Name of Complainant Mr./Ms. Mr.Deepak Ladha
Communication Details
*Door No./ Bldg/Name/ Floor Ramsnehi Chikitsalaya & Aunsandhan Kendra,Bhilwara
Street / Area Bhilwara
*City/Town/Panchayath/Village Bhilwara
Taluk/Tehzil Bhilwara
District Bhilwara
*State Rajasthan
*Pin Code 311001
E- Mail ramsnehicashless@gmail.com
Telephone No 01482-234100,238640/238641
*Mobile No 919461530806
Fax No Provide cashless facility
*Insurance Type (Please mentioned Insurance Type Mediclaim isurance
*Life
* Non Life
*Insurance Company Name The new India assurance company limited,
*Date of Birth of Policy Holder
*Policy No: 330800/34/10/11/00000308
Cover Note:
Other Reference No:
Policy serving Brach Code/Address
*Details of the Complaint (Please type the full details of the complaint) Dear sir,
Subject-Release of funds
1)Patient Nmae-Mr.Babu Lal Jaju,
file no-11CB02NIH0644 Dt.of Adt.&Dis.17to29/3/11
Policy no.-330800/34/10/11/00000308
2)Pradeep Rathi,file no.-12CB02NAB0621
Policy no.-370602/48/10/8500001125
Dt.of ad.& discharge-8/5/11 to16/5/11
3)Anurag Shukla,File no.-12CB02UIB0577
Policy no..-330800/34/10/0100200139
Dt.of ad.& discharge-27/07/2011 to 5/8/2011
4)Mrs.Pushpa Kogta,file no.-12CB0NIH0311
Policy no.-330800/10/11/00000347
Dt. of ad.& discharge-20/5/2011 to 25/5/2011
5)Shakuntala Bhadada,file no.-12CB02NAB1736
Dt. of ad.& discharge 28/9/2011 to 1/10/2011
Policy no.-370603/48/10/8500000614
6)Mrs.Sampat Devi Mantri,file no.-12CB02NAB1681
Dt. Of ad.& discharge-15/9/2011 to 26/9/2011
Policy no.-370600/48/10/8500001104
7)Mrs. Shakuntala ji Bhadada,File No.-12CB02NAB1757
Dt.of ad.& discharge-4/10/2011 to 8/10/2011
Policy no.-12CB02NAB1757
Greetings Seasons,
In reference of the above,We have treated following patients after receiving the approval from VipulMedcorp TPA Pvt.Ltd.,Jaipur,through there authorization letter.We have submitted total necessary document to TPA which is necessary for settlement of claim.But we have not yet received the amount of above mention bills in spite of repeated request.We have sent several reminders.
So you are requested to kindly look into the matter and release the fund without any delay.
Yours Faithfully,
Deepak Ladha
RamsnehiChikitsalaya and Anusandhan Kendra,
Bhilwara-311001
Phone No.-01482-234100,238642
M.NO.09461530806
*Have you Approached Insurance Company Regarding This Grievance (If Yes Provide Ref No ) Ref No.923,10/102011