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External Query Letter-119

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33 views

External Query Letter-119

Uploaded by

kkayd2023
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Claim Query Letter - Cashless

Date: 08-Jul-2024
To,
Fortis Healthcare Limited
AA 299, Shaheed Udham Singh Marg, AA
Block,,Poorbi Shalimar Bagh, Shalimar
Bagh,,DELHI,DELHI,DELHI,INDIA,110088,

Dear Sir/Madam,

Subject : Request to provide additional information(s) / document(s) under Claim No : 4000206486A

Reference:
Patient Name RAJ RANI
Age 60 Gender FEMALE
Proposer Name RAJ RANI Relationship with Proposer Self
Claimant UHID IDV00018249501058
Policy Number 7000081102 Certificate Number
Policy Start Date 10-Aug-2023 Policy End Date 09-Aug-2024
Date of Admission 08-Jul-2024 Date of Discharge 08-Jul-2024
Pre Auth Received Date 08-Jul-2024 Corporate name
Room Category Daycare Claim Type Cashless
Claimed Amount 25414 Benefit Type Day Care Procedures
Hospital Name Fortis Healthcare Limited
Hospital Address AA 299, Shaheed Udham Singh Marg, AA Block,,Poorbi Shalimar Bagh,
Shalimar Bagh,,DELHI,DELHI,DELHI,INDIA,110088
Diagnosis Acute coronary syndrome

We are in receipt of the claim documents for the above mentioned hospitalization. On scrutiny, with reference to the
terms and conditions of the insurance policy, we find that the following documents / information is necessary for
further processing of the claim.

We therefore request you to provide the below mentioned documents / information immediately on receipt of this
letter. Kindly quote the Claim Number 4000206486A while responding to the query, for ease of reference.

Tata AIG General Insurance Company Limited Page 1 of 2

Registered Office : Peninsula business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400013. 24X7 Toll Free No: 1800 266 7780 or
1800 229 966 (For Senior Citizens) | Visit us at www.tataaig.com | IRDA of India Registration No: 108 | CIN: U85110MH2000PLC128425
S.No Requirement* Status
1 Kindly provide complete indoor case paper Pending

Kindly submit the documents at the below mentioned address:

Tata AIG Health Claims Hub


Door No. 615, 616, 5th and 6th Floors,
Imperial Towers, Ameerpet,
Next to Ameerpet Metro Station,
Hyderabad, Telangana - 500016

You can also submit your claim documents online via the TataAIG self-service portal or mobile app

In case of any assistance, kindly call us on our toll free number 1800 266 7780 / 1800 22 9966 (for Senior Citizen)
or mail us at healthclaimsupport@tataaig.com

Thanking you and assuring you of our best services at all times.

Yours Sincerely,
Tata AIG General Insurance Co. Ltd.
Authorized Signatory

Tata AIG General Insurance Company Limited Page 2 of 2

Registered Office : Peninsula business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400013. 24X7 Toll Free No: 1800 266 7780 or
1800 229 966 (For Senior Citizens) | Visit us at www.tataaig.com | IRDA of India Registration No: 108 | CIN: U85110MH2000PLC128425

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