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PARAMOUNT HEALTH SERVICES (TPA) PVT. LTD.

Elite Auto House, 54-A, Chakala, M.Vasanji Road, Off Andheri-Kurla Road, Andheri(E).,Mumbai-400093 Tel-66620808 ,Fax-66444754 / 55,E-mail -contact.phs@paramounttpa.com

NEFT DETAILS REQUIREMENT

To,

Date :

05/02/2013

 

ESSAR GROUP OF COMPANIES

CCN :

2157563

EXT. :

Essar House, 11, Kk Marg, Mahalaxmi, Mumbai - 400034

 

 

 

Ins Co:

PSU-National Insurance Company

PHS ID. No :

21006209

Policy No :

251100/46/12/8500000102

Employee Cd :

20039257

Employee Name : PRASANTH ARUMUGAM

Policy Validity : 08/04/2012 to 07/04/2013

Name of Patient : PRASANTH ARUMUGAM

DOA : 18/11/2012 DOD : 19/11/2012

Provider Name : K G Hospital

Dear Sir / Madam,

We have received claim documents pertaining to captioned claim.

We have scrutinized the documents and observe that following NEFT information / details are necessary for electronic transfer of claim amount as recently we are in receipt of instruction from Insurance Company stating that claims under the single window system will be paid through Electronic Transfer of the claim amount to the insured Person's /hospitals account.

1) Name of the Account Holder : PRASANTH S A.

2) Bank Name

:ICICI BANK

3) Full Bank Account Number

: 178801500685

 

4) IFSC Code

: ICIC0001788

5) Account Type

: Salary account

6) Bank Address

: First Floor, Riddhi Complex, Near Kribhco Township, Ichhapore,

 

Hazira Main Road, Surat – 395510

 

7) Mobile Number

: 09966233933

 

8) Email ID

: prasanth.sa@essar.com , sapapply@ymail.com

9) Cancelled copy of cheque

: attached

You are requested to submit the above mentioned details within 7 days from the receipt of this letter ,in order to proceed further for payment.

Thanking You,

Dr.

For Paramount Health Services (TPA) Pvt. Ltd., Mumbai

Please provide your Email Id. prasanth.sa@essar.com

& Contact No. 09966233933

for future correspondence.

 

 

 

 

 

For complete guidance on your current claim status , please log on to our website

www.paramounttpa.com

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