This is a discussion on Complaint Against National Insurance and TPA within the Medical Insurance forums, part of the Insurance category; Dear Sir, I am insured under mediclam insurance policy of National insurance whose TPA is Paramount TPA Pvt. Ltd. I ...
Dear Sir,
I am insured under mediclam insurance policy of National insurance whose TPA is Paramount TPA Pvt. Ltd.
I was hospitalized from 23/08/2010 to 28/08/2010 whose documents for claimsettlementwere received in theoffice of TPA on 19/10/2010.Delay from my HRDepartment After talking to Paramount TPA they send me Deficiency letter.inthe deficiency letter they want authorization letter from the doctor. with in 10days I sent the letter to Paramount TPA and I solved my deficiency .Afterwards many times talking on phone and also sending lotof mails i am not getting any responsible answerfrom TPA. Every time I am told that your claim will be settled shortly. But aftera time span of 1year till today I am not assured that my claim will settled or not.and today I talk with paramount TPA employee Ms NEHA DANG she talk with me rudelyand cut my phone. so I decided go to the consumer court.
My policy details is hear
Name of Insurance Co /TD]
[TD]National Insurance CompanyPHS ID /TD]
[TD]20475089U/W Office Name /TD]
[TD]NEW DELHI DOName of Beneficiary /TD]
[TD]KUNAL PANGEPolicy Number /TD]
[TD]350300/46/10/8500000027Name of Proposer/Employee /TD]
[TD]KUNAL PANGEGroup Name /TD]
[TD]MAX INDIA LIMITEDPolicy Period /TD]
[TD]13/05/2010 to 12/05/2011Employee Number /TD]
[TD]003SND00581Gender /TD]
[TD]MALEAddress /TD]
[TD]Max House, Okhla, New Delhi - 110020Relation /TD]
[TD]Employee
Name of Provider /TD]
[TD]Dr. Bhute Nursing HomeProcessing Branch /TD]
[TD]011Insurer CCN /TD]
[TD]0Date of Admission /TD]
[TD]23/08/2010FIR Date /TD]
[TD]20/10/2010Date of Discharge /TD]
[TD]28/08/2010FIR Number /TD]
[TD]1732612Al/Denial Date /TD]
[TD]-FIR Extention /TD]
[TD]Al Amount /TD]
[TD]0Partial Payment Seq /TD]
[TD]0Additional Al Amount /TD]
[TD]0
Regards
Kunal Pange
0933912749