Date :21st September, 2022

To,
RISHAV ANKIT .,
TOWER 3, WORLD TRADE CENTER, KHARADI, PUNE MAHARASHTRA,
,
MAHARASHTRA,
Pune,
Kharadi,
411014.

Subject: "Claim Approval Letter"

Dear Sir/Madam,

We wish to inform you, your claim no. 92601768-00 against policy 40884363 has been approved towards Medical
Expenses of "RISHAV ANKIT .". Please refer Annexure I for details.

Policy No. 40884363

Proposer Name ZS ASSOCIATES INDIA PRIVATE
LIMITED
Claimed Amount 10440.00
Bill Amount 10440.00
Amount to be Paid
(INR)

Successful transfer of amount in to your bank account will be considered as full and final settlement of the claim.

Should you require any assistance, please write to us at claims@careinsurance.com or visit our website
www.careinsurance.com

With warm regards,

For Care Health Insurance Limited.

Authorised Signatory

Self Help Portal:

www.careinsurance.com/self-help-portal.html
Submit Your Queries/Requests:
www.careinsurance.com/contact-us.html
Annexure I

Claim No 92601768-00 AL No.

Nature of Claim HOPD_HOSPITALIZATION Hospital ID 94193662
-OPD
Policy No. 40884363 Corporate Name ZS ASSOCIATES INDIA
PRIVATE LI
Employee ID 0000012308 Employee Name RISHAV ANKIT .
Name of Proposer ZS ASSOCIATES INDIA Name of Patient RISHAV ANKIT .
PRIVATE LIMITED
Date of admission 04-Sep-2022 Date of Discharge 04-Sep-2022
Name of Hospital BLK MAX SUPER Claim Amount 10440.00
SPECIALITY HOSPITAL
Hospital Discount (not 0 AL approved Amount 0
to be collected from
Patient)
Co pay 0 Deductible 0
SI/Benifit Limit 7690.00 Paid Amount 2750.00
Exhausted

Other Deduction details:

S.no Description No.of Day/Visits/ Rate per day/ Bill Amount Admissible Deducted Deduction Reason Remarks
Quantity Quantity Amount Amount
1 Professional 1 10440 10440 2750 340 Other Non Payable INJ/REG
fees charges Items
7350 Other Non Payable AS PER
Items PHARMACY
CAPPING
Total 10440 2750 7690

Remark : PROVIDE

Note: The amount is towards full and final settlement of the claim submitted by you. For claiming any dis-allowed
amount, kindly submit the bills at earliest.

Self Help Portal:

www.careinsurance.com/self-help-portal.html
Submit Your Queries/Requests:
www.careinsurance.com/contact-us.html