Hello,

Kindly provide us your full contact details, company details with your valid phone no..

Hi,

My name is Parvati Krishnakumar
Address: 4,Suryadarshan, Goshala Road,Mulund(W), Mumbai-80
Tel:9819556313

Pls guide on the procedure to take action against Raksha TPA.

Regards,
Parvati

Hello,

As you mentioned that you have send back the cheque, have you checked the delivery status, if it is delivered then send a written notice to the MD/Manager of Raksha TPA, mention all the details in it, and ask them to refund as early as possible else you will drag them to the consumer forum.

Hop this may help you at initial stage.

All the best.

Thanks for the prompt response. I have been corresponding with Raksha TPA for a long time and am attaching the corespondence below. I had couriered the cheque through Vichare couriers on 10th Nov'09 and the receipt number was 353021. I had given these details to a Raksha representative on the phone also and she told she would get back to me.



REMINDER: Payment status of claim Number 556291077211 (URGENT)
From: Parvati Iyer <parvati_n@yahoo.com>View Contact
To: contact@rakshatpa.com; vijaygaurkhede@orientalinsurance.co.in
Cc: Parvati Krishnakumar <parvati_n@yahoo.com>; Jyoti Shetty <jytshetty@yahoo.co.in>


--------------------------------------------------------------------------------

Dear Sir/Madam,

I have to remind you once again to despatch the rectified cheque. For details , pls refer to my previous communication with you (see below). On 18th Dec'09, one of you people called me up and told that you are not able to locate the returned cheque. I want to mention it once again that i am not responsible for your inability to locate the cheque. I was suposed to hear from you people the very next day and i am still waiting for a response.

I still do not have the contact number of any single person to whom i can speak about the same. I am thoroughly frustrated with your service and am seriously considering taking up the matter with the consumer court. Its been 5 months since i posted the claim and i am yet to recieve the cheque. I guess being an honest citizen gets you penalized this way.

Hoping for a prompt response from your end.

Regards,

Parvati Krishnakumar

----- Forwarded Message ----
From: Parvati Iyer <parvati_n@yahoo.com>
To: contact <contact@rakshatpa.com>
Cc: Parvati Krishnakumar <parvati_n@yahoo.com>
Sent: Fri, December 18, 2009 3:36:29 PM
Subject: Re: REMINDER: Payment status of claim Number 556291077211 (URGENT)


hi,

Just ny luck, i managed to get one of your executives on the line and as usual, as soon as i mentioned the reason for calling, the line got conveniently disconnected. If you cannot service customers, why provide a number only? And since you are so difficult to contact, please contact me at 9819556313 / 25604784 as soon as possible. I hope you will not add further to my frustration.

regards,

Parvati Krishnakumar




--------------------------------------------------------------------------------
From: contact <contact@rakshatpa.com>
To: Parvati Iyer <parvati_n@yahoo.com>
Sent: Fri, December 18, 2009 2:57:15 PM
Subject: RE: REMINDER: Payment status of claim Number 556291077211 (URGENT)

Dear Madam,

Kindly provide acknowledgement copy of the cheque return for our further reference

Regards,
CRCM Cell
________________________________________
From: Parvati Iyer [parvati_n@yahoo.com]
Sent: Friday, December 18, 2009 2:39 PM
To: contact
Cc: Parvati Krishnakumar
Subject: Re: REMINDER: Payment status of claim Number 556291077211 (URGENT)

DEAR SIR,

I have already returned the cheque back to you along with a covering letter on 10th Nov'09 through vichare courier. I sent you the mail because i have not yet received the rectified cheque. And now, when i am totally frustrated with your service, you ask me for an acknowledgement copy. What kind of acknowledgement do you want? Anyways, am attaching the letter that i sent alongwith the cheque.

And please do me a favour. Give me the contact number of some person to whom i can speak about the same. Please respond as soon as possible to this mail.

regards,

Parvati Krishnakumar

________________________________
From: contact <contact@rakshatpa.com>
To: Parvati Iyer <parvati_n@yahoo.com>
Sent: Fri, December 18, 2009 11:59:34 AM
Subject: RE: REMINDER: Payment status of claim Number 556291077211 (URGENT)

Dear Madam,

Kindly provide acknowledgement copy of the cheque return for our further reference.

Regards,
CRCM Cell
________________________________________
From: Parvati Iyer [parvati_n@yahoo.com<mailto:parvati_n@yahoo.com>]
Sent: Friday, December 18, 2009 11:48 AM
To: Parvati Iyer; contact
Subject: REMINDER: Payment status of claim Number 556291077211 (URGENT)

Dear Sir/Madam,

I have communicated with you before also on the payment status of claim number 556291077211. Forget recieving payment, you have not even bothered to reply to my mail. Your numbers are also conveniently unavailable. I think i did the wrong thing by returning the cheque for Rs 47,959. I should have just deposited the same in the bank and enjoyed the amount. Here, i am being penalised for your errors. Please respond to this mail at the earliest.

regards,

Parvati

________________________________
From: Parvati Iyer <parvati_n@yahoo.com<mailto:parvati_n@yahoo.com> >
To: contact <contact@rakshatpa.com<mailto:contact@rakshatpa.co m>>
Cc: Parvati Krishnakumar <parvati_n@yahoo.com<mailto:parvati_n@yahoo.com> >
Sent: Thu, December 10, 2009 12:52:20 PM
Subject: Payment status of claim Number 556291077211 (URGENT)

Dear Sir/Madam,



Wanted to know the payment status on claim number 556291077211. As you can observe from the communication below, you had requested me to send the cheque for Rs 47959 and that my rectified cheque would be sent to me on a priority basis. I have sent the cheque on 10th Nov'09 itself but am yet to hear from you or recieve the rectified cheque.

Please send the cheque at the earliest and please respond to this mail stating when i can expect the cheque from you. Considering that this is payment due on expenses incurred in Aug'09, i hope you will not delay the payment any longer and strain my finances.



regards,



Parvati Krishnakumar

Member ID: 05569825210

Policy Number: 121200/48/2009/8696


________________________________
From: contact <contact@rakshatpa.com<mailto:contact@rakshatpa.co m>>
To: Parvati Iyer <parvati_n@yahoo.com<mailto:parvati_n@yahoo.com> >
Sent: Thu, November 5, 2009 4:37:47 PM
Subject: RE: Regards over payment on claim Number 556291077211 (URGENT)

Dear Madam,

Kindly return the cheque for rectification, rectified cheque will be resend to you on priority basis.

Sorry for the inconvenience caused to you.Plz co-operate.

Regards,
CRCM Cell

________________________________________
From: Parvati Iyer [parvati_n@yahoo.com<mailto:parvati_n@yahoo.com><ma ilto:parvati_n@yahoo.com<mailto:parvati_n@yahoo.co m>>]
Sent: Thursday, November 05, 2009 4:06 PM
To: contact
Cc: Parvati Krishnakumar
Subject: Re: Regards over payment on claim Number 556291077211 (URGENT)

Dear Sir/Madam,

I had mentioned the claim number in the heading of my previous mail. Anyways , i am providing the details below for your reference:
Claim No: 556291077211
Member ID: 05569825210
Policy Number: 121200/48/2009/8696
Claim Amount : 47971
Approved Amount: 47959
Cheque Number: 734349
Bank: HDFC

Please inform me of my subsequent course of action.

regards,

Parvati Krishnakumar

________________________________
From: contact <contact@rakshatpa.com<mailto:contact@rakshatpa.co m><mailto:contact@rakshatpa.com<mailto:contact@rak shatpa.com>>>
To: Parvati Iyer <parvati_n@yahoo.com<mailto:parvati_n@yahoo.com><m ailto:parvati_n@yahoo.com<mailto:parvati_n@yahoo.c om>>>
Cc: "parvatikk@gmail.com<mailto:parvatikk@gmail.com><m ailto:parvatikk@gmail.com<mailto:parvatikk@gmail.c om>>" <parvatikk@gmail.com<mailto:parvatikk@gmail.com><m ailto:parvatikk@gmail.com<mailto:parvatikk@gmail.c om>>>; Jyoti Shetty <jytshetty@yahoo.co.in<mailto:jytshetty@yahoo.co.i n><mailto:jytshetty@yahoo.co.in<mailto:jytshetty@y ahoo.co.in>>>; Kumar <vk1kumar@rediffmail.com<mailto:vk1kumar@rediffmai l.com><mailto:vk1kumar@rediffmail.com<mailto:vk1ku mar@rediffmail.com>>>
Sent: Thu, November 5, 2009 3:33:35 PM
Subject: RE: Regards over payment on claim Number 556291077211 (URGENT)

Dear Madam,

Kindly provide the claim no against which you have recieved the cheque for Rs.47959/-.

Regards,
CRCM Cell

________________________________________
From: Parvati Iyer [parvati_n@yahoo.com<mailto:parvati_n@yahoo.com><ma ilto:parvati_n@yahoo.com<mailto:parvati_n@yahoo.co m>><mailto:parvati_n@yahoo.com<mailto:parvati_n@ya hoo.com><mailto:parvati_n@yahoo.com<mailto:parvati _n@yahoo.com>>>]
Sent: Wednesday, November 04, 2009 3:27 PM
To: contact
Cc: Parvati Krishnakumar; parvatikk@gmail.com<mailto:parvatikk... kk@gmail.com>>>; Jyoti Shetty; Kumar
Subject: Regards over payment on claim Number 556291077211 (URGENT)

Dear Sir/Madam,

I have received a settlement cheque of Rs 47,959 for my claim against the mediclaim policy purchased from "The Oriental Insurance Co. Ltd". However, I would like to bring to your notice the fact that the limit for Vishalakshi G ( the patient in this case) is just Rs 1.25 lacs. We have previously received Rs 97,731 as claim settlement on 2nd Sep'09. As a result, we should have received an amount of Rs 27,269 only against our claim. In case, the Rs 47,959 has been paid as settlement under a blanket cover ( collectively we have an insurance limit of Rs 4.75 lacs), please inform us of the same.

Please respond as soon as poosible to this mail as regards the further course of action that i should take. I will wait till 6th Nov'09 and if i do not receive any intimation from you, will go ahead and deposit the claim cheque of Rs 47,959. Please look into the matter as soon as possible and in case, you will send another cheque for the revised amount, please do so at the earliest. Either ways, please inform me of the action that i am supposed to take.

Regards,

Parvati Krishnakumar
Policy number : 121200/48/2009/8696

Please tell me what action i can take

Hello,

Send a written notice vai registered post to the Manager of Raksha TPA, attach all the print copy of email, photo copy of receipt and other document if any.

Visit: Notice before filing consumer complaint for notice reference.

Hope this may solve your problem. If still have a question then feel free to contact us again.

Respected sir,

i have not received any reply from your side against claim No. 556910111861 & P. No. 122300/48/10/12038. I have submitted all quairy paper. So please look into the matter & Help me.

Hopping good favorable reply.


Thanks

R. P. PATEL

Cont. E.mail : ketan_211976@yahoo.com

Sub: Ref Letter No.: 556910111861 (NON-TENABLE)

Dear Sir/Madam

This is in response to your letter Ref. No. 556910111861 date on 25 May 2010. The “Claim Procedure” says that the claim papers should be given within 60 days from the date of discharge from hospital to TPA.
As per the said instruction we have submitted the papers within 60 days from the date of discharge from hospital. But still the claim is said to be NON- TENABLE and not accepted. We have already submitted the response to your ref .Letter No.: 556910111861, still no further communication is received from your side in the said subject.

Find below the details:

Member I.D. No.: 055603314JMWSLN
Policy No.: 122300/48/10/12038

Kindly reply at the earliest. Hoping for your kind cooperation.

Enclosed: Certificate of Insurance

Thanks & Regards


Patel Ramesh Bhai P.

Dear sir,
i have had a mediclaim with oriental insurance for the last few days i had made a claim against
my policy no.211200/48/2010/652 for the treatment of my son for the dengue fiver
i have already submitted all the originals provided by the doctors
please cirtified the originals and i am waiting for the cheque.

RAKSHA TPA has no basic sense of customer service at all. They dont bother to reply to your complaints, when you ask for the details of their senoirs they avoid. Their relationship managers dont have the knowledge and bandwidth to manage relationships.Even their website doesnt have a proper escallation matrix.

My company used their services for one year and discontinues. we had more than 1500 employees insured through them.