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

Paramount Health Services & Insurance TPA has issued a first reminder deficiency letter to DHR Holding India regarding an insurance claim for patient Komal Anand Sawant. The letter requests the submission of a hospitalization summary and the latest hospital room tariff, which have not been received despite a previous reminder. Failure to provide the required documents within 7 days may result in partial payment or denial of the claim.

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justandy.sawant
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31 views1 page

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

Paramount Health Services & Insurance TPA has issued a first reminder deficiency letter to DHR Holding India regarding an insurance claim for patient Komal Anand Sawant. The letter requests the submission of a hospitalization summary and the latest hospital room tariff, which have not been received despite a previous reminder. Failure to provide the required documents within 7 days may result in partial payment or denial of the claim.

Uploaded by

justandy.sawant
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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PARAMOUNT HEALTH SERVICES & INSURANCE TPA PRIVATE LIMITED(IRDA License No.

006)
Validity: From 21-03-2023 to 20-03-2026

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

Plot No.A-442,Road No-28.M.I.D.C Industrial Area,Wagale Estate,Ram Nagar, Vitthal Rukhumani Mandir,Thane-400604 Tel-66620808, ,Fax-68342454 / 55,E-mail
-contact.phs@paramounttpa.com,

FIRST REMINDER DEFICIENCY LETTER


Without Prejudice

To, Date : 24/10/2023


DHR HOLDING INDIA PRIVATE LIMITED,

Email id :anand.sawant@leica-
microsystems.com
Mobile No. : 9821075532

Policy & Member Details Claim Details

Insurance Company : The New India Assurance Company Ltd. CCN No. : 6329203 Ext: Partial :

Policy No. : 870000/34/23/04/00000004 Name of patient :KOMAL ANAND SAWANT

Policy Validity : 16/05/2023 to 15/05/2024 Date of Admission :12/09/2023

Employee Name : ANAND SAWANT Date of Discharge :15/09/2023

PHS ID.No. : 40855933 Employee No. : 3545735


Provider Name:NALINI MATERNITY & SURGICAL HOME
Insurance Claim No:TP00687000023900783117

Ailment : G2a1 40 Weeks For Induction Of Labour

Dear Sir / Madam,

With reference to the above mentioned claim, your kind attention is invited to our earlier deficiency letter sent to you on 17/10/2023 for their submission, we
regret to inform you that the below mentioned documents have not been received by us till date.

Sr.No Deficiency Type Status

1 HOSPITALIZATION SUMMARY

a required latest hospital room tariff Pending

Please note that we are required to pay, partially pay or deny the claim based on the documents received. We Once again request you to kindly provide the
above said documents immediately. In case of non receipt of the documents within 7 days of this letter the claim will be dealt accordingly.

Thank You for your anticipated cooperation.

Yours faithfully,

Medical Officer
For Paramount Health Services & Insurance TPA Private Limited

Disclaimer: This is an E-notification, 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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