Star Health and Allied Insurance Co LTD: Kazmichambers, Groundfloor, 9-A/5, Parkroad, Lucknow-226001

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STAR HEALTH AND ALLIED INSURANCE CO LTD

KAZMICHAMBERS,GroundFloor,9-A/5,ParkRoad,Lucknow-226001.

Query letter for Enhancement Authorization

Kindly Quote the Claim Intimation No : CLI/2019/231100/0128389 for all communications

DATE : 18/06/2018
HOSPITAL NAME : SKD Hospital

ADDRESS : # 63 A, Krishnanagar,Alambagh
LUCKNOW - 226023
Uttar Pradesh

We are in receipt of the Enhancement request letter with the following information :

NAME OF PATIENT : ANITA UPADHYAY


Age / Sex : 49 / Female

Policy No : P/231100/01/2019/000278
Provisional diagnosis : PYREXIA

Date Of Admission : 12/06/2018

Line Of Management : Medical

Our claims Department have assessed the authorization request and documents and find that the following documents are needed :

KINDLY PROVIDE:
-Need letter from treating doctor regarding the extended stay in hospitalization for 7 days
- All ICPs & All investigations reports till date
- indication for MRI lumbo sacral spine for this patient , clarify it

SH043596
MEDICAL OFFICER - CLAIMS

18-JUN-18 06:23 PM

Note: Please hand-over the copy of the letter to the Insured Patient.

IRDA Regn.No.129
Corporate Identity Number U66010TN2005PLC056649
Email ID : info@starhealth.in

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