3/4/2019 medsave.in/Claims/qryletterprn.aspx?

QSERIAL=0&CLAIMCODENO=C001B0012223307&memcode=C001B001CM382698F&FILENO=2…

MedSave Health Insurance TPA Limited

F-701 A, Lado Sarai, Mehrauli ,New Delhi Pin-110030
Phones:011-39001234 , Fax:011-29521067, 011-29521071
E-Mail : chiraag@medsave.in, info@medsave.in
Head Office (Delhi) Toll Free : 1800 1111 42

Date:04/03/2019
To,
GLOBALLOGIC INDIA LIMITED
TOWER A OXYGEN PARK PLOT NO.7 SECTOR 144 NOIDA EXPRESSWAY NOIDA
GAUTAMBUDH NAGAR
UTTAR PRADESH ,201304
Dear Sir/Madam,
Without Prejudice
Patient Name : ESWARAN T

File No : 20190207B001RH40122
Policy No. : 351600501810000058
Card No. : 53002170021304F
Insured Name : MOHAN
Proposer Name : GLOBALLOGIC INDIA LIMITED
Employee Code/Location/Designation : 313695 /Band 1 - Chennai
Agent/Dev Office : 0 /351600

Sub: Query pertaining to your claim paper filed vide file number 20190207B001RH40122 in respect of ESWARAN T dated 07/02/2019
4:06:57 PM

With reference to the above you are requested to provide the following documents / details to enable us to process your claim at the
earliest :-
1. Kindly provide .the invoice and sticker of the implant utilized during the course of the hospital stay. kindly provide angiography and
angioplasty report.

Please quote the above file no in your query reply and also for any further correspondence with regard to the claim.

Please submit hard copy of documents at respective Branch Office within 15 days of receipt of this letter.

Kindly ignore this email if you have already sent us the reply of above query documents.
Thanking You,

For Medsave Healthcare (TPA) Limited

Authorized Signatory
Claims Department

CC: The National Insurance Company Limited

NIC, D.O XVI NEW FRIENDS COLONY
42, COMMUNITY CENTER, NEW FRIENDS COLONY, NEW DELHI
NEW DELHI DELHI 110063
26846683, 26318136

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