Preauth Received 134
Preauth Received 134
Date: 08-Jul-2024
To,
Insurer Desk
Fortis Healthcare Limited
AA 299, Shaheed Udham Singh Marg, AA
Block,,Poorbi Shalimar Bagh, Shalimar
Bagh,,DELHI,DELHI,DELHI,INDIA,110088
Dear Sir/Madam,
Subject : Acknowledgement for registration and receipt of claim documents of Claim No: 4000206486A
Reference:
Patient Name RAJ RANI
Age 60 Gender FEMALE
Proposer Name RAJ RANI Relationship with Proposer Self
Claimant UHID IDV00018249501058
Policy Number 7000081102 Certificate Number
Policy Start Date 10-Aug-2023 Policy End Date 09-Aug-2024
Date of Admission 08-Jul-2024 Date of Discharge 08-Jul-2024
Preauth received Date 08-Jul-2024 Preauth received Time 12:57 PM
Claim Type Cashless Corporate name
Diagnosis AFI with VSA
We acknowledge receipt of your claim documents for the above mentioned hospitalization.Kindly quote the Claim
Number mentioned above for all future correspondence for ease of reference.
It is recommended to retain a copy of all documents being sent to us and quote your Claim Number for future
correspondence regarding the claim
In case of any assistance, kindly call us on our toll free number 1800 266 7780 / 1800 22 9966 (for Senior Citizen)
or mail us at healthclaimsupport@tataaig.com
Thanking you and assuring you of our best services at all times.
Yours Sincerely,
Tata AIG General Insurance Co. Ltd.
Authorized Signatory
Registered Office : Peninsula business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400013. 24X7 Toll Free No: 1800 266 7780 or
1800 229 966 (For Senior Citizens) | Visit us at www.tataaig.com | IRDA of India Registration No: 108 | CIN: U85110MH2000PLC128425