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Claim Acknowledgment for Reimbursement

The document is a claim query response from Tata AIG General Insurance regarding Claim No: 4000460140A for patient Jeevan K L. It acknowledges the receipt of additional documents for reimbursement related to an inpatient treatment for enteric fever. The claim amount is 19,130, and further review will be conducted as necessary.

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Keerthi
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13 views1 page

Claim Acknowledgment for Reimbursement

The document is a claim query response from Tata AIG General Insurance regarding Claim No: 4000460140A for patient Jeevan K L. It acknowledges the receipt of additional documents for reimbursement related to an inpatient treatment for enteric fever. The claim amount is 19,130, and further review will be conducted as necessary.

Uploaded by

Keerthi
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Claim Query Response - Reimbursement

Date: 04-Jul-2025
To,
Matruchaaya Health Care
1720 46 2nd Cross Siddaveerappa
Layout ,Davanagere,,DAVANAGERE,DAVANAGER
E,KARNATAKA,INDIA,577005,

Dear Sir/Madam,

Subject: Receipt of additional documents against query under Claim No: 4000460140A

We acknowledge the receipt of additional documents sent against this claim. We shall review and write back, if
needed further.

Reference:

Patient Name JEEVAN K L


Age 16 Gender MALE
Proposer Name LOKESHAPPA O Relationship with Proposer Son
Claimant UHID IDV00224316603015
Policy Number 7030013924 Certificate Number
Policy Start Date 29-Jan-2025 Policy End Date 28-Jan-2026
Date of Admission 02-Jun-2025 Date of Discharge 07-Jun-2025
Claim Received Date 26-Jun-2025 Corporate name
Room Category Claim Type Reimbursement
Claimed Amount 19130 Benefit Type In Patient Treatment
Hospital Name Matruchaaya Health Care
Hospital Address 1720 46 2nd Cross Siddaveerappa
Layout ,Davanagere,,DAVANAGERE,DAVANAGERE,KARNATAKA,INDIA,577005
Diagnosis enteric fever

In case of any assistance, kindly call us on our toll free number 1800 266 7780 / 1800 22 9966 (for Senior Citizen)
or mail us at healthclaimsupport@[Link]

Thanking you and assuring you of our best services at all times.

Yours Sincerely,
Tata AIG General Insurance Co. Ltd.
Authorized Signatory

Tata AIG General Insurance Company Limited Page 1 of 1

Registered Office : Peninsula business Park, Tower A, 15th Floor, G.K. Marg, Lower Parel, Mumbai - 400013. 24X7 Toll Free No: 1800 266 7780 or
1800 229 966 (For Senior Citizens) | Visit us at [Link] | IRDA of India Registration No: 108 | CIN: U85110MH2000PLC128425

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