STAR HEALTH AND ALLIED INSURANCE CO. LTD.

No.15, SRI BALAJI COMPLEX,1st FLOOR, WHITES LANE,ROYAPETTAH,

CHENNAI-600014.
Customer Care Number - 044 6900 6900 / Corporate Customers - 044 43664666

Chat - +91 9597652225, www.Starhealth.in

Date : 29-12-2023
To,
MR.K V KUMAR
C2-1073, SOBHA SUNCREST APARTMENTS
THALAGHATTAPURA PO, KANAKAPURA MAIN ROAD
.
NA , Pincode : 560062
NA, NA
Telephone : 9741126131

Dear Customer,

Sub: Requirement of additional documents/information.

This has reference to the claim preferred on us as per details given below-

Policy No P/141137/01/2023/011855 Claim Intimation No CIR/2024/141137/1281548

Family Health Optima Insurance

Product Name Name of the patient K V KUMAR
Plan

Policy Period 08-02-2023 to 07-02-2024 DOA - DOD 11-12-2023 16-12-2023

RANGADORE MEMORIAL HOSPITAL

Policy Issuing Office Branch Office -Indira Nagar II Hospital Name & City
- BANGALORE

SM Name / Code A.R. RAMESH - SH5188

Diagnosis SEBACEOUS CYST,
Intermediary Name / MANESH DAVID K -
Code BA0000134979

We require the following additional documents/information to enable us to process your claim further. Kindly send us the
documents/information within 15 Days on receipt of this communication.These are mandatorily required.

S.No. Description of documents required

1 Original Day care summary.

2 Original final bill payment receipt with Hospital seal and authorized signature.

3 All the original investigation reports..

In case you require any clarification please contact:

We work on Sundays & Holidays all through the year. Discharges on Sundays or Holidays will be given effect to.
For any assistance please call – 044/6900 6900 /18004252255 / 18001024477. WhatsApp +91 95976 52225

Thanking you,
Yours faithfully,

Authorised Signatory.

IRDA Regn.No.129
Corporate Identity Number L66010TN2005PLC056649
Email ID : info@starhealth.in
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