Subject: Claim Inward No.CL-004718483-2 Received on 26-DEC-20 For JORGE RAFAEL BLANCHART ORTIZ IL17815441000
From: [email-masked]
To: [email-masked]
Date: Sat, 26 Dec 2020 11:26:24 +0530

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Dear Sir/Madam,

This mail is in reference to the receipt of documents/reopen of claim at our end on 26-DEC-20 which is registered as Inward No CL-004718483-2. The details of the case is as follows:

| Insured Name | : JORGE RAFAEL BLANCHART ORTIZ
| Employee Name / Proposer Name | : JORGE RAFAEL BLANCHART ORTIZ
| UHID | : IL17815441000
| Patient Name | : JORGE RAFAEL BLANCHART ORTIZ
| Requested Amt | : 185477
| Policy Number | : 4016/X/195525873/00/000
| Policy Name | : CHERRY E COMMERCE SERVICES P LTD

For any further assistance, please write to us on [email-masked]

Regards |

ICICI Lombard Health Care,
ICICI Bank Tower,
Plot No 12, Financial District,
Nanakram Guda, Gachibowli,
Hyderabad 500032,
Telangana
IRDA Registration No. 115

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