Log inRegister
Submit Complaint

mediassist India

India,
Tamil Nadu

Consumer complaints and reviews about mediassist India

Avinash Kapoor2009
 
Sep 24, 2015

Inaccurate Approval

Dear Sir/Maam,

My wife was admitted in Khanna Nursing Home for delivery and we were blessed with baby girl on 7th of Sep-2015 at 4:50pm and on 8th Sep-2015 we were referred to Orchid Hospital as wife was unable to breath and pain in chest.

I got a Maternity claim for orchid Hospital wherein delivery was done by Khanna Nursing home... and surprise to see i have a sum assured amount limit of 2 Lakh and now i am getting redirected from one to another to get my complete claim.

Claim Amount for Khanna Nursing Home was : Approx 65K (Cash Paid by Me, No claim received)
Claim amount for Orchid Hospital Was : 72 K ( Amount Approved Only 47500 for maternity wherein no delivery done by orchid).

Also there is no details available on website to share the concern with higher management. i .e Mr. Vikram Chhatwal (CEO).

I Went to Noida Office and Met with Mr. Manish , Mr. Inder but unable to get satisfactory answer.

I have also give this feedback to my corporate HR team that not to continue with medi assist further with such a poor services and suppport.

Regards
Avinash Kapoor
(9899133552)
aravind230590
 
Jul 28, 2015

Denied without reason

I'm working for TCS i have raised a claim under mediassist and submitterd all my original documents and scan reports but now the status is denied letter sent . No one is picking the call worst response . My claim number is 91103786 .I din receive proper clarification form them regarding my claim this is frustrating .. I need lodge a complaint Please help me .
manzTCS
 
Jul 21, 2015

Mediassist is the worst TPA

My father had cataract surgery in hospital on 22 Jul at 8:30 am, and the hospital sent all the documentation on 20 Jul. The PreAuthorization was in pending from 21 Jul.

As my parents were traveling from outstation, sp I called MediAssist folks (had to try hard to talk to their Customer care number posted on the site) few times to confirm if the approval will be done before the scheduled appointment. They gave false promises that approval will be done in 1 hour (blah blah...) and my parents had to wait in the hospital for hours together on 22 Jul and approval never came.

I called their customer care and as usual they gave excuses, and they don't have escalation manager or Floor lead in charge to listen to the problem. They promised me for callback, but I never got a call back.

This is frustrating. Think of patients who are admitted and need urgent assistance.

I work for TCS and I am not sure why our company still continues with this kind of unethical TPA.
Karthik GS
 
Jul 13, 2015

Cliam got denied

I'm working in TCS. Please find my details below.

Employee ID: 574445
Name: Karthik S
Contact no: 8124096465
As I was hospitalized from May 26 to May 30 in this year but in two different hospitals as below.
1. 26 May to 27 May in Apollo hospital.
2. 27 May to 30 May in Royal balaji hospital.
So I have raised two hospitalization claims.

I have missed to choose Pre-hospitalization in 1st claim so this has been rejected as not completed 24 hours.

And in 2nd claim I have provided all the required bills, discharge summary etc but they are denying it mentioning that they they require self explanatory letter, original scan copies and treating doctor's letter regarding my illness. I will be able to provide self explanatory letter and scan copies. But my treating doctor confirmed to me that he will not able to give it as he provided everything clearly in discharge summary. Also I have called a mediassist guy named Ramasamy gave it my treating doctor once again he mentioned clearly that he will not give the letter.

Please help me to process my 1st claim as Pre-hospitalization and 2nd claim. The mediassist is really worst in helping the insurers.
chinnavc
 
Jul 1, 2015

Need Terms and conditions Page

I am planning under go surgery , i am trying to find the terms and condition page before admiting, because we will believe you (Medi Assist) and we visit super speciality hospital for a treatment, once done you people will be rejecting the claims. so i need to go through Terms and conditions.

please share the page link.

NOTE: IF MEDI ASSIT IS DOING SERVICE GENUINELY PLACE THE TERMS AND CONDITIONS TAB SEPARATELY AND ASK THE CUSTOMERS TO GO THROUGH THAT >>

INSTEAD OF HIDING (OMG)
nitinprakash3
 
Jul 1, 2015

Never Go for Mediassist TPA

This is useless TPA, they denied my claim twice with false reasons. This time I asked for policy copy and they don't have a policy copy either. Once their customer care says something and later somebody else will say whatever said previously was incorrect. I really doubt their credibility.
arif619
 
Jun 23, 2015

Non Approval Of Claim

My father(MOHD BASHIR) has been hospitalised for last 4-5 days in ajnata hospital(lucknow).
MA ID-5005548269

the claim firstly settled upto 20k then cancelled.
i need complete information regarding the cancellation pls forward me the soft copy as well.
i need the policy terms and conditions as well in soft copy on what basis the claim ha sbeen denied.
i except positive response form your side please co-operate to settle the claim but if not pls provide me the documents which i asked .
i have to move further to submit my application into consumer forum.

Mohd Arif
satmanyu
 
Jan 20, 2015

inconsistent and absurd reason for rejecting hospitalization claims

Mediassist had approved 2 claims for treatment of prostate cancer but later started rejecting claims with same treatment which are continue monthly.Now there are 2 claims(90285972,90325697) denied which is not at all consistent with previous claims(90053934,90105765)
ushataneja
 
Oct 24, 2014

Denying cashless treatment without knowing the actual facts

Hi,

My name is Usha Taneja and my ma-id is 5009973630, medi assist has a history of denying cashless claims. I am a patient of breast cancer and now the cancer has spread to my liver & I need urgent chemotherapy but medi assist is denying the claim on the groung of pre existing disease. They approved for surgery for same disease and denying for chemotherapy for same disease on the ground of pre existing disease don't know what logic they follow. I don't know why we have TPA like Medi assist they should have name like Medi Reject. They are not the helping hand rather they are worst TPA that I have seen so far. They always deny your cashless treatment. They want you to suffer more and more and die before u caim them for medical expenses.
Nikitha G.R
 
Sep 29, 2014

Reset the Password

I forgot my password to login mediassist. When give forgot password option, It asks my date of birth then nothing has been displayed and no password has been sent to my mail ID.
Kindly check on this ASAP and revert to nikitha.9@tcs.com
Sujathab
 
Mar 28, 2014

login error for TCS employees

I am TCS employee (id is 472599) unable to login and not able to retrieve the password using forgot password link. Pls do the needful. Appreciat your help
prashantk143
 
Mar 13, 2014

Declined the Claim

Our patient is hospitalized in the Aditya Verma Medical center and this hospital is in the network list so the cashless claim was forwarded to the insurance company however firstly they asked for patient ID proof then they confirm final bill will paid when patient will discharge and at the time of Discharge there response received was that the Typhoid is not covered, hence cashless declined.
So we need to understand more on this if the disease like Typhoid is not covered then what is covered in the policy and in the policy Terms Exclusion no where mentioned that Typhoid is not covered in the first year of policy and also wanted to know the policy details where it clearly states that the Typhoid is not included.

Secondly if disease is not covered in the policy then in first go why TPA has not reject the claim. And also receive the message from TPA Cashless declined and submit for possible reimubursement.

Name-Tara Dutt
Policy No.-221500/48/13/06/00000822
PA No-9856342
mobile:9868144392
prakashvelamkar
 
Feb 13, 2014

denial of claim

Dear sir,
With the reference to MAID: 5009120816, claim no. 2987139 for claimant, Madhuri and prejudice views emailed to me on 28.01.2014 which led to the rejection of claim, I would like to bring to your kind notice the following facts-
1) The patient was admitted in the hospital from 15.8.13 to 17.8.13 for loss of movement of hand and loss of speech for 10-15 min. which is the case of TIA and it was not pre-existing disease like RA, DM.
2) The HTN was first detected on 21.9.12 which was less than a year ago and patient was on medication since then.
3) Please refer the attending doctors certificate dated 31.12.13, all indoor case papers of hospital dated 20.2.12, 27.07.12, 14.8.12 which were before first detection and outdoor case papers dated 26.11.12, 11.12.12 after first detection of HTN. These documents were already produced to your Baroda Office.
In view of above, I had once again requested Medi Assist to go through all papers submitted on 26.8.13, 16.9.13 & 31.12.13 and email correspondence with Mr. Nayan Purani of Ahmedabad office and settle the pending claim urgently. But there is no reply so far.

With thanks and regards,

Prakash Velamkar
796840@tcs
 
Oct 21, 2013

unable to login

forgot password when entered it says user account logged out.
Minakshimp
 
Oct 1, 2013

WORST RESPONSE AND SERVICE FROM MEDIASSISTS

Medi assist is providing world's worst service for cash less treatment. Patient is admitted yday, although all details faxed to them yday evening, till morning no revert. Morning After calling them 51 times they told no id changed .hospital tried faxing 20 times and getting failed
im not able to get patient discharge d yet
988047199
Shabana7
 
Sep 12, 2013

Medicine Replacement

I am corporate employee of Wartsila. I Place an order for medicine on 28 August 2013 and I have still not recieved the medicine. So Many times I had called at call center and they are just giving an excuses that it will delivery it now. Could you please check the issue and revert

Name Shabana Samdani
email ID: sshabana7@yahoo.com
uday.maley
 
Aug 20, 2013

claim denied with false reason

My claim number 7986934 was denied saying lab reports are not submitted. But i submmited all the original bills and lab reports . I tried calling them from last 3 days but no one is lifting the call.I tried calling them more then 50 times but no one is answering the call.I'm an employee of tcs.

email id :- maley.uday@tcs.com
Number :- 8499096096
name :- uday maley
MOHAMMAD RAASHID
 
Mar 17, 2013

claim

my policy no. 221500/48/11/06/0000/1490 and claim amount 725 RS. SO MANY TIME I CALL MEDI ASSIST OFFICE AT NOIDA EVERY TIME HE TOLD ME WE WILL SEND YOUR AMOUNT AS SOON AS POSSIBLE AND FOUR TIME I VISITED AT NOIDA BRACH BUT NO RESPONSE TILL NOW
gitu_279
 
Feb 21, 2013

Wrong hospital name

21.02.2013
Wrong hospital name

In the above mentioned complaint I have forgot to mentioned my details. I am working in TCS,
My contact no is 9980490614
gitu_279
 
Feb 21, 2013

Wrong hospital name

21.02.2013
I wanted to do avail the cashless facility for my father; but hospital authority is telling that they can not give any cashless facility
because they donot have any connection with mediassist. But the corresponding hospital name is included NIA network
hospital list. Hospital name is given below-
Hospital ID Hospital Name Address
68517 PRAGATI HOSPITAL&RESEARCH CENTRE N.H-37,BYEPASS,JENGANIKATIA,SIVASAGAR,ASSAM.

According to hospital authority they never a part of medi assist. The worse part was that I treied to contact mediassit bangalore
toll free no,but did not get any positive feedback. Many times they hold my call for checking but after sometime it got disconnected automatically.There is a huge gap between hospital authority and mediassit, none of them are ready to solve the issue. At last around 2 pm I got one lady no who is responsible for Assam region, but she never picks up my call. I was deeply frustrated
whom should I contact. This is not only one hospital , I tried many hospital in Dibrugarh,sibasagar and sivasagar. But same reply
every time, none of them ready for cashless facility. I have only one question if there is connection between the hospital and mediassist than why they are simply keeping
those hospital name in their list???? Is this the way of giving support to people....... I am deeply frustrated, does not know where to go now?????/
nehabajaj
 
Jan 9, 2013

worst experience

I tried to raise my claim in MediAssist and was getting the error on submission. I did not receive my bills on time as it generally takes 2-3 months to receive bills in US. In between 90 days passed and now MediAssist team is not ready to listen. I called them up many times but either they dont pick up the phone or they will hang up. I sent them emails too but got a reply 'Claims has to be raised with in 90 days'. I explained them that there was an error but they are not ready to listen. They dont even understand the code error. I sent them a screenshot telling that there is some code issue in the application due to which i was not able to submit my claims and the reply was - Try in IE 8 as if IE 8 will automatically fix the code issue and in fact i was trying to submit my bills in IE 8. They are not even graduates. Pathetic.
N J ANTHRAYOSE
 
Jan 6, 2013

Domicile treatment reimbursement

I have sent my claim for reimbursement of Rs. 6023.30 on 1st Dec 12. My MA ID no. is 4012254014. When called over phone, I was informed that the documents were received in Mumbai Office on 10th Dec. 12.

I am yet to receive the reimbursement

Saramma Anthrayose

mail id- rajunazhoorimattam@gmail.com
dippu
 
Dec 6, 2012

Forgot Password - Secret Question is not showing correct question

In forgot password option after entering username and DOB the secrete question is not correctly displayed please look into this error as ealr as possible.
harjotsarab
 
Nov 15, 2012

Poor Service

I wanted to do avail the cashless facility but the request was never been completed either by Mediassist nor by the hospital. There was a communication and knowledge gap between Mediassist and their cashless hospital. I was sitting with the hospital staff crying with pain for the kidney stones and was following with your staff since 4:00 PM till 9:00 PM and the result, the cashless facility was never been processed till 9:15 PM.

Hospital send the fax and got the successful send receipt of sending the fax, but Mediassist staff told that it was never been received, I don’t why…..

As a patient I was doing the responsibility of the hospital and the guy sitting at your end. At the end when it was never been approved as I was told the reason that your Mediassist people ask for some more information from the hospital they were not aware of that how to do that. And then I've to backup myself from this mess.

I highly disappointed with the services provided by Mediassist India Ltd. And now I’m hopeless from Mediassist guys that ever I can take any benefits from their side. Whenever there is an emergency suddenly new policies come into picture, which should be discussed between Mediassist and the hospitals, why we get suffer because of that.

I don't know but telling this in here may be some thing good can be done in future....
708228@tcs
 
Oct 10, 2012

contact detail change

How to change my contact details in mediassist claim portal, please revert back me as soon as possible, my mail id: m.ganesh4@tcs.com

Complaint Registration Form

    Information of the Company you are complaining about
    Subject of Complaint
    City (optional)
    Complaint Details
    Attach photos (optional)
    Confirmation code

    Submit

    Share this site with others

         
          

    Recently Updated Complaints

    gemini tv - Vani Rani
    Pls telecast the vani rani serial. pls
    Star Plus - About serials
    The new serial ishqbaaz is waste of time . The casting is...
    freecharge app - 4 tokens after.mobile talk time recharge not seen in...
    Sir, PLEASE HELP AND FIX THIS ISSUE WITH A SOLUTION @ T...
    freecharge.in - please help to get 4 tokens as rewards section after...
    Sir, PLEASE HELP AND FIX THIS ISSUE WITH A SOLUTION @ T...
    Maa TV - Sasirekha Parinayam
    Abhi Dream girl ni kanipettela chesi premaki viluvani...
    snapdeal - fraud order
    some one has placed an order using my credit card details....
    MALE ESCORT SERVICE - Fraud Escort Service in Chennai
    Advertised in the mobile number 9941029219 as well...
    Maruti Suzuki Nexa Baleno - suspension
    Very poor suspension Diss appointed Maruti should recall...
    Bank Of Baroda / net banking - OTP number
    Not receiving OTP since 16 June 2016 ... I called the...
    CENTER FOR GOOD GOVERNANCE - JOURNAL NUMBERNOT RECEVED
    IR I MADE RS 100ONLINE PAYMENT FOR subengineer post ON...
         
     

    User Registration

    Already a Complaint Board member? Log in now.
    Username:
    E-mail address:
    Password:
    Code:
    or connect with Facebook

    User Registration

    A confirmation email was sent to "".
    To confirm your account, please click the link in the message.

    If you don't see the email in your Inbox, please check your Spam box.

    User Login

    Not a member of Complaint Board? Register now.
    E-mail address:
    Password:
    Forgot your password?
    E-mail address:
    Back
    Loading, please wait...
    Your password has been sent to the specified email address. Log in
    or connect with Facebook

    User Facebook Login

    Enter Username