To,
Claim Department,
Vipul MedCorp TPA Private Limited,
Jaipur

Subject:-Release of Funds

1)
Name of Patient Mr.Ramesh Chandra Vyas
Corporate Name New India Assurance Company Limited
Vipul ID 01CAA0044902F
Date of Admission 12/6/2012
Date of Discharge 26/6/2012
Amount 151573
2)
Name of Patient Mr.Ram Prasad Ajmera
Corporate Name United India Insurance Company Limitd
Vipul ID 13CB07UID 0330
Date of Admission 13/06/2012
Date of Discharge 17/06/2012
Amount 18863
3)
Name of Patient Mrs.Pushpa Devi Mundra
File No 13CB02NAB0392
Date of Admission 27/08/2012
Date of Discharge 30/08/2012
Amount 2604
4)
Name of Patient Mr. Prahlad Mali
File No 13CB02OIB1213018
Date of Admission 5/12/2012
Date of Discharge 08/12//2012
Amount 8514/-

Name of Patient Mrs.Pushpa Kothari
File No 13CB02NAB0706
Date of Admission 20/12/2012
Date of Discharge 24/12//2012
Amount 42754/-

Dear Sir,
Greeating from Ramsnehi Chikitsalaya and Anusandhan Kendra,Bhilwara
In reference of the above, We have treated following patients after receiving the aproval from Vipul
medcor[ TPA Private Limited,Jaipur,But we have not yet received the amount of the above mention bills.
So you are requested to kindly look into the matter and release the fund without any delay.

Thanks and Regards

Ramsenhi Hospital,
Bhilwara
Phone No.01482-234100