E Meditek TPA Services - DELAY IN CLAIM SETTLEMENT BY EMEDITEK (TPA)SERVICES LIMITED
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Complaint by: anandladha on June 28, 2010, 10:35 pm in Insurance All

Myself Anand Ladha, a mediclaim policy holder for my family from Instant Helathcare Private Limited issued by United India Insurance from last four years.

The Details of TPA ID is as follows:

Anand Ladha:6901081
Sonal Ladha:6901082

I Requested for remiburement of claim of my wife for pregnancy.My Wife got discharged from hospital on 22.05.2010 and reimburement claim was filled with Emediek on 28.05.2010.The claim Ref NO. is 15807437 in name of Ms. Sonal Ladha

On 10.06.2010 i recieved a letter for submission of some additional papers like photo ID proof and USG report which was submitted by me on 12.06.2010 to your office at GUrgaon.

From that date till now i am calling your customer care,toll free no,either they don\'t pick up the phone even after calling 100 times or disconnect the phone when i request for claim reimburement status.I even send the SMS as given in website but no response for that also.

I am not knowing my claim status and my reimburement has not been made till date even after considerable lapse of time.

I request you to kindly intervene so that the whole process is more simple for aam aadmi.

Complainant's Goal: TO GET MY CLAIM AMOUNT AS EARLY AS POSSIBLE
Complainant's Target: E-Meditek TPA Services
Complaint Location: IndiaHaryanaFaridabad
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Recent Comments
18.
Tue, 19 Apr 2016  supriya mahajan

some lapse of time is inevitable but my experience,of the TPA emeditek has been good.To avoid exaggerated /false claims and to run the healthinsuranceschemes properly close scrutiny of claims is absolutely necessary.

17.
Wed, 18 Mar 2015  Rajanna N

I am not getting suffice response by your orgonization

16.
Sat, 24 May 2014  anil premchand kagda

I fully agree with complainant. There should be some relaxation while processing claim and it should be flexible.

15.
Sun, 02 Mar 2014  Suyog S Satawalekar

True. It is heartless TPA. My claim no.101101302121 was settled. I submitted 12 bills in total. They misplaced one bill and remaining 11 bills are settled. I am pursuing this for last 1.25 months, they say "as per policy" everytime. Still they don't have answers. I submitted photocopy of the said bill via email 3 times to their 3 id's. Now they say send original. I have submitted originals with claim form. Everytime I call cc different people talk to me and give assurance and nobody bothers to reply back. Grievqnce portal is again useless. I am shifting all my policies to some other company and advice all the viewers to get rid of EMeditek.

14.
Thu, 20 Feb 2014  SUBHASH PATEL

I have filed my cliam with Emeditek on 25.10.2013. Ny National Insurance Policy No. 311700/48/12/********80 (Policy up dated on 18-12-13) THE CLAIM FORM HANDEDOVER M/S. E-MEDITEK-BARODA ON 25.10.13 & also scan copy of policy sent to info@emeditek.com on 18.11.2013
BUT TILL DATE MY CLAIM HAS NOT BEEN PASSED. Doc Receipt No. 111-CL-101300007501 & MR. Harshit Patel - Card No. 11112130000005B.

please help to settle the same.

13.
Sun, 04 Aug 2013  PARITOSH ROY

I Requested for remiburement of claim of self .For reimburement claim was filled with Emediek on 02/05/2013. But till today my claim not settle. claim no -102051300310
NO ONE RECEIVED kolkata office OFFICE PHONE NUMBER. I WANT ASK A QUESTION. WHY NO ONE RECEIVED PHONE. and so late for settle

12.
Sun, 04 Aug 2013  PARITOSH ROY

I Requested for remiburement of claim of self .For reimburement claim was filled with Emediek on 02/05/2013. But till today my claim not settle. claim no -102051300310
NO ONE RECEIVED kolkata office OFFICE PHONE NUMBER. I WANT ASK A QUESTION. WHY NO ONE RECEIVED PHONE. and so late for settle

11.
Wed, 10 Jul 2013  SWARNENDU BISWAS

I Requested for remiburement of claim of my son for eye operation.For reimburement claim was filled with Emediek on 02/05/2013. But till today my claim not stale.
NO ONE RECEIVED GUWAHATI OFFICE PHONE NUMBER. I WANT ASK A QUESTION. WHY NO ONE RECEIVED PHONE.

10.
Fri, 23 Nov 2012  DR.DILIP GURULE

delay of payment
policy no-311********400000005
pt.name-hina devi

9.
Thu, 11 Oct 2012  jitendra nath roy

my policy no.100500/48/11/********35 in national insurance co.ltd. i have submitted a mediclaim on 5th of may,2012 but sorry to say no payment has been received so far and also informatin received inthis regards. will you see in to yhr case and send the pament to show your efficiency. tks jitendra nath roy.

8.
Thu, 21 Jun 2012  parul prashant lad

dear sir,
i have send my claim file on 18/02/2012
till date 21/06/2012 i have not recieve any conformation status of my claim.my policy no:171800/48/2011/8774

7.
Wed, 17 Aug 2011  MEENAKSHI AGRAWAL

claim No UI/YKKI/82011/15869554

we have also send reply of discripensary letter No- EMSL/DISC/82011/00431199

6.
Sat, 25 Dec 2010  devenderkumarsharma

I support this complaint.
against Claimno-UI/INDU/92010/15816817
chaque no-58210 dated22-09-2010
rs. 1500/- is not received.

5.
Mon, 23 Aug 2010  Neha

I support this complaint.

Mr Anand Ladhha :Hopefully you have got your amount as they replied you so well.

4.
Mon, 23 Aug 2010  Neha

I support this complaint.

@: Mr Anand Laddha : I would rather suggest you to go personally to the office and check it as Emeditek has this problem with almost every client I suppose. Even two claims of mine are pending and now they say that the files are closed. So before they close your file, you better go and get it done by yourself.

3.
Tue, 27 Jul 2010 - Business Reply from - Customer Care Unit (E-Meditek TPA Services)

Dear Customer,

With reference to your mail, this is to inform you that claim under given fir has been process & marked as payment done.

Kindly note that we have already forwarded the mentioned claim Cheque to Instant healthcare on 28-06-10, we request you to kindly contact at Instant office at below numbers.

: 011-43601105 /112

Should you require any further assistance or for your valuable feedback/suggestion, please feel free to write to us at customercare@emeditek.com.

We shall be glad to assist you.

Warm Regards,
Customer Care Unit
E- Meditek (TPA) Services Ltd.

2.
Thu, 22 Jul 2010  Message from iComplaints.in Helpdesk

An email communication has been sent to E-Meditek TPA Services on July 22, 2010, 10:21 am