E Meditek TPA Services - Reimbursement of claim amount is not received till date
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Complaint by: Kajal Jain on September 10, 2018, 3:31 pm in Insurance All

Myself Kajal Jain, a mediclaim policy holder for myself from Emeditek Insurance TPA Ltd issued by The New India Assurance Co. Ltd from last 12 years.

The Details of TPA ID is as follows:

Kajal Jain : 1000********34A
Claim ID :1220********
Policy No : 320103341********210
Ins Claim Id :TP00****************48

I Requested for reimbursement of claim of myself for chicken pox. , viral pneumonia, overlap myositis. Hypothyroidism. I got discharged from hospital on 23.06.2018 and reimbursement claim was filled with New India on 29.06.2018, it reach Emeditek on 03.07.2018.The claim Ref No. is 1220******** in name of Ms. Kajal Jain.

On 18.08.2018 i received a letter for submission of some additional papers like
1)Kindly provide Justification of prolonged duration of stay, line of treatment-certified by treating doctor.
2)Kindly confirm past history with duration of the sclerosis certified by the treating doctor .
3)Kindly provide all ultrasound, Xray and CT films.
4)Kindly provide histopathology report.

which was submitted by me on 29.08.2018 to Emeditek office at Gurgaon.

From that date till now i am calling your 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 reimbursement status. I even send the SMS as given in website but no response for that. I even send the mail as given in website but no response for that also.

I am not knowing my claim status and my reimbursement 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.

Complainant's Goal: Reimbursement of claim amount is not received till date
Complainant's Target: E-Meditek TPA Services
Complaint Location: IndiaDelhiCentral Delhi
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