The commission observed that Shah suffered a loss due to IRSS, and ordered it to pay Rs 50,000 (1/4th of the total claim amount) as compensation to Shah with 6% interest from the date of filing the application. Shah’s counsel Anand Parikh submitted the documents and acknowledgement slips given by IRSS after the senior citizen provided her documents to process the claim. Shah later filed an appeal with the State Consumer Commission which allowed fresh citing in the matter as the TPA and IRSS had not been heard.ĭuring the appeal, the advocate of Alankit Healthics TPA said they were never informed by Shah about her claim in respect of the knee surgery. The complaint was dismissed after the TPA and IRSS failed to appear before the forum. In 2018, LTL applied the Inspection Report Surveillance System (IRSS) in order to promote the accuracy of the. The company told the court that since the documents were not submitted within the prescribed time the claim was not registered. ![]() Oriental Insurance argued that Shah had submitted the claim documents to IRSS, which had not forwarded them to the TPA. She later moved the consumer commission against Oriental Insurance, Alankit Healthics TPA Ltd and IRSS after she was not compensated for the claim. She filed the claim through the intermediary IRSS. In 2012, Shah underwent a knee replacement surgery for her left knee and put up the expense of Rs 2.01 lakh as a claim with the company. Krishnagar resident Jyotsana Shah, who is in her early 60s, had a health insurance policy with the Oriental Insurance Company through an intermediary Indian Road Safety Service (IRSS). ![]() The intermediary had failed to submit the claim papers to the Third Party Administrator (TPA) and the insurance company resulting in the elderly woman losing out on the insurance claim. Eligible risks for clinical research professional services: Independent Research Sites (IRSs). Basic information about EP forms (Forms 5300, 5330, 5307, 5310, 5500-EZ, 8955-SSA) Status of pending applications. Individual physicians/surgeons and physician groups of any size. ![]() Our Customer Account Services group can help with: Account-specific questions. The Ahmedabad City (Main) Consumer Dispute Redressal Commission in a recent judgment directed an insurance intermediary to compensate Rs 50,000 to a senior citizen. 87 (toll-free number) Internal Revenue Service.
0 Comments
Leave a Reply. |