Star Health And Allied Insurance — non receiving the claim amount till the month of may'17

To,
The claim department,
Star health and allied insurance co. Ltd.
No.15, sri balaji complex, 1st floor, whites lanes, royapettah,
Chennai, tamilnadu.

Sub : requirement of additional documents/details against claim intimation no. Cli/2018/191114/0075973.

Sir,
I have already received your reminder letter for additional information require as follows:
1. Letter from treating doctor stating the duration of ckd and hypertension and when it was first diagnosed with all prior consultation, positive reports and treatments details since its onset;
My consultant opinion : (Quoted by doctor’s; via mail) - regarding the questions raised by your insurance company the discharge summary, the kidney biopsy reports are self explanatory and i need not give any further explanation to this insurance company if they need they can write to me directly. (The photocopy of discharge summary enclosed)
My own opinion: i had no any prior indication in my body to feel this type of illness.
2. Copy of complete set of indoor case papers;
My consultant opinion : (Quoted by doctor’s; via mail) –regarding the inpatient records/papers, you or the insurance company should write a letter to the hospital medical records department to send the copies of the inpatient papers/documents, it is the property of the hospital and i have nothing to do with the hospital records.
My opinion: i have already submitted two times the above such documents to your concern, such as 1st time in chennai apollo hospital star health desk (At the time of cashless claim) i know cashless & reimbursement is same claim intimation no. And 2nd time to your durgapur agent mr. Sanjib daripa code no. Ba[protected] on dated 26.05.17.
3. Echo report;
It was not submitted by me unfortunately, now i have been submitted (Copy enclosed).
4. Post hospitalization serum urea and creatinine;
The copy of post hospitalization serum urea and creatinine test report is enclosed herewith.
5. Duly filled claim form part b in all respects with treating doctor’s signature along with hospital seal and signature;
At the time of cashless claim in apollo hospital i had already submitted this, the photocopy of such papers also submit in the time of reimbursement (Photocopy enclosed)
6. Original final bill with hospital seal and signature (As submitted one is an interim bill);
At the time of reimbursement claim i had already submitted the interim bill along with all documents to your agent mr. Sanjib daripa on dated 26.05.17 (Photocopy enclosed).

7. Reason for late submission of documents;
I have no any delay for submission of any kind of documentation, because on dated 26.05.2017 i was handed over all original papers & documents along with my bank details, pan copy etc, to your agent mr. Sanjib daripa code no. Ba[protected].
So, therefore many confusion born during this period in our mind to continue my policy with your company further, because i have converted my not claimed 7 years old previous policy to your company not for seeing these days, taking much bother and harassment from your end.
Kindly request to you to reimbursement my claim amount without any delay for further continuation the policy.
I hope for a better response from your end.

Thanking you,

Yours faithfully,


(Probal dutta)
Policy no: p/191114/01/2017/006819
Dated : 16.10.2017 mob : [protected]/[protected]

Copy to : star health and allied insurance co. Ltd.
Durgapur branch, west bengal