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    4088869

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    Tanmoy Pal Chowdhury
    This letter is a reminder to the Indian Institute of Management Calcutta regarding an outstanding insurance claim. It requests submission of missing documents within 9 days, including the original claim form, histopathology report supporting the diagnosis of gist tumour, and investigation reports from Kumar Surgical and Laparoscopic Clinic. Submitting these documents is necessary to process the claim for hospitalization from November 13-16, 2018 for treatment of a gist tumour.

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    4088869

    Uploaded by

    Tanmoy Pal Chowdhury
    107 views1 page
    This letter is a reminder to the Indian Institute of Management Calcutta regarding an outstanding insurance claim. It requests submission of missing documents within 9 days, including the original claim form, histopathology report supporting the diagnosis of gist tumour, and investigation reports from Kumar Surgical and Laparoscopic Clinic. Submitting these documents is necessary to process the claim for hospitalization from November 13-16, 2018 for treatment of a gist tumour.

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    4088869

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    This letter is a reminder to the Indian Institute of Management Calcutta regarding an outstanding insurance claim. It requests submission of missing documents within 9 days, including the original claim form, histopathology report supporting the diagnosis of gist tumour, and investigation reports from Kumar Surgical and Laparoscopic Clinic. Submitting these documents is necessary to process the claim for hospitalization from November 13-16, 2018 for treatment of a gist tumour.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    107 views1 page

    4088869

    Uploaded by

    Tanmoy Pal Chowdhury
    This letter is a reminder to the Indian Institute of Management Calcutta regarding an outstanding insurance claim. It requests submission of missing documents within 9 days, including the original claim form, histopathology report supporting the diagnosis of gist tumour, and investigation reports from Kumar Surgical and Laparoscopic Clinic. Submitting these documents is necessary to process the claim for hospitalization from November 13-16, 2018 for treatment of a gist tumour.

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    © All Rights Reserved
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    Download as pdf or txt
    of 1

     PARAMOUNT HEALTH SERVICES & INSURANCE TPA PRIVATE LIMITED(IRDAI Lic no.

    006)
    [formerly known as PARAMOUNT HEALTH SERVICES(TPA)PVT.LTD]

    Plot No.A­442,Road No­28.M.I.D.C Industrial Area,Wagale Estate,Ram Nagar, Vitthal Rukhumani Mandir,Thane­400604 Tel­66620808 ,Fax­66444754 / 55,E­mail ­
    [email protected],

    FIRST REMINDER LETTER
    Without Prejudice

    To, Date : 03/12/2018


    INDIAN INSTITUTE OF MANAGEMENT
    CALCUTTA,
    NA 
    Email id :[email protected]
    Mobile No. : 9432262688

    Policy & Member Details Claim Details

    Insurance Company : SBI General Insurance Company Ltd. CCN No. : 4088869 Ext: Partial :

    Policy No. : 190253­0000­00 Name of patient :BARUN K BASU

    Policy Validity : 10/09/2018 to 09/09/2019 Date of Admission :13/11/2018

    Employee Name : NUPUR BASU Date of Discharge :16/11/2018

    PHS ID.No. : 32763472 Employee No. :
    Provider Name:KUMAR SURGICAL & LAP CLINIC
    Insurance Claim No:0

    Ailment : Gist Tumour

    Dear Sir / Madam,

    With reference to the above mentioned claim and earlier deficiency letter sent to you on 24/11/2018, we regret to inform you that below mentioned documents
    have not been received by us till date.

    Sr.No Deficiency Type Status

    1 CLAIM FORM: Duly filled & signed original claim form (SBI General insurance Co.) with the claimed amount.(sign and stamp required) Pending

    2 POSITIVE INVESTIGATION: REQUIRE ORIGINAL HISTOPATHOLOGY REPORT SUPPORTING THE DIAGNOSIS. Pending

    3 INVESTIGATION REPORTS Particular Bill No Bill Date Amount

    Reports for Investigations mentioned in final bill.(Biopsy & IHC KUMAR SURGICAL AND
    a 267 15/11/2018 10830 Pending
    test reports,ECG report) LAPAROSCOPIC CLINIC

    You are requested to submit the original documents as mentioned above within 09 days from the receipt of this letter, so that we can proceed further and
    process the claim.

    Please note that the conclusion regarding the eligibility of coverage / admissibility amount can be decided once we have a full set of original documents.

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

    Thanking You ,

    Yours faithfully,

    Dr. 
    For Paramount Health Services & Insurance TPA Private Limited (Mumbai)

    Disclaimer: This is an E­notification, generated automatically. Please ignore, if you have already submitted all the requirement / required documents.

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

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