Medi Assist Healthcare Services

Claim Processed Letter

Claim No: Claim Type : Processed Date:
20752169 Domiciliary 19-Oct-2019
Insurer Member Id:
Insurer Claim No:
1370991
To: Mode of settlement:
Ms.Ananya Lakshmi NEFT
138, Export Promotion
Industrial Park Area
Bengaluru-560066
Policyholder Name: claimant name: MAID:
Ananya Lakshmi(I516429) Ananya Lakshmi 5048114415
Relationship: Age:
Self 22
Policy No: Period of Insurance
SAPFlexBen2019 From:01-Jan-2019 To:31-Dec-2019
Date Of Admission: Date of Discharge:
27-Sep-2019 27-Sep-2019
Hospital Name & City:,
Amount Claimed:Rs 1790 Processed Amount :Rs 1790
Category Break Up
Bill Payable Non Pay
Charge Type Non Payable Reason
Amount Amount Amount
Lifestyle->Vacation 1790 1790 0 ,
Total 1790 1790 0

Net Paid/Transferred(Rs) 1790

This is to intimate that your claim has been processed and submitted to Others for payment of Rs.1790. Once the payment is
initiated, we will revert with further updates.

In the event of no communication or credit to your account, with in the next 7 to 10 working days, please log into your
MediBuddy to contact your exclusive customer support team.

This is a Computer generated Settlement advice and signature is not required.

Regd office: Tower D, 4th Floor, IBC Knowledge Park, 4/1, Bannerghatta Road, K.M.Layout, Bengaluru,Karnataka 560029.
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