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

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    Tanmoy Pal Chowdhury
    This letter is a reminder from Paramount Health Services & Insurance TPA Private Limited regarding an outstanding insurance claim. [It requests submission of an identity document for Shyamali Mondal within 9 days to process a hospitalization claim from Kasturi Medical Research Centre between October 21st and November 5th, 2018 for Metabolic Encephalopathy and Multiinfarct State complications of diabetes and hypertension.] The letter provides policy, member, and claim details and states that processing and eligibility determinations require a full set of original documents.

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

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

    Uploaded by

    Tanmoy Pal Chowdhury
    212 views1 page
    This letter is a reminder from Paramount Health Services & Insurance TPA Private Limited regarding an outstanding insurance claim. [It requests submission of an identity document for Shyamali Mondal within 9 days to process a hospitalization claim from Kasturi Medical Research Centre between October 21st and November 5th, 2018 for Metabolic Encephalopathy and Multiinfarct State complications of diabetes and hypertension.] The letter provides policy, member, and claim details and states that processing and eligibility determinations require a full set of original documents.

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    4054034 A

    Original Title

    4054034 A

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    This letter is a reminder from Paramount Health Services & Insurance TPA Private Limited regarding an outstanding insurance claim. [It requests submission of an identity document for Shyamali Mondal within 9 days to process a hospitalization claim from Kasturi Medical Research Centre between October 21st and November 5th, 2018 for Metabolic Encephalopathy and Multiinfarct State complications of diabetes and hypertension.] The letter provides policy, member, and claim details and states that processing and eligibility determinations require a full set of original documents.

    Copyright:

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

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

    Uploaded by

    Tanmoy Pal Chowdhury
    This letter is a reminder from Paramount Health Services & Insurance TPA Private Limited regarding an outstanding insurance claim. [It requests submission of an identity document for Shyamali Mondal within 9 days to process a hospitalization claim from Kasturi Medical Research Centre between October 21st and November 5th, 2018 for Metabolic Encephalopathy and Multiinfarct State complications of diabetes and hypertension.] The letter provides policy, member, and claim details and states that processing and eligibility determinations require a full set of original documents.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
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     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 ­
    contact.phs@paramounttpa.com,

    FIRST REMINDER LETTER
    Without Prejudice

    To, Date : 28/11/2018


    INDIAN INSTITUTE OF MANAGEMENT
    CALCUTTA,

    Email id :
    Mobile No. : 0

    Policy & Member Details Claim Details

    Insurance Company : SBI General Insurance Company Ltd. CCN No. : 4054034 Ext: A Partial :

    Policy No. : 190253­0000­00 Name of patient :SHYAMALI MONDAL

    Policy Validity : 10/09/2018 to 09/09/2019 Date of Admission :21/10/2018

    Employee Name : MADAN MONDAL Date of Discharge :05/11/2018

    PHS ID.No. : 32763584 Employee No. :
    Provider Name:KASTURI MEDICAL RESEARCH CENTRE (P) LTD
    Insurance Claim No:0

    Ailment : Metabolic Encephalopathy Multiinfarct State Dm Htn

    Dear Sir / Madam,

    With reference to the above mentioned claim and earlier deficiency letter sent to you on 20/11/2018, we regret to inform you that below mentioned documents
    have not been received by us till date.

    Sr.No Deficiency Type Status

    IDENTITY: Photo identity proof of Patient required (i.e PAN CARD, PASSPORT, DRIVING LICENCE,
    1 Pending
    AADHAR CARD, ELECTION CARD ETC.) SHYAMALI MONDAL (as submitted not visible clear id photo)

    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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