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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