Subject: Fw: Query Claim Number 220202323569 - SAYED HUMERA ABDUL REHMAN #business#
From: "Swati Shukla (LSM ACCOUNTS)" <[email-masked]>
To: Ashish Dabral <[email-masked]>
Date: Tue, 12 Oct 2021 12:02:31 +0000

Hello Ashish,

Please get this sorted. I am receiving reminders for this.

Best Regards,

Swati Shukla

Asst. Manager (Accounts)

8882991655

________________________________
From: Rohit Kumar /SME/ICICILOMBARD/NOIDA <[email-masked]>
Sent: Tuesday, October 12, 2021 5:31 PM
To: Swati Shukla (LSM ACCOUNTS) <[email-masked]>
Cc: parlad Singh katal <[email-masked]>
Subject: FW: Query Claim Number 220202323569 - SAYED HUMERA ABDUL REHMAN #business#

Dear Swati

Please get resolve the below query from the employee in order to get timely claim payment.

Thanks and Regards,

Rohit Kumar

SR. MANAGER -SME AGENCY- VO

ICICI LOMBARD General Insurance Co. Ltd

Tenth Floor Unit No. 1019& 1020

WTT Building Tower B, C-1 Sector-16 Noida,

Uttar Pradesh- 201301.

Mob No. +91-9152036095

Email: [email-masked]<mailto:[email-masked]>

From: Rohit Kumar /SME/ICICILOMBARD/NOIDA
Sent: 05 October 2021 22:27
To: Swati Shukla (LSM ACCOUNTS) <[email-masked]>
Subject: Fwd: Query Claim Number 220202323569 - SAYED HUMERA ABDUL REHMAN #business#

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________________________________

From: [email-masked]<mailto:[email-masked]> <[email-masked]<mailto:[email-masked]>>
Sent: Tuesday, 5 October 2021, 18:34
To: Rohit Kumar     /SME/ICICILOMBARD/NOIDA
Subject: Query Claim Number 220202323569 - SAYED HUMERA ABDUL REHMAN

[External Email Warning: Do not click on any attachment or links/URL in this email unless sender is reliable]

[IL Logo]

[IL_iHC_Logo_New]

ADDITIONAL INFORMATION REQUEST FORM

Ref : CPU100

Date: 05-OCT-21

To,

SWATI SHUKLA

LIVE SALESMAN
FIRST FLOOR, A-72, SEC-2, NOIDA, Gautam Buddha Nagar,Uttar Pradesh, 201301
NOIDA,Uttar Pradesh-201301

Dear Sir/Madam,

Claim Number

220202323569

Claim of

SAYED HUMERA ABDUL REHMAN

UHID

IL19316637100

Policy Number

4016/X/221916670/00/000

Policy Name

LIVESALESMAN

Coverage Period

31-JUL-21 to 19-APR-22

Date of Admission

16-AUG-21

Date of Discharge

20-AUG-21

Diagnosis

Cholelithiasis

Hospital Name

HAH Centenary Hospital

AL Number

On behalf of ICICI Lombard General Insurance Co. Ltd, we thank you for preferring ICICI Lombard as your health insurance partner.With reference to your claim intimated in our office we request you to send the following documents for further processing of your claim.

>

Sr No

Reason

Description

1

Document Deficiency

  1.  Kindly provide the date wise break up for the charges incurred in the final bill (investigations,procedure,consultation etc.) for further processing of the claim.

Note: C-KYC form can be download from the following link

http://www.icicilombard.com/downloads<https://ind01.safelinks.protection.outlook.com/?url=http%3A%2F%2Fwww.icicilombard.com%2Fdownloads&data=04%7C01%7Crohit.kumar%40icicilombard.com%7C4bf2e329fbfd491524c408d98800b1fc%7Cd36615d9b483417583da3e968b0fde20%7C0%7C0%7C637690358830723429%7CUnknown%7CTWFpbGZsb3d8eyJWIjoiMC4wLjAwMDAiLCJQIjoiV2luMzIiLCJBTiI6Ik1haWwiLCJXVCI6Mn0%3D%7C1000&sdata=LhBuXpzBjsruS%2B9ku4LRkSwjK6Z39KUC1CrROWJQYH4%3D&reserved=0> -> Health Insurance -> Claims -> Central KYC form

“ALL ABOVE MENTIONED DOCUMENTS TO BE SUBMITTED IN ORIGINAL”

Please submit the documents to us within 7 days from the date of receipt of this letter at the below mentioned address to ensure speedy service. Please note that the conclusion regarding the eligibility of coverage /admissible amount can only be arrived on submission of the above mentioned documents. In case of any further clarification, please feel free to write to us at the below mentioned address. Please quote our claim number as mentioned above in all your claim correspondences. We look forward to your co-operation in helping us serve you better.

[i_Signature]

Associate Vice President- Health Claims

For ICICI Lombard General Insurance Company Ltd

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