Dear Mr. Chandan Negi
Thank you for contacting ApolloMunich
With reference to your mail below, would like to inform you that we had taken your request for the re consideration of your rejected claim but as per the team concerned your claim ID 40309-1 cannot be reconsidered.
We have already shared our decision and view to the case in line with our grievance process.
However, in case you are not satisfied with our decision, you are at your liberty to approach the nearest Insurance Ombudsman for resolution of Your grievance.
The contact details of Ombudsman offices have been clearly mentioned in policy wordings.
In case you need further assistance, you can reach us on our Helpline number: 1800-102-0333.
We look forward to serving you.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: chandan negi [mailto: [email protected]]
Sent: Friday, July 22 4:23 PM
To: [email protected]
Cc: customer service
Subject: Fw: Member ID 10001375922 Claims ID 40309-1 Case No 214, 160
Hi,
sir could you please lookinto this matter.
&-- Forwarded Message &--
From: customer service
To: 'chandan negi'
Cc: "[email protected]"
Sent: Tuesday, July 19 5:33 PM
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 214, 160
Dear Mr. Chandan Negi
Thank you for contacting ApolloMunich.
With reference to your mail below, we regret to inform you that we have already shared our decision and view to the case in line with our grievance process.
However, in case you are not satisfied with our decision, you are at your liberty to approach the nearest Insurance Ombudsman for resolution of Your grievance.
The contact details of Ombudsman offices have been clearly mentioned in policy wordings.
In case you need further assistance, you can reach us on our Helpline number: 1800-102-0333.
We look forward to serving you.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: chandan negi [mailto: [email protected]]
Sent: Monday, July 18 5:28 PM
To: customer service
Cc: [email protected]
Subject: Fw: Member ID 10001375922 Claims ID 40309-1 Case No 214, 160
Hi sir,
Could you please check the below e-mail. I have submitted all my document to Apollomunich but the calim was not cleared due to some documents they need. i have sumbmitted those document two times. but the claim was not cleared. please advise what should i have to do in this case.
&-- Forwarded Message &-
From: customer service
To: chandan negi
Sent: Thu, July 14 5:47:59 PM
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 214, 160
Dear Mr. Chandan Negi
Without prejudice to our rights and contentions, we would like to inform you that your claim has been repudiated after careful evaluation and scrutiny of clinical reports and medical bills followed by thorough investigation under the terms and spirit of the Policy.
However, in case you are not satisfied with our decision, you are at your liberty to approach the nearest Insurance Ombudsman for resolution of Your grievance.
The contact details of Ombudsman offices have been clearly mentioned in policy wordings.
In case you need further assistance, you can reach us on our Helpline number: 1800-102-0333.
We look forward to serving you.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: chandan negi [mailto: [email protected]]
Sent: Wednesday, July 13 4:19 PM
To: customer service
Subject: Fw: Member ID 10001375922 Claims ID 40309-1 Case No 214, 160
Hi,
As i sent you the document which is not correct or what i will do in this case.
Thanks!
&-- Forwarded Message &-
From: customer service
To: "[email protected]"
Sent: Tue, July 12 12:12:55 PM
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 214, 160
Dear Mr. Chandan Negi
Greetings from ApolloMunich.
With reference to your case no. 214, 160, would like to update you that we have processed your claim with the details and documents submitted to us and we regret to convey that the claim is not payable.
Your claim ID 40309-1 is rejected and we stand by our decision.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: customer service
Sent: Thursday, July 07 2:49 PM
To: 'chandan negi'
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 214, 160
Dear Mr. Chandan Negi
Thank you for contacting ApolloMunich.
Your case number for your concern regarding “Claim Id No. 40309-1” raised on 06-Jul-11 is 214, 160.
We assure you an appropriate response within 15 days.
In case, you do not hear from us within this time period, feel free to call us.
Do remember to quote the case number mentioned above for ease of identification.
We look forward to providing you uncomplicated health insurance services.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: chandan negi [mailto: [email protected]]
Sent: Wednesday, July 06 4:55 PM
To: customer service
Subject: Fw: Member ID 10001375922 Claims ID 40309-1 Case No 210, 235
Hi Deepak Anand
As per your e-mail dated 25 June. I am sending my all the required document to you through blaze flesh courier. You will get those documents shortly. Clear this claim.
Thanks!
Chandan Singh Negi
&-- Forwarded Message &-
From: customer service
To: "[email protected]"
Sent: Tue, June 28 12:31:36 PM
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 210, 235
Dear Mr. Chandan Negi
Greetings from ApolloMunich.
With reference to your case no 210, 235, would like to update you that our concern department requires below mentioned documents from your side for process your claim:-
1) Hospital registration letter.
2) Medicine record.
3) Payment reciept with the hospital.
We would be able to take any necessary action on the reciept of above documents. We request you to kindly provide us with said requirement as soon as possible.
For further assistance, please feel free to write back to us.
We look forward to providing you uncomplicated health insurance services.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
From: customer service
Sent: Saturday, June 25 5:45 PM
To: 'chandan negi'
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 210, 235
Dear Mr. Chandan Negi
Thank you for contacting ApolloMunich.
Your case number for your below mentioned concern raised on 15-Jun-11 is 210, 235.
We assure you an appropriate response within 15 days.
In case, you do not hear from us within this time period, feel free to write back to us.
Do remember to quote the case number mentioned above for ease of identification.
We look forward to providing you uncomplicated health insurance services.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: chandan negi [mailto: [email protected]]
Sent: Wednesday, June 15 5:55 PM
To: customer service
Subject: Fw: Member ID 10001375922 Claims ID 40309-1 Case No 201, 993
hi sir
I have submitted all the documents to you. I don’t have any other documents for submission.
If you do not pass the medi-claim then good. You can cross verify the hospital and the doctor how they can deal.
The doctor already told to me. If the Apollo Munich will not pass your claim then you have to file a case against them I am ready to help you. You definitely win the case. Further you can publish that letter into news paper. I will prove these three point s into the court. You also get the late penalty amount. I will take my next step for your reply
1) Hospital registration letter.
2) Medicine record.
3) Payment receipt with the hospital
&-- Forwarded Message &-
From: customer service
To: chandan negi
Sent: Tue, June 14 1:05:11 PM
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 201, 993
Dear Mr. Chandan Negi
Greetings from ApolloMunich.
With reference to your mail below, would request you to provide us with the :-
1) Hospital registration letter.
2) Medicine record.
3) Payment reciept with the hospital.
We would be able to re consider your claim on the reciept of above said requirement.
For further assistance, please feel free to write back to us.
We look forward to providing you uncomplicated health insurance services.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
From: chandan negi [mailto: [email protected]]
Sent: Monday, June 06 4:24 PM
To: customer service
Subject: Fw: Member ID 10001375922 Claims ID 40309-1 Case No 201, 993
Hi,
In which hospital my sister was admitted not a two or five star hospital, i also take a mediclaim policy from national insurance they passed my several calim from this clinic. if you are not passed my claim thats fine but i will mind this thinks and told to other please be care full while you purchase a Apollo Munich policy. Apollo munich has lots of policy definition you have to go to buy other company policy.
Thanks!
&-- Forwarded Message &-
From: customer service
To: chandan negi
Sent: Mon, June 6 1:14:44 PM
Subject: RE: Member ID 10001375922 Claims ID 40309-1 Case No 201, 993
Dear Mr. Chandan Negi
With reference to your mail below, Would request you to kindly submit clarification against the below raised point for the re-opening of your claim and it will be re-considered as per its merits.
1. Hospital does not Fulfill the criteria as per policy Definition (Hospital Def 7)& (5 bedded, Registered as Residence cum clinic only, No RMO, No registered nurses, No 24 Hour medical Supervision)
2. No Medicine Register/Stock Register/No medicine record available
3. No payment receipt available with Hospital.
We would be able to take necessary action on the receipt of above clarification. Please submit these documents to our TPA (Family Health Plan Limited) for the further action.
For further assistance, please feel free to write back to us or call us..
We look forward to serving you.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: customer service
Sent: Wednesday, June 01 1:18 PM
To: 'chandan negi'
Subject: RE: Member ID 10001375922 Claims ID 40309 Case No 201, 993
Dear Mr. Chandan Negi
Thank you for contacting ApolloMunich.
Your case number for your concern regarding “Claim Id No. 40309-1” raised on 24-May-11 is 201, 993.
We assure you an appropriate response within 15 days.
In case, you do not hear from us within this time period, feel free to call us.
Do remember to quote the case number mentioned above for ease of identification.
We look forward to providing you uncomplicated health insurance services.
Regards,
Deepak Anand,
Customer Relationship Management Team
Apollo Munich Health Insurance Company Limited
10th Floor, Building No. 10,
Tower-B, DLF Cyber City,
DLF City Phase II, Gurgaon
Haryana, 122002.
Website -www.apollomunichinsurance.com
“Apollo Munich offers its customers free consultation for common ailments. To talk to our experts and for free consultation, you can dial 18001020099 between 9 AM to 6 PM, Monday to Friday”.
From: chandan negi [mailto: [email protected]]
Sent: Tuesday, May 24 4:47 PM
To: customer service
Subject: Fw: Customer Grievance
hi
sir
now my cliam has been rejected. before that i got a query reference#40309 regarding my sister mediclaim. i have few question regarding your investagation team or whoever settle the medicalim.
1. if the person submitted all the document regarding mediclaim but if you are raise a query thereafter the person will full your requirement.
2. when we fullfill all the document regarding your query. At the end of the day you saying your claim was not approved. you are not checking the document which is submitted by the claimnt.
&-- Forwarded Message &-
From: customer service
To: "[email protected]"
Sent: Mon, May 23 2:06:39 PM
Subject: RE: Customer Grievance
Dear Mr. Chandan Negi
Greetings from ApolloMunich.
With reference to your mail below, would request you to kindly provide your member id or policy no. and employee Id in case of corporate policy, so that we can check and assist you in a better manner.
In case you need any further assistance, Please feel free to write back to us.
We look forward to serving you.
Regards,
Deepak Anand,
Customer Relationship Management Team
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