The ________ (Customer Support Officer/ Concerned Authority),
________________ (Insurance Company Name),
Date: __/__/____ (Date)
Subject: Complaint regarding claim approval
My name is __________ (Name) and I hold a policy of your company having the policy number _________ (Policy Number). Name of the policy is ________________ (Policy Name – If any) and I reside at______________ (Address).
I am writing this letter to complain about _______________ (Non – Payment/ Delayed Payment/ Less Payment/ Mention your complaint) for Reference ID: _________________ (Reference ID). I on __________ (Date) applied for a claim of a total amount of Rs. __________ (Amount) for the patient with the details mentioned below.
The following are the details of the patient:
The patient was hospitalized in ____________ (Hospital Name), in ___________ (Room type) due to the reason _______________ (Reason Of Hospitalization).
I am also enclosing the ____________ (Copy of bill/ ID Proof/ Application Form/ Address Proof/ Form duly filled attested by hospital/ Anyother document Required).
I shall be thankful and obliged if you look into this matter and take some action as early as possible.
______________ (Contact Number)
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