REJECT CLAIM AMOUNT FOR HOSPITALIZATION FROM TPA

TPA HEALTH INDIA TPA SERVICES PRIVATE LIMITED
MR. KAMLJEET GUPTA, CAO AND JOINT MD.
ANAND COMMERCIAL CO. COMPOUND
103-B, LBS MARG, GANDHI NAGAR,
VIKHROLI MUMBAI

PATIENT NAME : MR. DWARKANATH CHANDRATRE
AGE OF PATIENT : 80 YEARS
HOSPITAL NAME : ADITI HOSPITAL
DATE OF ADMITATION : 02/07/2013
DATE OF DISCHARGE : 22/07/2013
CCN : NA-M143390-DOTHA-1634
HI ID : 9230665F

Dear Sir,

Our cleam reject bacuse of following details

1) Nursing charges not paid
2) Consultant Charges
3) Investigation Charges
4) OT Charges
5) Medicine Charges
6) CO PAY / INSURANCE

I have all documents submit to TPA.

Thanking you,

ABHAY D. CHANDRATRE

9769223241
9869089214