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Reminder Two Letter

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15 views2 pages

Reminder Two Letter

mhvj

Uploaded by

Anuranjan Tirkey
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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Claim Query Letter – Second Reminder - Reimbursement

Date: 08-Aug-2024
To,
ANURANJAN TIRKEY
H N -7/ A STREET-38,SECTOR-7 CIVIC CENTRE,
BHILAI ,
,36362-DURG
10613-BHILAI,7-CHHATTISGARH,490006

Dear Sir/Madam,

Subject : Request to provide additional information(s) / document(s) under Claim No : 4000210467A

Reference:
Patient Name ANURANJAN TIRKEY
Age 36 Gender MALE
Proposer Name ANURANJAN TIRKEY Relationship with Self
Proposer
Claimant UHID IBANK2888013270701033
Policy Number 0288343434 Certificate Number
Policy Start Date 04-Nov-2023 Policy End Date 03-Nov-2024
Date of Admission 03-Jun-2024 Date of Discharge 06-Jun-2024
Claim Received Date 15-Jul-2024 Corporate name
Room Category Single occupancy Claim Type Reimbursement
Claimed Amount 38354 Benefit Type In Patient Treatment
Hospital Name Ridhi Healthcare Centre
Hospital Address Salbari Bazar Opposite Old Petrol Pump ,Siliguri
Panchanai,,SALBARI,DARJEELING,WEST BENGAL,INDIA,734002
Diagnosis GERD, MUSCULOSKELETAL PAIN

With reference to the above claim, we sent letters seeking more details/documents vide our letter dated undefined &
24-Aug-2024 but we found the below-mentioned particulars are still pending.

We therefore request you to provide us the below- mentioned documents / information immediately. Kindly quote
the Claim Number: 4000210467A while responding, for ease of reference.

Tata AIG General Insurance Company Limited Page 1 of 2

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
S.No Requirement* Status
1 Consolidated original final bill, submitted is estimate Pending
provisional bill.
2 Original payment receipts. Pending
3 Treating doctor's certificate confirming indication for Pending
Thiamine in this case.

Kindly submit the documents at the below mentioned address:

Tata AIG Health Claims Hub


Door No. 615, 616, 5th and 6th Floors,
Imperial Towers, Ameerpet,
Next to Ameerpet Metro Station,
Hyderabad, Telangana - 500016

You can also submit your claim documents online via the TataAIG self-service portal or mobile app

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

Tata AIG General Insurance Company Limited Page 2 of 2

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

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