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The document is a reimbursement claim settlement letter from ManipalCigna Health Insurance to Ajay Verma confirming that his reimbursement claim of Rs. 6000 under his health insurance policy has been approved with no amount deducted. It provides details of the claim such as the claim and member ID numbers, approved and deducted amounts, and the transaction details. The letter also provides contact information for any clarifications and the grievance redressal process.

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Ajay verma
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236 views2 pages

PDF

The document is a reimbursement claim settlement letter from ManipalCigna Health Insurance to Ajay Verma confirming that his reimbursement claim of Rs. 6000 under his health insurance policy has been approved with no amount deducted. It provides details of the claim such as the claim and member ID numbers, approved and deducted amounts, and the transaction details. The letter also provides contact information for any clarifications and the grievance redressal process.

Uploaded by

Ajay verma
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Date: 23 Nov 2019

Reimbursement claim request for your ManipalCigna_ProHealth-Protect V3 - Floater policy number PROHLN980597102_2019
Dear Ajay Verma,
We are happy to confirm that your Reimbursement claim request for claim number 20950125 has been settled.

What are the claim registration details?

1. Claim Number: 20950125

2. Patient Name: Ajay Verma

3. Insurer Claim No:

4. Insurer Member Id: 1001098188

The details are as under:

Claimed amount Approved amount Deducted amount

Rs: 6000 Rs: 6000 Rs: 0

Reasons for deduction:

Expense Head Amount (Rs) Reason for Deduction

Hospital Discount 0

Copay 0

The settlement is done through transaction number 112100901GN00078 dated 21-11-2019 00:00:00.

ManipalCigna Health Insurance has a host of benefits that are offered to their customers. In order to receive timely updates and alerts about the same, we request you
to update your latest contact coordinates with us at all times.

At ManipalCigna, we are committed to superior customer satisfaction, and we ensure that the quality of services and products is at the best level.

In case of any clarifications, please call our helpline at 1800 419 1159 or write to us at [email protected]

If you wish to report a grievance, please write to us on the options as suggested below. You will receive a resolution within 15 days of we receiving your communication.

Level 1: You can connect with our Health Relationship Managers by

1. Calling our Toll Free Helpline: 1800-102-4462 between 9:00 AM to 9:00 PM.
2. Or write to us at: [email protected]
3. You can also submit your letter to us at:
Grievance Management Cell: Address: 401/402, Raheja Titanium, Western Express Highway, Goregaon (East), Mumbai-400063.

Escalation Mechanism:

If the resolution you receive does not meet your expectations, you may escalate your grievance at the levels mentioned below. As prescribed by the Regulator, you will
receive a resolution within 15 days of us receiving your communication.

Level 2: Please write to our Grievance Redressal Officer at [email protected]

Level 3: Please write to our Senior Grievance Redressal Officer at [email protected]

Level 4 : If the channels above have still not met your expectations, you may approach the insurance ombudsman, the office Name and address details applicable for
your state can be obtained from the following link https://www.irda.gov.in/ADMINCMS/cms/NormalData_Layout.aspx?page=PageNo234&mid=7.2 on the IRDA Website

Note:

If you are not satisfied with the decision provided by any of the above authorities, you can approach the company within 8 weeks from the date of receipt of
response by the insured/policyholder. Incase no response within 8 weeks your grievance will stand close.
You may also approach the Insurance ombudsman if your complaint is open for more than 30 days at any of the above levels.

Assuring you of our best services at all times.


Yours sincerely,

ManipalCigna Health Insurance Company Limited

***** This is a system generated certificate which requires no signature *****

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