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    Please Quote This Reference Number in All Future Correspondence

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    kitine8865

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    Please Quote This Reference Number in All Future Correspondence

    Uploaded by

    kitine8865
    3 views1 page

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    3 views1 page

    Please Quote This Reference Number in All Future Correspondence

    Uploaded by

    kitine8865

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 1

    Cashless Claim Reference Number: (40515344)

    (Please quote this reference number in all future correspondence)

    E-card Claims Plan hospitalzation Hospitals

    Date :12 Nov 2024

    To,

    The Administrator / Medical Superintendent,


    Dr Bapayee Hospital,
    Behind Ndcc Bank, Old Agra Road, Near Cbs, Old Agra Road, Near CBS
    Hospital ID: (80811)

    Dear Partner,

    This is with reference to the Cashless claim (40515344) submitted with the following details:

    Patient Details

    Patient Name Bhaskar Vishwanath Dike

    Insurance Company The Oriental Insurance Co. Ltd.

    Medi Assist ID 5134194464

    Policy Holder Axis Bank Limited

    Treating Doctor MANEESH BAPAYE

    IP No. NULL

    Policy No. 590000/48/2024/995_Parent_Ex

    Primary Beneficiary Santosh Bhaskar Dike

    Employee ID 198592

    Insurer Claim No

    Insurer Member ID

    Provisional Diagnosis Cortical age-related cataract, left eye

    We require the following additional information to proceed with the processing of the claim:

    1. Please provide the revised medical bill / package as per government regulation PROVIDE highlighted GIPSA PKG??

    These documents must be submitted as early as possible to speed up the process of cashless claim pre authorization. Any response received post discharge of
    the beneficiary may lead to denial of cashless facility.

    QUICK LINKS:

    For partner hospital

    View this claim on IHX. Not on IHX yet? Sign Up now.


    Upload additional documents online on IHX

    For member beneficiary

    Track this claim on Medi Assist

    We assure you the best of our services, always.

    Warm Regards,

    Medi Assist Insurance TPA Pvt. Ltd


    (Formerly known as Medi Assist India TPA Private Limited) CIN: U85199KA1999PTC025676. Regd Off: Tower "D", 4th floor, IBC Knowledge Park, 4/1, Bannerghatta Road, Bangalore - 560
    029.
    Helpline: 0120-6937324

    Disclaimer: The TPA extends the cashless facility subject to the standard terms & conditions of the policy and the information provided in the cashless request form. We suggest that the
    patient continues with the treatment as advised by the treating doctor, irrespective of the pre-authorization/cashless facility.

    App Connect

    THIS IS A SYSTEM GENERATED CORRESPONDENCE. PLEASE DO NOT REPLY TO THIS EMAIL

    © 2018 Medi Assist

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