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Delay in claim settlement by e meditek (tpa)services limited

This is a discussion on Delay in claim settlement by e meditek (tpa)services limited within the Insurance forums, part of the Business & Finance category; Myself Anand Ladha, a mediclaim policy holder for my family from Instant Helathcare Private Limited issued by United India Insurance ...

  1. #1
    Junior Member
    Join Date
    Jun 2010
    Posts
    1

    Default Delay in claim settlement by e meditek (tpa)services limited

    Myself Anand Ladha, a mediclaim policy holder for my family from Instant Helathcare Private Limited issued by United India Insurance from last four years.emeditek is tpa service provider.

    The Details of TPA ID is as follows:

    Anand Ladha:6901081
    Sonal Ladha:6901082

    I Requested for remiburement of claim of my wife for pregnancy.My Wife got discharged from hospital on 22.05.2010 and reimburement claim was filled with Emediek on 28.05.2010.The claim Ref NO. is 15807437 in name of Ms. Sonal Ladha

    On 10.06.2010 i recieved a letter for submission of some additional papers like photo ID proof and USG report which was submitted by me on 12.06.2010 to your office at GUrgaon.

    From that date till now i am calling emeditek customer care,toll free no,either they don't pick up the phone even after calling 100 times or disconnect the phone when i request for claim reimburement status.I even send the SMS as given in their website but no response for that also.

    I am not knowing my claim status and my reimburement has not been made till date even after considerable lapse of time.

    I request you to kindly intervene so that the whole process is more simple for aam aadmi.

  2. #2
    bijender
    Guest

    Default Help

    Hi,
    Please send a mail to insurance ombudsman regarding the issue and delay in settlling the claim. Also you can file a complaint with consumer court.

    Thanks-
    Bijender


    Quote Originally Posted by anandladha View Post
    Myself Anand Ladha, a mediclaim policy holder for my family from Instant Helathcare Private Limited issued by United India Insurance from last four years.emeditek is tpa service provider.

    The Details of TPA ID is as follows:

    Anand Ladha:6901081
    Sonal Ladha:6901082

    I Requested for remiburement of claim of my wife for pregnancy.My Wife got discharged from hospital on 22.05.2010 and reimburement claim was filled with Emediek on 28.05.2010.The claim Ref NO. is 15807437 in name of Ms. Sonal Ladha

    On 10.06.2010 i recieved a letter for submission of some additional papers like photo ID proof and USG report which was submitted by me on 12.06.2010 to your office at GUrgaon.

    From that date till now i am calling emeditek customer care,toll free no,either they don't pick up the phone even after calling 100 times or disconnect the phone when i request for claim reimburement status.I even send the SMS as given in their website but no response for that also.

    I am not knowing my claim status and my reimburement has not been made till date even after considerable lapse of time.

    I request you to kindly intervene so that the whole process is more simple for aam aadmi.

  3. #3
    Unregistered
    Guest

    Default Doing joke

    i have submitted my whole original bill & original report still they need documents.This people feel happy when they saw that the custommer is suffering to get their claimed money.This is not at all acceptable.

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