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Delay in payment from Insurance

17 Mar, 2023 | by Mayank Gautam

My Sister's reimbursement claim was approved by TPA on 23rd February. Till date the payment has not been released, Insurance say TPA has to take care, TPA says insurance has to take care and Insurance customer care says Policy servicing office will take care of payment, TPA only approves. Policy servicing office says head office and TPA will take care? Can anyone suggest how to tackle this for release of payment?

Health Insurance

Opinion

1 Answer

Post

23 Mar, 2023

Shailesh Kumar

CEO, Insurance Samadhan

Dear Mayank

You shpuld have received credit if claim is approved.

Need more details to give a feedback .

Insurer name

TPA name

Sum assured

Claim amount

You can reach us in case you need help .

Best wishes

Shailesh

Insurance Samadhan

1 Comments

25 Mar, 2023

Mayank Gautam

Dear Shailesh Sir,

Thanks for the response. Please see the below details:

Insurer name: Oriental Insurance

TPA name: HITPA

Sum assured: 1000000

Claim amount: 53188

Approve Amount: 53088

Please let me know the procedure to take this forward with you. I have complained on all channels no action till date from insurance/TPA.

Thanks,

Mayank

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Delay in payment from Insurance

1 Answer

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