TCS
TCS
on
SillyMochi
SillyMochi
6mo
by

Delay in Health Insurance Claim Settlement – Need Advice

Hi All,

I submitted my spouse’s health insurance claim under TCS HIS at the end of July, but even after 45+ days the claim is still pending. Each time I follow up, I only get the update that endorsement is pending with the insurer, without any clear settlement date.

Has anyone faced a similar situation? Whom should I reach out to for quicker resolution? Any advice would be appreciated.

Thanks!

6mo ago
FuzzyMarshmallow
FuzzyMarshmallow
6mo

what is the status showing

SillyMochi
SillyMochi
6mo

Approved but not releasing the payment saying endorsement is pending I have added my spouse around 90 days back

QuirkyMarshmallow
QuirkyMarshmallow
6mo

Escalate karo matter ko. Medibuddy portal pe escalation matrix mil jayega.

SnoozyNoodle
SnoozyNoodle
6mo

Is it cashless or reimbursement?

SillyMochi
SillyMochi
6mo

Reimbursement

FuzzyMarshmallow
FuzzyMarshmallow
6mo

what is the status showing is it processed or what?

SillyMochi
SillyMochi
6mo

Processed but settlement date is not there its from last 40 days

FluffyBanana
FluffyBanana
6mo

Loop corporate.his@tcs.com

PeppyQuokka
PeppyQuokka

My reimbursement of 1.8 lakhs from HIS hospitalization took 6 months to process to get reimbursement inspite of having all documents. There was so much back and forth I lost hope of getting it ever. The customer care people just keep sending mails for submitting same documents even though those documents are already submitted. They keep sending you in endless loop of emails.

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