Payment pending from NIC even after settled by TPA MD INDIA

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ravi jain

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May 8, 2023, 12:24:04 AM5/8/23
to bankpensioner, mohan p
Sir
MY Medical claim has been settled by TPA IN Jan 23 but payment is still pending by NIC under IBA Froup policy 22-23. I have sent reminders to TPA but of no use. Please advise in the matter if any one has any knowledge in the matter.
Thanks 
Ravi Kumar jain

bhaskara sarma

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May 8, 2023, 6:36:09 AM5/8/23
to Bankpensioner Google
You get once again sick if you follow up with Medical insurance companies or TPA.They are eloquent while collecting premium and become deaf and dumb while settling the claims. 
With regards,
P Bhaskara Sarma. 

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Umesh Neema

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May 8, 2023, 6:36:34 AM5/8/23
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Why are you sending claim here,who will help you.pl contact directly from TPa.it is not so good that every problem come on pension platform

Umesh kumar neema 

T R Kartik

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May 9, 2023, 12:33:05 AM5/9/23
to bankpe...@googlegroups.com
Mr neema,

He is distraught & is asking for help from those who can help him. If one feels this mail is not worth it, them one can delete it.

Gurumurthy Venkatraman

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May 9, 2023, 12:33:06 AM5/9/23
to bankpe...@googlegroups.com, mohan p
Please approach your employer. Must have sent to them.

ravi jain

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May 9, 2023, 12:33:06 AM5/9/23
to bankpe...@googlegroups.com

I am very much conversant with knowledge of peoples  who considers this platform for pension purpose only. This platform has been Woking for welfare of retirees with any problem.
I have asked from knowledgeable persons for advise on the matter and not from persons with extraordinary knowledge. 
Thanks
Ravi Kumar jain

ravi jain

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May 9, 2023, 6:21:04 AM5/9/23
to bankpe...@googlegroups.com
Mr Neema
Except you many are helping me as per their ability even by sending me mails privately also. You please keep your great knowledge for contributing to updation purpose only.
Thanks
Ravi Kumar jain

kds nair

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May 9, 2023, 6:21:04 AM5/9/23
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Please contact the Insurers like Vidal Health Insurance and register a complaint with them enclosing the acceptance of your claim by TPA with intimation to bank.

Narayanan Venkateshwaran

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May 10, 2023, 12:01:51 AM5/10/23
to bankpensioner
 Mr.Ravi Jain
Once your bill has been sanctioned in toto by TPA MD INDIA they have no more role to play .Hence it is futile writing to them..The ball being in NIIC's court payment has to be made by them.
There appears  to be no plausible reason for Insurance co to withhold payment since January.
You may send an EMAIL to their Customer relations wing in their KOLKOTTA  Head office .If no remedy is in sight you may prefer a complaint with INSURANCE OMBUDSMAN
What is the help you have from your Bank's liaison with NIIC?It is presumed you have not presented your problem to them
Meanwhile before initiating these steps make doubly sure that settlement has not been made by NIIC to your designated Bank ACCOUNT as messages are sometimes missed
There is absolutely no rule that only pension matters are to be discussed in this forum .Updation is a distant dream .Instead of churning out the same subject again and again it is worthwhile to bring to light other issues like this
Regards
C V Narayanan 

kds nair

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May 10, 2023, 6:21:42 AM5/10/23
to bankpe...@googlegroups.com
No sir.TPA must ensure smooth payment of bills after due verification.When retiree complains about non payment,it is the primary responsibility of TPA to ensure payment as retiree has no direct connection with the insurance company.

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ravi jain

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May 10, 2023, 6:21:42 AM5/10/23
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Sir
Thanks 
Ravi kumar jain

vks...@hotmail.com

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May 10, 2023, 6:21:42 AM5/10/23
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Absolutely correct  If all the doors are closed please go to Ombudsman 

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