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

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    dipu_kalyan
    The document is a deficiency letter from Paramount Health Services & Insurance TPA Private Limited to Seamless Private Limited regarding a claim submitted under an insurance policy. It notes that the consultation note submitted is missing the exact diagnosis and requests this information be provided within 60 days for the claim to be further processed. Contact information is requested for future correspondence regarding the status of this claim.

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    Download as PDF, TXT or read online from Scribd

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

    Uploaded by

    dipu_kalyan
    37 views1 page
    The document is a deficiency letter from Paramount Health Services & Insurance TPA Private Limited to Seamless Private Limited regarding a claim submitted under an insurance policy. It notes that the consultation note submitted is missing the exact diagnosis and requests this information be provided within 60 days for the claim to be further processed. Contact information is requested for future correspondence regarding the status of this claim.

    Original Description:

    tesr

    Original Title

    2964510

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    The document is a deficiency letter from Paramount Health Services & Insurance TPA Private Limited to Seamless Private Limited regarding a claim submitted under an insurance policy. It notes that the consultation note submitted is missing the exact diagnosis and requests this information be provided within 60 days for the claim to be further processed. Contact information is requested for future correspondence regarding the status of this claim.

    Copyright:

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

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

    Uploaded by

    dipu_kalyan
    The document is a deficiency letter from Paramount Health Services & Insurance TPA Private Limited to Seamless Private Limited regarding a claim submitted under an insurance policy. It notes that the consultation note submitted is missing the exact diagnosis and requests this information be provided within 60 days for the claim to be further processed. Contact information is requested for future correspondence regarding the status of this claim.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    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]

    Icmard Building, 8th Floor, 14/2, C.I.T Road,Scheme- Viii M, Ultadanga,Kolkata-700067 Tel-(033)-23567005 / 08, ,Fax-(033)-23567014,E-mail -
    [email protected]

    DEFICIENCY LETTER
    Without Prejudice

    To, Date : 22/02/2024


    SEAMLESS PRIVATE LIMITED,

    Policy & Member Details Claim Details

    Insurance Company : Future Generali India Insurance Company Ltd. CCN No. : 2964510 Ext: Partial :

    Policy No. : FGS-2J-23-7006080-00-000 Name of Patient :HIMADRITA ROY

    Policy Validity : 01/09/2023 to 31/08/2024 Date of Admission :15/02/2024

    Employee Name : KALYAN ROY Date of Discharge :15/02/2024

    PHS ID.No. : 38846234 Employee No. : 92


    Provider Name:DR ON DUTY
    Insurance Claim No:

    Ailment : OPD

    Dear Sir/Madam,

    We have received claim documents pertaining to captioned claim.

    We have scrutinized the documents and from the information gathered during the course,we observe that following documents/ information necessary for
    futher processing is not provided:

    Sr.No Deficiency Type Status

    1 CONSULTATION NOTE Particular Bill No Bill Date Amount

    a Required Exact Diagenesis against submitted Bill 1 Pending

    You are requested to submit the original documents as mentioned above within 60 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 / admissible amount can only be arrived at once we have a full set of original documents.

    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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