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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

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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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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 7

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I had claimed reimbursement of expenses for my father's eye operation on 31/12/2020 and the claimed documents received at their Guwahati office on 19th January, 2021. I am an employee of PNB (Member Id- M[protected]PNBA). Till today i am not getting any amount of the reimbursement....

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Address: Raksha health insurance TPA Pvt.ltd. 701-702, Atria 2, Beside ISCON HEIGHTS Gotri Road , Vadodara (gujarat)- 390021

Amount deducted without query and not received call on[protected] at Raksha health insurance TPA Pvt.ltd....

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Address: Vinay nagar sec 03 Gwalior

Dear Sir,
My name is Sachin Gupta, I am a Senior Manager at Bank of India Jiwaji Chowk Branch Gwalior (M.P.). -[protected]

My insurance policy was from your TPA, whose policy number is UIC[protected]BOI.

There are currently 4 claims pending in your TPA more than 7 months, for which I have mailed to your department several times and have spoken to Swati ji and Jagat Pal, farooq mohammad several times over...

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Address: H no 146 w no 15 Shakti nagar dhar road udhampur j&k 182101

I, nikhil Gupta, employee of PNB with member of M58304736PNBA, claim my medical expenses incurred on my wife for delivery which costs nearly 76000, as my wife costs two operations, one is cesarean and other one is hysterectomy. As per your policy. The cost of Cesarean on delivery is RS 75000/. And also my wife gone undergone other operation as per bill sent to you.
I got only 40000/ .
Please let me know the less paymentbr...

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Dear Sir

I would like to inform you that, my self KASHINATH BAURI. I have one policy of you company. Tha transaction number is M58202729pnba debited by December 2020.

I future inform you that, I have submit one clam on this policy. But till now I am not get clam money from company side. And I also frustrated and manipulated from company agent.

I hereby request you to kindly settlement my clam,...

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Address: Sawai Madhopur

Dear sir/mam,
My reimbursement claim was recently settled for less amount then claimed stating reason that the CT scan films were not attached.However I had attached the films and also informed several times regarding the same on your mail id [protected]@rakshatpa.com.I had also received the confirmatory mail accepting the receiving of films at your end.claimid-[protected].Rs 2500 was thus deducted on false note.Kindly do needful and...

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I have submitted all the bills for the claims requested but RAKSHA TPA is asking for the same bills again and again. Please note the docket numbers of the courier sent:

Z61556564
Z38052081
Z61556563

Please note below my details:
Name: Akanksha Kasera
Member ID: N90IGA4871INAR
Claim number: [protected]

Request you to kindly look into this matter as on priority....

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Address: Sushil Bhawan Vijay Nagar Airport Road Totu Shimla Himachal Pradesh 171011

This is to bring in to your kind notice that I had a delivery with C Section whose all the bills and documents were attached and submitted to Raksha TPA in hard copy for Claim Reimbursement amounting Rs 95771/- but the amount approved for reimbursement is Rs 45155/- stating that Pre and Post Amount is not payable and the receipt and various bills have not been attached. I submitted all the Original bills and receipts since my treatment started...

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Address: Chandigarh

I have submitted all original documents to Raksha TPA from our circle office Rewari and visit by your staff to hospital also and this time my claim status shows ' recommended for non pay ' kindly give me the reason for non payment of my claim. You have raised many quaries regarding this and I have completed all and send to your office. Now nearby 2 and a half month not give a single reason my claim rejected why? Kindly look into the matter...

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I have applied to raksha tpa for reimbursement of claim vide claim No [protected], [protected] and [protected] for my policy No UIC[protected]BOI The request for the release of corporate buffer has been sent to raksha tpa officials but they didn’t release the buffer and rejected the claim citing sum insured exhausted Its been more than 4 months. They have not processed the claim neither they replying my mail despite of sending...

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Address: BARODA u.p bank sant kabir nagar

Sir my member ID is UIC5454047IBAPB..I aM EMPLOYEE OF BARODA U.P BANK...I had sent all document for medical claim at 21 Dec 2020 to regional office Khalilabad but after some time my claim had query those document which I sent to regional office Khalilabad...my wife is suffering from cancer.I took claim before many time without any problem...plz sir solve my problem...my all original documents are lost by raksha tpa agent...🙏🙏...

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A claim for An amount of Rs 19004 was submitted In November 2020 which was delivered to Raksha but entered into system on 22/12/2020.Now to my Uttar surprise, without raising any query regarding the claim, an amount of Rs.9352 only has been credited into my account. Rest of the amount deducted without assigning any reasons. That is without raising any deficiency or raising any query into the system/Portal of RakshaTPA. It is a Harrassment...

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Address: Jaipur

I have raised query against your settlement voucher many times but your team is not responding properly as I have sent you a mail with the conversation with your team. I am very disappointed that raksha tpa is doing this kind of mistake that's why I have to register a complaint against your team . This is my wife's claim of august month. They have settled this claim in november month but when I saw settlement voucher than I found that they...

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17/11/2020 ko 15:26 ka day care ka approval aaj 18/11/2020 ko 11:55 tak nahi aaya aur customer care se baat karke request karo to bolte hai abhi ho jayega 17/11/2020 ko patient ka treetment nahi ho paya hospital se wapas Aana pada aur irdai k circular k hisab se 3 ghante me approval bhej dena chahiye but aapke tpa ne na hi koi request suni aur na hi koi reason dia aur Abhi tak approval nahi bheja aur 18/11/2020 ko fir se date change ka approval...

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Dear sir,
My baby was born in 18th feb 2020. He has kept under new baby care unit for better treatment. I have submitted all original documents with your Bhubaneswar office but after 4 months they raised query and i have submitted the query. They told that its for Vaccination so they made it non payable. but the bills and documents i have submitted where not a one rupees was for vaccination. plz settle my claim otherwise i will complain...

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Address: paschim vihar delhi

It was on 03.09.2020 that i parimal staff of PNB(eOBC) has personally handed reply of my query Membership ID UIC[protected]OBCA To MR ANUJ [protected]. Now its been month and my reply still has not been proceed.

As such your good office is requested to please look into the matter on urgent basis and help me resolve this issue.

Please feel free to call me regarding this matter...

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Address: Andheri kurla road sakinaka Mumbai

I Darshana working in Bank of India having PF no.184661.I have submitted my claim on 11.12.2019.from that date am continuously taking follow up with Miss.Swati Malusare Mob.No [protected](Who is very arrogant). She has given me every time wrong information ... Very bad service by her.
Details of the follow up through mail.
1. Submission of claim on 11/12/2019 through speed post no.EM[protected]IN
2.Reply received on 8th...

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I am kumari neha working in bank of india, having pf no. 185841. I have submitted my claim on 10th aug 2020. I have talked to miss swati madam. She has given me wrong information & said me your claim has already been registered. When i had talked to mr farukh he said your claim has not been registered and i will registered your claim within 5 min. And my i got message that my claim has been registered within 5 min.
Now my claim is...

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Address: Lucknow

I have submit my wife pregnancy claim no[protected] on dtd 21 feb 2020 to 23 feb 2020 amt 72459. But company paid to me 37253. I have submitted another claim no
[protected] frm dtd 7 feb to 15 feb 2020 amt 44407 and company paid me 37747. Only these claim have submitted by me and no another claim presented by me....

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1) claim no: [protected], date: 22nd july
2) claim no:[protected], date: 10/9/2020
3) claim no: tp[protected], date: 24th oct
4) claim no: [protected], date: 22nd june 2020
5) claim no: [protected], date: 9th sept 2020

Regarding all the above claim status i fill like torcher and i am very much disappoint regarding this and also i am not satisfied regarding the claim and i will...

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