Ref No.

:90222122304881/19 (Confidential without prejudice)

Dated:17-08-2021

To,
Anil Kumar Batra
B-3/109, Janakpuri
New Delhi , Delhi- 110058
Sub: First Reminder for Claim No:90222122304881

MemberId : N9021033596
Policy No : 31190034202800001246
Policy Period : 16/03/2021 to 15/03/2022
Insured Name : ANIL KUMAR BATRA
Claim in respect of : ANIL KUMAR BATRA
Relation : Self
Claim Ref No : 90222122304881
Dev Officer/Agent Code :NA/DM2453685
Insurance Company Number :TP01531190021900113731
Hospital Name : I CREATE HOSPITAL
Claim Amount : 7430
Diagnosis : right eye (Senile nuclear cataract),
Date of admission/Date of Discharge : 17-APR-2021/17-APR-2021
Claim Type : PREPOST

Dear Sir/Madam,
We refer to our earlier letters dated 30-Jul-2021 wide ref. no: 90222122304881/30-Jul-2021, wherein we had requested you to submit the
following documents/information for processing your claim.

1 Kindly send letter from B.M. of insurance co. for condonation of delayed submission of claim (delay of 42
DAYS days) as per policy terms and conditions
We would like to inform you that we are yet to receive the above mentioned documents. You are requested to submit the documents as
mentioned above within 15 days from the receipt of this letter for further processing of the claim.

Please note that the conclusion regarding the eligibility of coverage/admissibility of amount can only be arrived at, once we have the full
set of the requested documents.
Kindly quote the Claim number for all future correspondence regarding this claim or attach this letter with your reply.

In case of any grievance related to this claim, you may contact Regional Office OR Head Office of the insurance company.
You may also contact insurance ombudsman for unresolved Grievance. The updated list of Office of Insurance Ombudsman is available
on IRDA website www.irda.gov.in and on the website of General Insurance Council www.gicouncil.in

Regards,
For RAKSHA TPA Pvt.Ltd.
Authorized Signatory

This is Computer Generated Letter, does not require Signature.

First Floor, 14/3,Mathura Road,Faridabad ,Haryana-121003, PHONE: 0129-4289999,18001801444,

FAX: Cashless Email:cashless@rakshatpa.com,
EMAIL: contact@rakshatpa.com

90222122304881