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National insurance - vantage india & tpa

This is a discussion on National insurance - vantage india & tpa within the Insurance forums, part of the Business & Finance category; Here is all what happened : 1) I was admitted in Niramaya hospital from 10th Aug to 12th Aug at ...

  1. #1
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    Default National insurance - vantage india & tpa

    Here is all what happened :

    1) I was admitted in Niramaya hospital from 10th Aug to 12th Aug at Niramaya Hospital.

    2) Hospitalisation was asked by the Doctor Dr. Arun Baviskar , Orthopadic Surgeon MBBS , MS ( tel - 9867774108 ). Self was not in a condition to move my leg a bit even.

    3) Claim documents were submitted to the executive who sits in MIAL office on every Tuesdays and Friday's before 27th August , which is 15 days from the date of discharge so point mentioned that documents were submitted on 31st Oct is totally wrong. I left the company MIAL / GVK on 23 rd Sep 2011 after resigning on 16th Sep 2011. Joined here in Gurgaon, Fidelity International on 28th Sep 2011, since then i am at Gurgaon and working for this group. I was not even in Mumbai on the said date.
    Check list was given late intentionally. Why ?

    4) Signature on the claim form and concent is done by me , but the signature on the form of vantage Risk Insurance is not signed ( below point no. 6 of Other Additional Documents )by me but by unknown person. Please clarify who has signed the form on my behalf ? Copy attached of the same.


    5) Original documents were kept by the Vantage team without intimating that the claim is not passed for almost 04 Months. Very casual approach by the representative Mr. Ninad who did not bothered to give feedback neither to my emails nor to my telephone calls.

    6) I want the Name of the representative who sits in the MIAL office on every Tuesdays and Fridays , who has taken the documents in August and now denying.

    Mr Santosh you tell me why will I not submit the documents if I know I have to claim, I am a professionally educated MBA and knows all these claim procedures. This is not the First claim of my life.

    7) Please answer why nobody / representative from Vantage approached me for giving back the documents if the claim was not settled. Why the information was not passed to me ?

    8) If I would have taken a Cash less scheme this would not have been the case , then why the case of TPA when I am claiming afetr paying from my pocket ?


    Pls help ?

  2. #2
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    Default

    Quote Originally Posted by ANUBHAVMIS View Post
    Here is all what happened :

    1) I was admitted in Niramaya hospital from 10th Aug to 12th Aug at Niramaya Hospital.

    2) Hospitalisation was asked by the Doctor Dr. Arun Baviskar , Orthopadic Surgeon MBBS , MS ( tel - 9867774108 ). Self was not in a condition to move my leg a bit even.

    3) Claim documents were submitted to the executive who sits in MIAL office on every Tuesdays and Friday's before 27th August , which is 15 days from the date of discharge so point mentioned that documents were submitted on 31st Oct is totally wrong. I left the company MIAL / GVK on 23 rd Sep 2011 after resigning on 16th Sep 2011. Joined here in Gurgaon, Fidelity International on 28th Sep 2011, since then i am at Gurgaon and working for this group. I was not even in Mumbai on the said date.
    Check list was given late intentionally. Why ?

    4) Signature on the claim form and concent is done by me , but the signature on the form of vantage Risk Insurance is not signed ( below point no. 6 of Other Additional Documents )by me but by unknown person. Please clarify who has signed the form on my behalf ? Copy attached of the same.


    5) Original documents were kept by the Vantage team without intimating that the claim is not passed for almost 04 Months. Very casual approach by the representative Mr. Ninad who did not bothered to give feedback neither to my emails nor to my telephone calls.

    6) I want the Name of the representative who sits in the MIAL office on every Tuesdays and Fridays , who has taken the documents in August and now denying.

    Mr Santosh you tell me why will I not submit the documents if I know I have to claim, I am a professionally educated MBA and knows all these claim procedures. This is not the First claim of my life.

    7) Please answer why nobody / representative from Vantage approached me for giving back the documents if the claim was not settled. Why the information was not passed to me ?

    8) If I would have taken a Cash less scheme this would not have been the case , then why the case of TPA when I am claiming afetr paying from my pocket ?


    Pls help ?
    My details - Policy No. 26100046/11/8500000013 ... Anubhav Mishra
    e Mediteck No. N1 MIAL 19275575

    My details - Policy No. 26100046/11/8500000013 ... Anubhav Mishra
    e Mediteck No. N1 MIAL 19275575

    My details - Policy No. 26100046/11/8500000013 ... Anubhav Mishra
    e Mediteck No. N1 MIAL 19275575

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