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Claim closed

This is a discussion on Claim closed within the Medical Insurance forums, part of the Insurance category; Dear Sir, I have taken family medi-claim policy from HDFC Egro - Policy No. 50022623, Claim ID: 7377. On 5th ...

  1. #1
    chetnabhosle is offline Junior Member
    Join Date
    Jul 2010
    Posts
    1

    Default Claim closed

    Dear Sir,

    I have taken family medi-claim policy from HDFC Egro - Policy No. 50022623, Claim ID: 7377. On 5th of April 2010, I was hospitalised for Eneric Fever and I took treatment from my Family doctor. After my discharge from hospital, I sent all the required documents forclaiming as per the instruction from HDFC Egro Customer Care. After my submission for claim, I recieved a letter (letter Dated 14/05/2010) from Family Health Plan (TPA) Limited stating they require details of beds, facilities available, treating doctor certificate for details of the hospital. On 19th May 2010 I sent them treating doctors certificate along with the registration details which was receieved by them on 22nd May 2010. Once again on 25th May 2010 I receievd same letter asking the same details. But the hospital authorities didn't provide me the details saying that they have provided all the necessary documents required for claim and with the registration No. facilities can be known by the insurance company. Once again on 12th June 2010 I recieved the same letter stating if I didn't submit the required documents within 14 days the claim will be closed. With all the due request to the hospital authorities and treating doctor they provided me the xerox copy of the registration certificate, facility available letter which I sent to the family health plan (TPA) Limited on 16th June 2010. But the TPA as sent me letter on 18th stating that my claim as been closed boz i have not submitted the required documents.

    After repeated telephonic talk and discussion the TPA is not agreeing for the receipt of my letter. I have got the POD of the document which I have sent through Courier stating the receipt of the document on 18th June 2010. You are requested to help me in this matter for claiming my dues.

    (Details of the courier Docket No. M53807548 dated 16/06/2010, POD copy(18/06/2010) is attached )

    With Regards


    Chetna Bhosle
    Attached Thumbnails Attached Thumbnails Claim closed-m53807548.jpg  

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