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Paramount Health Services & Insurance Tpa Private Limited: Redeficiency Letter Without Prejudice

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36 views1 page

Paramount Health Services & Insurance Tpa Private Limited: Redeficiency Letter Without Prejudice

Uploaded by

dhananjayn986
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PARAMOUNT HEALTH SERVICES & INSURANCE TPA PRIVATE LIMITED

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


[formerly known as PARAMOUNT HEALTH SERVICES(TPA)PVT.LTD]

D-39, Okhla Industrial Area,Phase-I, New Delhi,Delhi-110020 Tel-(011) 41637594 / 95 / 96, ,Fax-(011) 41637592 / 42890921,E-mail -
[email protected]

Redeficiency Letter
Without Prejudice

To, Date : 20/04/2024


RAXA SECURITY SERVICES LTD,
C/O GOPAL SINGH,
New Udaan Bhavan, New Delhi,Delhi -
110037
Email id: [email protected]
Mobile No. : 7976758811

Policy & Member Details Claim Details

Insurance Company : The Oriental Insurance Company Ltd. CCN No. : 6664882 Ext: Partial :

Policy No. : 560000/48/2024/109 Name of Patient :OMVATI

Policy Validity : 01/07/2023 to 30/06/2024 Date of Admission :15/03/2024

Employee Name : GOPAL SINGH Date of Discharge :22/03/2024

PHS ID.No. : 41616154 Employee No. : 18425


Provider Name:ROHIT HOSPITAL (JAIPUR)
Insurance Claim No:560000/48/2025/00000029

Ailment : Obstructed And Incarcerated Inscional Hernia With Peritonities

Dear Sir/Madam,
We are in receipt of the claim documents from your end pertaining to the captioned claim. On scrutinizing the documents,it is observed that the following
documents / information are required to process your claim:

Sr.No Deficiency Type Mandatory Status Received date

DEMOGRAPHIC DETAILS FROM HR/INSURED/HOSPITAL:


1 Yes Pending
Clarification of age mismatch as per hospital and ID proof.

IDENTITY: Photo identity proof of Patient required (i.e PAN


2 Yes Received 12/04/2024
CARD, AADHAR CARD, ETC.)

You are requested to kindly provide the original documents as mentioned above within 7 days from the receipt of this letter, enabling us to proceed further and
to process the claim. Please note that the conclusion regarding the eligibility of coverage/admissibility of amount can only be decided once we have a full set of
original documents. Your co-operation in this regard shall be highly appreciated.

Kindly quote the CCN for all future correspondence regarding this claim.

Thanking You,

Medical Officer
For Paramount Health Services & Insurance TPA Private Limited

Please Provide your Email Id. & Contact No. for future correspondence.

For complete guidance on your current claim status,please log on to our website www.paramounttpa.com

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