Medicare TPA Services(I) Claim Settlement – Review

The complainant being a policy holder of health insurance having policy no 512202/34/13/25/00000232 of New India Assurance Company uninterruptedly since the year 2001 and having no problem to get the services of the Insurer. But in this year she came across a negligent treatment meted out to her after lodging a claim of Rs 9174 on 08/08/2014 by the authorities of Medicare TPA Services (I) Pvt. Ltd having MEMBER NO 02100255860A and CLAIM NO T1208142756 Though the complainant submitted all the original papers as received by her from the Hospitals at the time of discharge ,she was sent notices of lack of certain documents and as the complainant was recuperating from her illness and being dependent solely on others she sought some time to comply with their further requirement and subsequently she submitted all the papers on 24/09/2014 and it is more than 82 days since the insured has lodged her claim but the TPA, Medicare TPA Services(I) Pvt. Ltd neither settled her claim neither gave any reply Being an elderly citizen and a loyal policyholder of the reputed Insurer New India Assurance Company it is really socking to get the quality of service from them and the agony of being subjected by the TPA authorities to get the legitimate claim

to get the claim amount without further delay because the claim is legitimate one and there is no ingenuity on her part

Email Id: pramithius@yahoo.

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