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External Query Letter

The letter is a claim query from Tata AIG General Insurance regarding Claim No: 4000149839-1A for patient Prakash Keshar Mishra. It requests additional documentation, specifically a treating doctor letter detailing the duration of Crohn's disease and treatment records. The letter provides instructions for submitting the required documents and contact information for assistance.

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Kambupani Babu
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8 views2 pages

External Query Letter

The letter is a claim query from Tata AIG General Insurance regarding Claim No: 4000149839-1A for patient Prakash Keshar Mishra. It requests additional documentation, specifically a treating doctor letter detailing the duration of Crohn's disease and treatment records. The letter provides instructions for submitting the required documents and contact information for assistance.

Uploaded by

Kambupani Babu
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 - Cashless

Date: 13-Mar-2024
To,
Apollo Hospitals, Bhubaneswar
Plot No. 251, Sainik School Road,
Unit-15,Bhubaneshwar,,BHUBANESWAR,KHORDH
A,ORISSA,INDIA,751005,

Dear Sir/Madam,

Subject : Request to provide additional information(s) / document(s) under Claim No : 4000149839-1A

Reference:
Patient Name PRAKASH KESHAR MISHRA
Age 48 Gender MALE
Proposer Name Relationship with Self
Proposer
Claimant UHID 0238936811/424143559/01
Policy Number 0239326260 Certificate Number 01158274
Policy Start Date 16-Jun-2023 Policy End Date 15-Jun-2024
Date of Admission 08-Mar-2024 Date of Discharge 13-Mar-2024
Pre Auth Received Date 09-Mar-2024 Corporate name
Room Category Deluxe Room Ac Claim Type Cashless
Claimed Amount 350153 Benefit Type In patient Treatment
Hospital Name Apollo Hospitals, Bhubaneswar
Hospital Address Plot No. 251, Sainik School Road,
Unit-15,Bhubaneshwar,,BHUBANESWAR,KHORDHA,ORISSA,INDIA,751005
Diagnosis SAIO

We are in receipt of the claim documents for the above mentioned hospitalization. On scrutiny, with reference to the
terms and conditions of the insurance policy, we find that the following documents / information is necessary for
further processing of the claim.

We therefore request you to provide the below mentioned documents / information immediately on receipt of this
letter. Kindly quote the Claim Number 4000149839-1A while responding to the query, 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 kindly provide treating doctor letter regarding the exact Pending
duration of Crohn's disease and provide first consultation
and follow up treatment records.

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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