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Cashless Member Query

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22 views1 page

Cashless Member Query

Uploaded by

22eg107b07
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Query Letter

Without Prejudice

Claim Number: 241100196428 (Please quote this number for all correspondence)

Date : 17/10/2024
BONU RAMA SANKARA RAO Insurer : United India Insurance Company Ltd
13-6-434/C/125,MARUTHI Proposer Name : BONU RAMA SANKARA RAO
NAGAR,HYDERABAD Patient’s Member UHID : 1118000043469403
Asifnagar Relation with Proposer : Son
Hyderabad
TELANGANA-500028
Dear Sir /Madam ,
This has reference to the claim documents received by us on 08/10/2024 following details
Patient Name : BONU.PAVAN KUMAR Age : 24 Gender: Male
Policy Number : 0503002823P110953954 Policy Period : 11/12/2023 to 10/12/2024
Date of Admission : 15/09/2024 Date of Discharge : 18/09/2024
Diagnosis : H/O RTA

Following information / documents are required to proceed with assessment of your claim:-:
*All Investigation reports against which the bills have been submitted dated-14/09/24 & 18/09/24.
*Doctor’s prescription for investigations done on 14/09/24 & 18/09/24.

For any clarification, please feel free to contact us at [email protected] or our Toll Free numbers 1800 102
3600 / 1800 180 3600 .

Authorized signatory
This is a system generated letter and hence does not require any signature

Corporate office and Central Processing Centre :Health Insurance TPA of India Ltd,2nd Floor,
Majestic Omnia Building,A-110,Sector 4 Noida,Uttar Pradesh – 201301
Toll Free:- 1800 102 3600 / 1800 180 3600 FAX: 011-49043399 Website: www.hitpa.co.in
CIN - U85100DL2013PLC256581,IRDA Registration No-036

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