Aditya Birla Memorial Hospital Customer Care

Hi Sir,

Patient Name :- Varsha Datta Kad

My Name is Datta kad and my wife was admitted in Aditya Birla on 6th march for ecatopic pregency.
so they discharge my wife on 9th March. so the total bill was 136000 and approved by insurance company is 114000.
so in this case hospital should take difference amount i.e (Actually bill136000 – Approved by insurance company114000) = 22000
so they collected 30231 from me. when I asked why your taking extra amount from me then they not given the proper reason.

Thanks
Datta

Search results:
Claim id:
92419468
Claim details:

Claim id: 92419468
Claim amount: rs.79, 553/-
Approved amount: rs.78, 803/-
Admission date: 09-jun-2016
Claim received date: 12-jul-2016
Claim denied date: –
Claim type: cashless
Pre-authorized amount: rs.78, 803/-
Claim status: claim approved
Discharge date: 13-jun-2016
Claim approved date: 12-jul-2016
Hospital name: aditya birla health services ltd
Denial reasons

None

Missing documents

None

Deduction details

Non payable amount: rs.750/-

Reason: nme + rr excess

Attachment for tail mail

From: "sandesh r"
Sent: thu, 14 jul 2016 13:26:11
To:
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prahsanth,

We have processed your claim documents as per your policy condition, please check with hospital for extra payment collection.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: thursday, july 14, 2016 1:08 pm
To: sandesh r
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear sandesh,

Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Hospital charges
0
0
0

Investigation & lab charges
0
0
0

Non taxable pharmacy & medicine charges
0
0
0

Miscellaneous charges
79553
78803
750
Nme + rr excess
Consultant charges
0
0
0

Package
0
0
0

Total
79553
78803
750

Ee its amount approve is 78803/-

Then why show me

Surgery charges
12202
2000
10202
Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)
Claiming for nmes & already settled amount in cashless rs.10202/-
Its my cash witch is that day pay then why show me this i will paid 92419468 claim
And also ones tailing you i will call that time mediassit they said sir, you paid and send reimbursement process

Then know you show me this all!!!

I am proper mentioned my family states

Please diposit my 9452/- as per your break up[protected]=9452)

Regards,
Prashant

From: "sandesh r"
Sent: thu, 14 jul 2016 12:25:33
To:, "'corporateresponse '", "'info '"
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prashanth,

Your cashless claim is processed and approved for rs.78803/-, same will be transferred to hospital bank account shortly, check with hospital.

Claim no.
Policy number
Policy holder
Emp code
Emp name
Relation
Maid
Beneficiary
Clm type
Clm amt
App amt
Claim status
92419468
670100/34/15/04/00000002
Titan company limited
1067021
Prashant prakash kumbhar
Self
[protected]
Prashant prakash kumbhar
Cashless
79553
78803
App

Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Hospital charges
0
0
0

Investigation & lab charges
0
0
0

Non taxable pharmacy & medicine charges
0
0
0

Miscellaneous charges
79553
78803
750
Nme + rr excess
Consultant charges
0
0
0

Package
0
0
0

Total
79553
78803
750

Reimbursement claim is processed and settled for rs.5554/-, same has been transferred to titan account on 7th july 16.

Claim no.
Policy number
Policy holder
Emp code
Emp name
Relation
Maid
Beneficiary
Clm type
Clm amt
App amt
Claim status
92495045
670100/34/15/04/00000002
Titan company limited
1067021
Prashant prakash kumbhar
Self
[protected]
Prashant prakash kumbhar
Reimbursement
15830
5554
Set

Bill break up:
Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Investigation & lab charges
2400
2400
0

Surgery charges
12202
2000
10202
Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)
Consultant charges
550
550
0

Pharmacy & medicine charges (taxable)
678
604
74
Mouth wash rs.74/-
Total
15830
5554
10276

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: thursday, july 14, 2016 12:11 pm
To: corporateresponse ; sandesh r ; info
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

What is my 10202/- amount claim states

Regards,

Prashant

From: "sandesh r"
Sent: mon, 11 jul 2016 18:04:10
To:
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prashanth,

Please share your contact number.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: monday, july 11, 2016 5:59 pm
To: sandeshr
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear sandesh,

What is my states my 92419468

Regards,
Prashant

From: "sandesh r"
Sent: sat, 09 jul 2016 18:04:15
To:
Cc:
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prashanth,

Your cashless claim is under process, we yet to receive original documents from hospital.

Reimbursement claim is processed and approved for rs.5554/-, same amount will credit to titan company account shortly.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. medibuddy.in
Download e card : http://ecard. medibuddy.in
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: saturday, july 09, 2016 5:46 pm
To: [protected]@mediassistindia.com; [protected]@mediassistindia.com
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

As trial mail please revert me, still i have waiting, when you will provide me my total claim amount…

Regards,
Prashant

From: "prashant kumbhar"
Sent: sat, 09 jul 2016 14:42:12
To: "[protected]@mediassistindia.com", "[protected]@mediassistindia.com"
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear team,

You proper maintained (your cashless claim is processed and approved for 78803rs… nme expenses 750 rs… then what is the issue?..)

O i am paying 10202/- on 13-jun-2016 on dated total amount is-79553/- your approval amount is-78803/-

That time you maintained proper, also that time i call customer care when i am paying 10202/- your employee tailing me sir not and issue you pay and submit reimbursement it then why show me all!!!

If you that time tiling me you pay only 750/-

Not any issue!!

"so you sate my place and think"

I dont know i want refund my 15080/- as per your billing system and my billing amount

Thanks and regards,

Prashant

From: "[protected]@mediassist"
Sent: sat, 09 jul 2016 13:24:27
To: [protected]@rediffmail.com
Cc: sandeshr
Subject: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear sir,

Kindly find the below details of your claim no: 92495045

Claim results (prashant prakash kumbhar – employee code 1067021)
Claim #
Related preauth
Benef name /gender/ relation
Received on
Type / status
Claimed amt
Appr. amt
92495045
Prashant prakash kumbhar / m / self
[protected]
×latest pa status "style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"data-mce-href="http://proclaim. mediassistindia.com/"data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"reimbursement / approved
Rs.15830/-
Rs.5554/-

Bill details:

Bill no.

Bill date

Bill type

Bill description

Amount

Non-payable amount

Non-payable reason

Payable amount

0

Jun 13 2016 12:00 am

Consultant charges

Consultation

Rs.550/-

Rs.0/-

Rs.550/-

0

Jun 13 2016 12:00 am

Surgery charges

Other surgical item charges

Rs.12, 202/-

Rs.10, 202/-

Claiming for nmes & already settled amount in cashless rs.10202 (nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)

Rs.2, 000/-

0

Jun 13 2016 12:00 am

Investigation & lab charges

Lab

Rs.2, 400/-

Rs.0/-

Rs.2, 400/-

0

Jun 13 2016 12:00 am

Pharmacy & medicine charges (taxable)

Medicines_drugs

Rs.678/-

Rs.74/-

Mouth wash rs.74/-

Rs.604/-

With regards,
Prabakar. c
Team medi assist

From:"kumbharpra111"
To:"titan"
Sent: saturday, july 9, 2016 12:36:28 pm
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,
Then why taken 10202/-

Also why stop my rest amount 15830/-

As per your claim no 92495045

On dated 24-jun-2016, today is 9-july -2016

As per your policy working 7 day process, then you count 24-jun to till date and please red my all mails witch is

Ending to you then reply

Regards,

Prashant kumbhar

From:"[protected]@mediassist"
Sent: sat, 09 jul 2016 11:02:01
To: [protected]@rediffmail.com
Cc: sandeshr
Subject: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear sir,

Claim results (prashant prakash kumbhar – employee code 1067021)
Claim #
Related preauth
Benef name /gender/ relation
Received on
Type / status
Claimed amt
Appr. amt
92419468
92430671, 92419467
Prashant prakash kumbhar / m / self
[protected]
×latest pa status" style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;" data-mce-href="http://proclaim. mediassistindia.com/" data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"cashless / in process (processed document awaited)
Rs.79553/-
Rs.78803/-

Your cashless claim is processed and approved for 78803rs… nme expenses 750 rs… then what is the issue?..
With regards,

Team medi assist

From: "corporateresponse"
To: "titan"
Cc: [protected]@rediffmail.com
Sent: saturday, july 9, 2016 10:49:01 am
Subject: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team

Please go through the below trial mail & do the needful.

Thanks & regards
Medi assist team

From: prashant kumbhar
Sent: friday, july 08, 2016 1:36 pm
To: corporateresponse ; info
Subject: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

Why are you lat process my statement are you working or not

End me reply asap,

Regards,.
Prashant

From: "prashant kumbhar"
Sent: wed, 06 jul 2016 22:41:28
To: "corporateresponse", "info"
Subject: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear team,

Inform to you your end amount approval is – 78803/- cash less no[protected]

Then know you why showing 10202/- in staled, my hospital bill is-79553/- your end approval amount is-78803/-

When i paid 10202/- that time i call your customer care that time your end tailing me sir you paid and

Reimbursement clime that time you received you know you show my clime statement 5554/-, are you proper

Training your employee or customer proper send sms mail i am frosted your end and i relay observed your

Company is bool set you are not handled your company, not reply to at the time your commitment see my all

Mails and reply

Proper as you work in one corporate specials customer sport

Pls do the needful

Regards,
Prashant

From: "corporate response"
Sent: sat, 02 jul 2016 12:33:33
To:
Cc: "info medi assist"
Subject: re: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear sir/madam

The claim[protected] is under process.

Thanks & regards
Medi assist team

From: info
Sent: thursday, june 30, 2016 3:56 pm
To: [protected]@mediassistindia.com');" [protected]@mediassistindia.com
Subject: fwd: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

Kindly find the below trail mail and do the needful.

Regards,
Medi assist support team

On wed, 29 jun at 3:19 pm, prashant kumbhar wrote:
Dear team,
You provide me new clame number why and where is your commitment 24 hours reply,
Also tickt numer, l am sending you all my documents then why delay your commitment date is 26 june, also hospital provided all details then why should tack time your end
I already manstined my family states

So pls

Diposit my cash in my account asap

Regards
Prashant p kumbhar

Note: forwarded message attached

— original message —

From: info [protected]@mediassistindia.com on fri, 24 jun 2016 20:23:49 +0530
To: [protected]@rediffmail.com
Subject: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected] – 388819

Aditya birla memorial hospital — claim amount 79553/- and approval amount 78803/- why taken 9452/-

1 review
Ku kumbharpra111 on jul 14, 2016
Add a comment
Change resolution statement

Search results:
Claim id:
92419468
Claim details:

Claim id: 92419468
Claim amount: rs.79, 553/-
Approved amount: rs.78, 803/-
Admission date: 09-jun-2016
Claim received date: 12-jul-2016
Claim denied date: –
Claim type: cashless
Pre-authorized amount: rs.78, 803/-
Claim status: claim approved
Discharge date: 13-jun-2016
Claim approved date: 12-jul-2016
Hospital name: aditya birla health services ltd
Denial reasons

None

Missing documents

None

Deduction details

Non payable amount: rs.750/-

Reason: nme + rr excess

Attachment for tail mail

From: "sandesh r"
Sent: thu, 14 jul 2016 13:26:11
To:
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prahsanth,

We have processed your claim documents as per your policy condition, please check with hospital for extra payment collection.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. Medibuddy.In
Download e card : http://ecard. Medibuddy.In
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: thursday, july 14, 2016 1:08 pm
To: sandesh r
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear sandesh,

Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Hospital charges
0
0
0

Investigation & lab charges
0
0
0

Non taxable pharmacy & medicine charges
0
0
0

Miscellaneous charges
79553
78803
750
Nme + rr excess
Consultant charges
0
0
0

Package
0
0
0

Total
79553
78803
750

Ee its amount approve is 78803/-

Then why show me

Surgery charges
12202
2000
10202
Claiming for nmes & already settled amount in cashless rs.10202 (Nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)
Claiming for nmes & already settled amount in cashless rs.10202/-
Its my cash witch is that day pay then why show me this i will paid 92419468 claim
And also ones tailing you i will call that time mediassit they said sir, you paid and send reimbursement process

Then know you show me this all!!!

I am proper mentioned my family states

Please diposit my 9452/- as per your break up[protected]=9452)

Regards,
Prashant

From: "sandesh r"
Sent: thu, 14 jul 2016 12:25:33
To:, "'corporateresponse '", "'info '"
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prashanth,

Your cashless claim is processed and approved for rs.78803/-, same will be transferred to hospital bank account shortly, check with hospital.

Claim no.
Policy number
Policy holder
Emp code
Emp name
Relation
Maid
Beneficiary
Clm type
Clm amt
App amt
Claim status
92419468
670100/34/15/04/00000002
Titan company limited
1067021
Prashant prakash kumbhar
Self
[protected]
Prashant prakash kumbhar
Cashless
79553
78803
App

Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Hospital charges
0
0
0

Investigation & lab charges
0
0
0

Non taxable pharmacy & medicine charges
0
0
0

Miscellaneous charges
79553
78803
750
Nme + rr excess
Consultant charges
0
0
0

Package
0
0
0

Total
79553
78803
750

Reimbursement claim is processed and settled for rs.5554/-, same has been transferred to titan account on 7th july 16.

Claim no.
Policy number
Policy holder
Emp code
Emp name
Relation
Maid
Beneficiary
Clm type
Clm amt
App amt
Claim status
92495045
670100/34/15/04/00000002
Titan company limited
1067021
Prashant prakash kumbhar
Self
[protected]
Prashant prakash kumbhar
Reimbursement
15830
5554
Set

Bill break up:
Category break up
Charge type
Bill amount
Payable amount
Non pay amount
Non payable reason
Investigation & lab charges
2400
2400
0

Surgery charges
12202
2000
10202
Claiming for nmes & already settled amount in cashless rs.10202 (Nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)
Consultant charges
550
550
0

Pharmacy & medicine charges (Taxable)
678
604
74
Mouth wash rs.74/-
Total
15830
5554
10276

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. Medibuddy.In
Download e card : http://ecard. Medibuddy.In
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: thursday, july 14, 2016 12:11 pm
To: corporateresponse ; sandesh r ; info
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

What is my 10202/- amount claim states

Regards,

Prashant

From: "sandesh r"
Sent: mon, 11 jul 2016 18:04:10
To:
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prashanth,

Please share your contact number.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. Medibuddy.In
Download e card : http://ecard. Medibuddy.In
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: monday, july 11, 2016 5:59 pm
To: sandeshr
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear sandesh,

What is my states my 92419468

Regards,
Prashant

From: "sandesh r"
Sent: sat, 09 jul 2016 18:04:15
To:
Cc:
Subject: re: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear prashanth,

Your cashless claim is under process, we yet to receive original documents from hospital.

Reimbursement claim is processed and approved for rs.5554/-, same amount will credit to titan company account shortly.

Thanks and regards
_
Sandesh r

Medi assist india tpa pvt ltd.

4th floor ibc, knowledge park, tower d,
No 4/1, bannerghatta road,
Near dairy circle –bangalore 29

Toll free number :[protected] /[protected]
Track your claims : http://track. Medibuddy.In
Download e card : http://ecard. Medibuddy.In
Track through sms : claims and claimno sms to [protected]

From: [protected]@rediffmail.com [mailto:[protected]@rediffmail.com]
Sent: saturday, july 09, 2016 5:46 pm
To: [protected]@mediassistindia.com; [protected]@mediassistindia.com
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

As trial mail please revert me, still i have waiting, when you will provide me my total claim amount…

Regards,
Prashant

From: "prashant kumbhar"
Sent: sat, 09 jul 2016 14:42:12
To: "[protected]@mediassistindia.com", "[protected]@mediassistindia.com"
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear team,

You proper maintained (Your cashless claim is processed and approved for 78803rs… Nme expenses 750 rs… Then what is the issue?..)

O i am paying 10202/- on 13-jun-2016 on dated total amount is-79553/- your approval amount is-78803/-

That time you maintained proper, also that time i call customer care when i am paying 10202/- your employee tailing me sir not and issue you pay and submit reimbursement it then why show me all!!!

If you that time tiling me you pay only 750/-

Not any issue!!

"so you sate my place and think"

I dont know i want refund my 15080/- as per your billing system and my billing amount

Thanks and regards,

Prashant

From: "[protected]@mediassist"
Sent: sat, 09 jul 2016 13:24:27
To: [protected]@rediffmail.com
Cc: sandeshr
Subject: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear sir,

Kindly find the below details of your claim no: 92495045

Claim results (Prashant prakash kumbhar – employee code 1067021)
Claim #
Related preauth
Benef name /gender/ relation
Received on
Type / status
Claimed amt
Appr. Amt
92495045
Prashant prakash kumbhar / m / self
[protected]
×latest pa status "style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"data-mce-href="http://proclaim. Mediassistindia.com/"data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"reimbursement / approved
Rs.15830/-
Rs.5554/-

Bill details:

Bill no.

Bill date

Bill type

Bill description

Amount

Non-payable amount

Non-payable reason

Payable amount

0

Jun 13 2016 12:00 am

Consultant charges

Consultation

Rs.550/-

Rs.0/-

Rs.550/-

0

Jun 13 2016 12:00 am

Surgery charges

Other surgical item charges

Rs.12, 202/-

Rs.10, 202/-

Claiming for nmes & already settled amount in cashless rs.10202 (Nme-oxygen mask rs.150; handrub rs.165; microshild rs.105; sponge rs.375; administrative surcharge rs.5934/-)

Rs.2, 000/-

0

Jun 13 2016 12:00 am

Investigation & lab charges

Lab

Rs.2, 400/-

Rs.0/-

Rs.2, 400/-

0

Jun 13 2016 12:00 am

Pharmacy & medicine charges (Taxable)

Medicines_drugs

Rs.678/-

Rs.74/-

Mouth wash rs.74/-

Rs.604/-

With regards,
Prabakar. C
Team medi assist

From:"kumbharpra111"
To:"titan"
Sent: saturday, july 9, 2016 12:36:28 pm
Subject: fw: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,
Then why taken 10202/-

Also why stop my rest amount 15830/-

As per your claim no 92495045

On dated 24-jun-2016, today is 9-july -2016

As per your policy working 7 day process, then you count 24-jun to till date and please red my all mails witch is

Ending to you then reply

Regards,

Prashant kumbhar

From:"[protected]@mediassist"
Sent: sat, 09 jul 2016 11:02:01
To: [protected]@rediffmail.com
Cc: sandeshr
Subject: fwd: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear sir,

Claim results (Prashant prakash kumbhar – employee code 1067021)
Claim #
Related preauth
Benef name /gender/ relation
Received on
Type / status
Claimed amt
Appr. Amt
92419468
92430671, 92419467
Prashant prakash kumbhar / m / self
[protected]
×latest pa status" style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;" data-mce-href="http://proclaim. Mediassistindia.com/" data-mce-style="box-sizing: border-box; color: #2e3e4e; text-decoration: none; vertical-align: bottom; background: transparent;"cashless / in process (Processed document awaited)
Rs.79553/-
Rs.78803/-

Your cashless claim is processed and approved for 78803rs… Nme expenses 750 rs… Then what is the issue?..
With regards,

Team medi assist

From: "corporateresponse"
To: "titan"
Cc: [protected]@rediffmail.com
Sent: saturday, july 9, 2016 10:49:01 am
Subject: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team

Please go through the below trial mail & do the needful.

Thanks & regards
Medi assist team

From: prashant kumbhar
Sent: friday, july 08, 2016 1:36 pm
To: corporateresponse ; info
Subject: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

Why are you lat process my statement are you working or not

End me reply asap,

Regards,.
Prashant

From: "prashant kumbhar"
Sent: wed, 06 jul 2016 22:41:28
To: "corporateresponse", "info"
Subject: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear team,

Inform to you your end amount approval is – 78803/- cash less no[protected]

Then know you why showing 10202/- in staled, my hospital bill is-79553/- your end approval amount is-78803/-

When i paid 10202/- that time i call your customer care that time your end tailing me sir you paid and

Reimbursement clime that time you received you know you show my clime statement 5554/-, are you proper

Training your employee or customer proper send sms mail i am frosted your end and i relay observed your

Company is bool set you are not handled your company, not reply to at the time your commitment see my all

Mails and reply

Proper as you work in one corporate specials customer sport

Pls do the needful

Regards,
Prashant

From: "corporate response"
Sent: sat, 02 jul 2016 12:33:33
To:
Cc: "info medi assist"
Subject: re: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]
Dear sir/madam

The claim[protected] is under process.

Thanks & regards
Medi assist team

From: info
Sent: thursday, june 30, 2016 3:56 pm
To: [protected]@mediassistindia.com');" [protected]@mediassistindia.com
Subject: fwd: fw: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected][protected]

Dear team,

Kindly find the below trail mail and do the needful.

Regards,
Medi assist support team

On wed, 29 jun at 3:19 pm, prashant kumbhar wrote:
Dear team,
You provide me new clame number why and where is your commitment 24 hours reply,
Also tickt numer, l am sending you all my documents then why delay your commitment date is 26 june, also hospital provided all details then why should tack time your end
I already manstined my family states

So pls

Diposit my cash in my account asap

Regards
Prashant p kumbhar

Note: forwarded message attached

— original message —

From: info [protected]@mediassistindia.com on fri, 24 jun 2016 20:23:49 +0530
To: [protected]@rediffmail.com
Subject: ticket received – claim no[protected] document sending by blue dart qurer – doc no-[protected] – 388819

We recently had an operation completed at ABMH, Wakad, Pune. As we were opting for Cashless, there was a delay and hence the Hospital asked us to deposit some amount which we did. After the Cashless was approved, there was a refund amount due to us from the Hospital.
Firstly the hospital delayed the payment and when they did, they submitted it in the wrong name because of which the NEFT was rejected. I have been following-pu with them for over 20 days now, but there is no satisfactory response.
This shows the concern they have about their customers and their service

I am visiting to abmh chinchwad since from last 2 years. Recently it is observed that hospital is started charging extra surcharges of around 2% on the payment more than rs. 1000 when payment is made by credit card/debit card
I asked the staff regarding details of these and staff person replied that the bank is charging the surcharges not us.
Yesterday i. E. On june 13, 2017, i used credit card for payment of blood test. The amount was rs. 4115, but person swiped rs. 4208 on my credit card i. E. Rs. 93 surcharge.
But if the bank is charging the surcharges, why the person swiped amount 4208 and not 4115. As the bank is charging extra on my credit card, it will get reflected in my card statement automatically.
It is not possible to carry a cash for the billing amount more than 1000. Does that mean i will have to pay extra every time when i use my credit card/debit card?

On 25th january 29, 2017, we have gone through an annual preventive health check up at aditya birla memorial hospital, thergaon, chinchwad, pune, maharashtra-411033. Telephone no:[protected], email: [protected]@adityabirla.com… Subsequently i paid an amount of rs 14, 571/- through my credit card. However, the actual bill was rs 14250/- bearing bill dated 25th january 17.

On top of that the hospital charged me rs 321/- for payment through credit card which comes to 2.25% of total amount.in spite of several request the hospital people were so adamant to charge me the extra 2.25% because of credit card. I have also asked them the bills or mention the same amount in the invoice which has been denied right away.

Frankly it was a great surprise to me. While the government is driving very hard on cashless economy and digital payments the reputed & big business house in healthcare industry like adiyta birla group are looting public openly without any fear. If this hospital thinks the 2.25% extra charge for credit card payment is legal, then why they are not mentioning in bills. Please imagine the number of transactions they made in a day, month and year, 2.25% of credit card and may be 1% of debit cards would be an accumulation of huge unaccounted money or not paying any taxes on same.

I have lodged a complaint on jago grahaka jago bearing complaint id : 9956192 dated 20th may 17, wrote to rbi, controller of legal metrology (Weights & measures), ministry of finance etc, unfortunately everyone is saying it does not come under them. Only one person is now left indian prime minister.

I am really helpless.

Last Friday i.e 15/01/2010 I went to the Aditya Birla Memorial Hospital – Hope Heal Happiness located near Dange chowk, Pune. I went there in hope to get rid of my strained eyes so that they can be healed and I can live in happiness. But to my utter disappointment none of my wishes was fulfilled. I had taken an appointment of 11 a.m. After a wait of 1 hour the number of my eyes was checked by the staff and my eyes was dilated with some drops. According to them the retina of the eye gets enlarged after dilation which help the doctor to scrutinize better. The effect comes in 10 mins so I was scheduled accordingly. But after repeated attempts in half vision(due to dilation), I was told that the doctor is busy with some unscheduled appointments that got in between. After asking what was the point of appointments then, the staff there had no answer. After I had enough at 1:30 p.m I demanded to meet the doctor personally. But again I was told that the doctor is busy doing some lasik surgery which give the hospital some big bugs. When asked why was my eyes dilated if the doctor didn’t had time for me, I was bluntly replied that the patient was in pain. As far as I know lasik is selective treatment and how can a person be in pain and if there is some urgent attention required then why was a surgery scheduled between appointments. I seriously did not expect this kind of attitude from such hospital. But I think my 300 rupees fees was considerably low against other commitments given as excuses by the staff. I lodged a former complaint but given the way in which the complaint register was maintained I had little expectation form it. The person taking my complaint called the ophthalmology department but only to hear excuses like for an appointment of 11 I arrived at 11:10. After standing there and couldn’t see anything that could be done I left the hospital in blurred vision.

With a very heavy heart and rage against Dr. Rajiv Sethi, his team and Aditya Birla Memorial Hospital, Pune for medical negligence, misguidance, misinformation and careless billing,I am forwarding my complaint as I am not satisfied with the service that has been given to us.
On 22.09.10 my father complained of minor chest pain, we went to ABMH to consult Dr. M.S Hiremath. Under the impression that Dr. Hiremath is associated with the hospital (since I saw his name been enlisted in the faculty list of the cardiology department when I visited ABMH in the past). When we went to the reception for fixing an appointment with him, the staff informed the same doctor is no more associated with the regular cardiac panel of ABMH. I would like to get a justification from the hospital, if the doctor is no more in the regular panel of cardiologist then why the list of doctors has not been updated till date. Otherwise we would have opted for some other alternatives.
The hospital staff then informed about Dr. Rajiv Sethi, who happens to be the senior cardiologist in ABMH. In necessity and without wasting time we had to consult him. We explained him about my father’s medical history and also presented all the past medical documents about my father’s by-pass surgery which he underwent in the year 1997 at AIIMS, New Delhi. We also informed him that on 13.09.10 my father consulted Dr. Yogesh Kadam, Pune for a general body check up and the doctor had changed the medicines which he was taking since his by-pass surgery in the year 1997. My father complained of acidity, gas problems subsequently after consuming the medicines prescribed by Dr. Kadam. Dr. Sethi advised my father to undergo 2D Echo and Stress test, which my father underwent instantaneously. The result of the TMT test was positive. Doctor Mr. Sethi changed the prescription and advised my father to undergo coronary angiography test.
To take second opinion, I took my father to Dr. Umesh Akkalkotkar in Wadia Hospital, Pune on 25.09.2010. My father still complained of acidity, gas problems after consuming the medicines prescribed by Dr. Sethi. Dr. Umesh also advised my father to undergo coronary angiography test and prescribed few gas remedial medicines.
We decided to go for the coronary angiography test on 27.09.10 and in good faith I fixed an appointment with Dr. Rajiv Sethi, as we thought he is now well acquainted with my father’s medical history.
On 27.09.10, in the morning my father took a pill of sorbitrate tablet, which he used to take at times since past few days as he developed mild chest pain. My Father, my mother and myself went to ABMH hospital at 9 a.m for Angiography as per the appointment taken also informed about the mid chest pain since past few day.
The doctor admitted him in the Cath Lab for carrying out Coronary angiography and I was called for signing the consent form. The report which was presented to me showed that during the time of admission his general body condition was good/stable. Few tests such as HBsAg and HIV were conducted prior performing coronary angiography, whose result was normal.
At 1.15 p.m, Dr. Sethi asked for my father’s medical documents which I presented to him before the start of the coronary angiography test. At 2 p.m the doctor came up and said my father had a chest pain while performing coronary angiography. When we enquired about my father’s condition and showed our desire to meet him, the doctor straight away denied and didn’t let us meet him. The doctor informed us that my father has a clot in one of his arteries and he suggested to perform angioplasty/ ballooning operation immediately. We were not informed about his actual condition till then. When we enquired the doctor whether the condition of my father was stable to perform the ballooning operation, the doctor informed he was given sorbitrate to reduce the chest pain during coronary angiography and notified that the present condition of my father had stabilized to undergo ballooning. Being the son or being a well wisher, everyone would want his family members to be healthy and in good health. So with good faith again gave my consent for perform ballooning. When we thought everything will be fine the doctor came back just after 5 minutes and gave us news that even ballooning could not be performed on him and proposed ultimately for a Bypass Surgery. The doctors messed up the things within 30 minutes and we were puzzled. He asked us to meet one of the cardiac surgeons Dr. Sanjeev Jadhav of ABMH, who was deputed to perform the redo by-pass surgery on my father. When I enquired whether we can call another senior heart surgeon from other reputed hospitals in Pune or take him to another hospital, the doctors refused to do so.
Later at 2.30 p.m (approx.), the doctor again came up and informed my father’s condition is deteriorating; blood pressure is very low and the surgery cannot be performed on him at this stage unless the blood pressure normalizes. During the whole course of mishap we were not allowed to meet my father.
Later Dr. Annapurna Kalia (team member of Dr. Sethi) asked me to see the condition of my father in the OT, his condition was quite painful and was almost in a sub-conscious state of mind. When I enquired what has led to his this condition, the doctors gave us multifaceted/ dissatisfactory explanations.
My father at 3 p.m was later put in the recovery room on an artificial pacemaker and inotropes, when we touched him in the recovery room his body was almost frosty, the doctors said it is due to shock. But we feel that my father had deceased before being shifted to the recovery room. To hide any kind of negligence which might have happened from the doctor’s part, they tried to mix –up the things to hide their fault and tried to portray their clean picture.
At 5.30 p.m my father was declared dead by the hospital. The primary reason mentioned in the report is due to cardiogenic shock.
Moreover when we went to the billing department to clear the bill we found that the cost of performing ballooning was billed to us though we were not told about it. Despite the trauma of losing our father, my family members were running from one department to another for rectification of the bill. When we contacted Dr. Sethi over phone, he indulged into unjustified arguments. Ultimately after 2 days of running from one door to another in the hospital and putting our case in front of the operations department the bill was rectified.
It is very disheartening to note that nowadays the doctors and the hospitals are just trying to mop-up revenue arbitrarily at the peril of the patients with least regard to the life of a patient.
Later, when I went to collect the internal case papers pertaining to my father’s case. I asked the medical records department to furnish me the recorded video of performing coronary angiography, ECG reports, Blood Pressure reports etc based on which the doctors were revealing the health condition of my father. The medical records department as well as Dr. Sethi straightaway denied that the relevant documents and the CD which I asked for was not been kept in their record books and the reason stated by them is not attributable to us. If these documents cannot be furnished to us then the picture in front o[censored]s would still be hazy.
Today when we have lost one of the most precious gifts given by the almighty i.e our father, we insist the doctors and the hospital to justify the following:-
How the condition of my father deteriorated all of a sudden when all his reports and his general condition during his admission in the hospital was fair.
1. If the doctors have stated the primary cause of death is due to Cardiogenic Shock. I would like to know from the doctors if Cardiogenic Shock is a state of suddenly weakened heart which isn't able to pump enough blood to meet the body's needs. Then what led to weakening of his heart within a period of 10-20 minutes.
2. Why we were not fully informed the exact general condition of my father after angiogram was performed and allowed to meet him.
3. When Dr. Sethi knew my father’s case needed a special attention as depicted by him while being in the recovery room. I would like to know from the doctor, when he knew he is not competent enough to handle my father’s case then why he did not recommended any another senior cardiologist.
I am completely dissatisfied with the kind of approach shown by the doctors and the hospital itself which has completely shattered our world at one stroke. In the light of the above I urge to the authority to give us justice by taking strict action against the doctors involved in the whole mishap and also the hospital .
My this application can’t bring my father back to us but I want to ensure that these things should never happen again with anybody in future.

Hi team,

I had admitted in aditya birla hospital for the surgery of kidney stone and they have charged me around 80000 for the procedure, normally it would be done at other hospitals around 30000.

As per the doctor advised i undergone for x-ray and sonography twice.

I had the misplaced the original bill and request them to produce duplicate bill and they had asked me to pay 100rs each for bill.

My question is why they asking 100 rs for each bill and on what basis they are asking 100 rs for each bill.

They had said that they have such policy to produce duplicate bill.

Could you please look into this.

Why theier billing department greasing customers like this and they charging extremely high charges and even duplicate bill also they are charging.

My hospital admmision detials as follows.

Mrn no:ab17058943
Name:b dsouza

I think that instead of thinking about the patients you are thinking about the money only. My mom age 63 slipped and her wrist got fracture. But i dont think that 2.5 hours long surgery is required for the same. It can be cured using the plaster as well. But once the doctor got to know that patient has medical insurance, a surgery is planned (3 wired inserted into her hands). Also every week dressing is going on so my mother is going through lot of pain. I think doctors should consider money but atleast thought about the pain to patients as well.