rom subash paliwal <scpaliwal@gmail.com>
to Services.rgicl@relianceada.com
date Sat, Feb 20, 2010 at 8:44 PM
subject Re: Hospitalization bill claim.
mailed-by gmail.com
hide details 8:44 PM (32 minutes ago)
Reminder No.-1
Sir ,
I was admitted in Ayushman Hospital &Trauma centre,hero Honda Chowk,NH-8,Gurgoan(Haryana) on 02/02/2010 at time 1.15P.M. due to problem was diagnosised Hepatitis.I contacted to your TPA Medi Assist India Pvt.Ltd. on his toll free no.1800 425 9449 so many times but TPA has not picked my phone.
I made a complain to Relaince General Insurance Co.Ltd. and got registered no. 947725. The Relaince General Insurance Co.Ltd. has given me Delhi address of Medi Assist India TPA Pvt. Ltd.F-2,Kailash Plaza ,H-252,Sant Nagar,New Delhi-110065 Ph.011-30913809/11.I contacted TPA Delhi office through phones no. Ph.011-30913809/11 and office person told me to deposit your claim with origional Claim Form Filled with Origional Hospitalization Documents(Admission Sheet, Discharge
Card and Bills of Ayushman Hospital &Trauma centre,hero Honda Chowk,NH-8,Gurgoan(Haryana)).I deposited Origional Hospitalization Documents(Admission Sheet, DischargeCard and Bills of Ayushman Hospital &Trauma centre,hero Honda Chowk,NH-8,Gurgoan(Haryana) along with Claim Form Filled to receiving section of Medi Assist India TPA Pvt. Ltd.F-2,Kailash Plaza ,H-252,Sant Nagar,New Delhi-110065 on 11/02/2010 wide register no.21 .The scan copy of receipt given by receiving section of Medi Assist India TPA Pvt. Ltd.F-2,Kailash Plaza ,H-252,Sant Nagar,New Delhi-110065 is herewith attached.
Therefore, you are requested to sent the chaque of Rs. 27098/-( Hospital bill of Rs.23098/- and with four days bed charges @1000/- per day or Rs.4000/- bed charges)
as early as possible.

Thanking,

(S.C.Paliwal)