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Al - 3-59

Four bill

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18 views1 page

Al - 3-59

Four bill

Uploaded by

sanjeev1987roy
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PARAMOUNT HEALTH SERVICES & INSURANCE TPA PRIVATE LIMITED

(IRDA License No.006) Validity: From 21-03-2023 to 20-03-2026

Plot No.A-442,Road No-28.M.I.D.C Industrial Area,Wagale Estate,Ram Nagar, Vitthal Rukhumani Mandir, Thane-400604 Tel-(022)-66620808, Fax No-68342754, E-mail
contact.phs@paramounttpa.com.

Branch Code :022

To,
Date : 29/07/2024
Manager - Finance & Billing
CCN : 6865419 EXT. :
BHAGWAN MAHAVIR MEDICA SUPERSPECIALTY HOSPITAL
Infront Of P.H.E.D.Colony, Near Booty More Bariatu Road,
Ranchi,Ranchi,Jharkhand-834009

PREAUTHORIZATION: DEFICIENCY INFORMATION LETTER


Subject : Hospitalization of Mr / Ms MANJU DEVI
At: BHAGWAN MAHAVIR MEDICA SUPERSPECIALTY HOSPITAL
Tel No. 0651-6606000 / 1460317431,7033093314
Fax No.
PHS ID No: 39183267
Insurance Co. Aditya Birla Health Insurance Company Limited

Dear Sir/ Madam,

We have registered your cashless request under aforesaid claim no. 6865419. We observed that your claim request is deficient with respect to below requested
information/documents. Kindly furnish the requested details at the earliest so as to arrive at the claim admissibility from time of receipt of complete documentation.

Additional Info. / Remarks :

1 . kindly provide date wise CBC reports

Thanking You,

Authorised Signatory.

Please Note:

WE REQUEST YOU TO SUBMIT THE ABOVE INFORMATION BY THE TREATING DOCTOR ON HOSPITAL'S OR DOCTOR'S LETTERHEAD WITHIN 24 HOURS
OR BEFORE DISCHARGE, WHICHEVER IS EARLIER ELSE THE CASE IS LIKELY TO BE KEPT ON-HOLD OR CLOSED DUE TO PROLONG DELAY IN YOUR
RESPONSE.

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