Dear sir,

I have taken a mediclaim policy of The oriental Insurance Co Ltd at vadodara branch in 26/6/2006 and my policy No. is 171101/48/2009/1027 and insured 's code is 13529038. I was hospitialised due to suffering from sinusitis + delirium + meningiencephalitis and I was hospitliased from 30/4/2009 to 4/5/2009 at Faiz Nursing Home Vadodara. But in Mediclaim Medical Report the subordinate of doctor has written the wrong date in point No.5 When did the patient approach you for the first time in connection with present
disease suffered ? The date written is on 4/5/2009 and Date of first consultation : The date written is 4/5/2005

The above date was written by mistake and it was wrtten by the subordinate of doctor
for which the doctor have given the certificate the patient has approached first time for disease on 28/4/2009 which was subimtted to MD India Healthcare Services Pvt Ltd at Baroda office.

Even in M M R the second point my birth date was also written wrong it was
written 2071. and in eleventh point Is disease suffered Acute or cronic ?
They have written Acute and hence it is not chronic.

For the above given reason the MD India Healthcare services is not passing
my claim and I have done appeal for three times but they have rejected my
claim after giving the certificate of doctor for mistake done by his subordinate.

While taking policy on 26/6/2006 there is no any pre existing diseases mentioned in
the form.

Despite of done three appaeal at MD India Healthcare services at Vadodara office.
They have rejected my claim of Rs. 17000/-

It is my kind request to look in to this matter and reply positively.

Regards

Javidali Kazi