Paramount Health Services & Insurance Tpa Private Limited(IRDAI Lic no.

006)
[formerly known as PARAMOUNT HEALTH SERVICES(TPA)PVT.LTD]

Plot No.A-442,Road No-28.M.I.D.C Industrial Area,Wagale Estate,Ram Nagar, Vitthal Rukhumani Mandir,Thane-400604 Tel-66620808 ,Fax-68342454 /
55,E-mail -contact.phs@paramounttpa.com

“Without Prejudice”
Deficiency Letter
To,
AADHAR HOUSING FINANCE LTD.
Address : d no 214.27 Date : 11/07/2020
4th ward christianpeta
kovvur andhra pradesh
534350
:Suresh.J@aadharhousing.com
: 8096655714

Our Ref : Additional documents required for Claim processing

Policy
Claim No. 4676687 Ext: Partial Payment Sequence: 25100002253/00/000000/0
No.

Insured JONNAKUTI INDU MAHALAKSHMI Hospital Name PRASANNA NURSING HOME

Date of Admission 21/04/2020 Date of Discharge 28/04/2020

Ailment G3p0l0a2 With Hyperemesis Gravidarum

Dear Sir/ Madam,

We hope that you are well on the way to recovery from the illness. We refer to your subject claim registered under
the policy Group Health Insurance Policy - Floater with 25100002253/00/000000/0 on 07/07/2020 11:34:50 PM.
While processing your claim it is observed that you have not provided the below documents.

(List to be populated for pending items)

Sr.No Deficiency Type Status

1 DELAY: Letter from insured, stating reason for both delayed intimation & submission. Pending

HOSPITAL REGISTRATION NUMBER (FORM -C): Hospital Registration number along with certificate (Xerox copy of hospital
2 Pending
registration certificate from local health body/municipality) & Number of Inpatient beds.

3 MAIN HOSPITAL BILL Hospital Name Bill No Bill Date Amount

Original hospital/s bill/s with breakup of (details/amt) & Class

a PRASANNA NURSING HOME 1 01/07/2020 22680 Pending
of accomodation (with bill no required)

4 INVESTIGATION REPORTS Particular Bill No Bill Date Amount

a Investigation reports against the submitted bills 1 Pending

5 Main HOSPITAL BILL PAYMENT Particular Bill No Bill Date Amount

Original payment receipt of final Hospital bill, with bill number

a PRASANNA NURSING HOME 1 01/07/2020 22680 Pending
& receipt number.

Address to submit documents:

Paramount Health Services & Insurance Tpa Private Limited
Plot No.A-442,Road No-
28.M.I.D.C Industrial
Area,Wagale Estate,Ram
Nagar, Vitthal Rukhumani
Mandir,Thane-400604

We request you to provide the above claim documents in 7 days so that your claim can be processed at the
earliest. We further request you to retain a copy of the above documents sent to us for your records as the original
documents shall be retained by DHFL General Insurance Ltd.
Should you have any further clarifications or need any assistance, please feel free to contact us on:

Our Toll Free Helpline No’s. 1800225601

Alternatively write to us at dhfl.insurance@paramounttpa.com

Please note that it is our endeavour to process your claim promptly and aim to serve you better.

Yours truly,

Authorised Signatory