with Kunal who sits in mumbai and looking after these...
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K
Kumarjyothi
from Ranipet, Tamil Nadu
May 12, 2022
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My Health insurance claim - Reg

Dear Sir/ Madam,

Greetings to you!

My son K.Kamaltejasvi got an injury & admitted in Thirumalai Mission Hospital, Ranipet. on 13.04 2022
after the surgery he was discharged on 15.04.2022. member Id is O[protected] & intimation number is
[protected]. The claim details are enclosed as per your requirements. After submitting the bills
on the name of query & insufficient documents every...
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R
Ravikiran87
from Bengaluru, Karnataka
Apr 19, 2022
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Non settlement of Re-imbursement Claim

Member ID - O[protected]
Claim Ref No. - [protected]

Claim Documents sent on[protected]
Claim registered on[protected].
Claim approved on[protected]

Still settlement is not done. No proper response from the TPA....
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V
Viji117
from Thanjavur, Tamil Nadu
Apr 19, 2022
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Claim passed but amount not received

Claim no: [protected] I have claimed for reimbursement of my father's medical expenses. But its now more than 2 months since I logged the claim. But yet I haven't received the amount. The claim is in passed status....
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A
Amcare
from Zirakpur, Punjab
Apr 12, 2022
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Non payment of bills

Address: VIP Road, Zirakpur, Punjab
Website: www.rakshatpa.com

Amcare Hospital
Providing cashless treatment to Raksha clients...
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2
2035431
Mar 20, 2022
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Bill amount not settlement

Address: At shimla bahal colliery po bhagabandh district dhanbad

Dear sir
i have send my bill rs-143253 but raksha tpa settlement 85107 but i send all type bill with claim form, some bill amt 18688 he write claim settlement voucher beyound bill date and one operation hospital bill rs 390027 but raksha tpa paid rs-300625 and remanning amt-89402 i paId through atm from 2 account because atm swipe not accdept more than 50000 so i payment atm first rs-50000 and second 39402 . he approve 50000 but not...
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