Sir
I Nilesh Jain have taken medicalim policy from New India assurance under policy no. 450203/34/14/03/00000035 on 12/09/14 period covered from 17/09/14 to 16/09/2015.
My wife has been admitted on 08/06/15 in hospital in Ujjain and treatment given by doctor but to some reason she was not well and discharged on 09 june 15.
For the same ill again she was admitted on 22 june 15 and taken treatment prescribed by doctor, discharged on 23 june 15
After a few day her Headache not cure so we visit Dr. Bhagwat after some test they have given some treatment for the same.
I have applies for claim in two step i.e. one on 25 june 15 of amount rupees 22711/- and other is amount rupees 5050/-. The insurance co. Forward the document to MD india health care services (TPA) ltd. After receiveing document the TPA working was very slow whenever i called TPA they said “Sir claim is under process” I register the complaint for the same with Irda on 13 aug. 15 complaint no. Is 08-15-009086 and also lodge complaint with Insurance co. Complaint no. Is 1-119596004 and also lodge complaint with TPA COMPLAINT no. 6828726
After file RTI on 26 aug 15 TPA reject the cailm after 1.5 month without any clear reason
I request you to kindly help me and settled claim as earlier as possible.
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