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1/6/2017 Letter

CorporateOffice:PlotNo.577,UdyogVihar,
PhaseVGurgaon,Haryana122016
Phone:01244980555,FaxNo:01244466677
EMail:customercare@emeditek.com

Reminder1

Date:Friday,January6,2017

Mr.PRAHLADMPATEL
B/2/179,MADHUVRUNDSOC.,GHATLODIA,
Ahmedabad
Gujarat
India
PIN:380061
ContactNo.:9173046819,00
Email:

Subject:DocumentsPendingforProcessing

DearSir/Madam,

Wetakethisopportunitytowishyouspeedyrecoveryandgoodhealth.Thiscommunicationiswithreferencetothe
claimlodged(ClaimNo.104121604360)undertheIndividualMediclaimPolicy(20)(Policy
number:0603002815P114035330)onTuesday,December20,2016withfollowingdetails:

PatientName : PRAHLADMPATEL(Self)

ProposerName : Mr.PRAHLADMPATEL()

:
ProposedDateOfHospitalization Monday,December5,2016Tuesday,December6,2016

:
Hospitalization/TreatmentAt spandanemergency&criticalcarehospital(Ahmedabad)

:
NatureOfIllness severebreaathlessness+DM+IHD+parkinsonism+CAD

DiscrepancyLetterNo : EMSL/DISC/012017/1040178

AgentCode : ADITYAMAHENDRABHAISHAH(1061)

:
DevelopmentCode NARENDRAH.CHAUHAN(10)

WithreferencetotheClaimpapersreceivedbyusonTuesday,December20,2016inrespecttotheabove
hospitalisationandourearlierletter(s)dated.
Ontheperusalofthepapers,weobservethatthefollowingdocuments/informationsarerequiredbyustoprocess
theclaimfurther:

DocumentPending:

http://emeditek.in/sms/r.aspx?d=1040178&l=1&e=0&s=201 1/2
1/6/2017 Letter

1) Kindlyprovidethedeathcertificateofthepatient
2) Kindlyprovidehistorydurationofthepresentailment(DM+CAD)

Kindlyprovidebankdetailswithcancelledchequeforfacilitationofclaimspaymentthroughelectronicfundtransfer.
(Pleaseignoreifalreadysubmitted)

1)BankName,2)BranchName,3)AccountNumber,4)IFSCCode,5)CancelledCheque.

Pleasesubmittheabovementioneddocumentsimmediatelytotheaddresseitherthroughcourierorinperson.

Alsopleaseretainacopyofthedocumentssenttousforyourrecords.Onreceiptofthecompletedocuments,the
admissibilitywillbedecidedbyus.
Incaseofanyquery,pleasefeelfreetocontactuson01244980555.OurCustomerCareexecutivewillbegladto
assistyou.


Weaimtoserveyoubetter.


YoursSincerely,

AuthorizedSignatory
Dr.FarooquiMohdAnishM
(MedicalOfficer)

http://emeditek.in/sms/r.aspx?d=1040178&l=1&e=0&s=201 2/2

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