Vikash hi,
There may be several reasons, my friends expereince is shared for you.
He filed a claim with a Gurgaon based TPA having branch office at kolkata but the claim was not setteled for almost few months.
He, then found out the possibilities for the dealy and reported to the higher concern of that TPA, subsequently his matter was sorted out.
1. Claim papers were received by the TPA offices but not feeded /registered in their system. Hence the claim no. was not generated and thus the file remained unattended for more than a month till the time the entry was made.
2. After registration, TPA took 9 days to process and settle the claim.
P.S. settlement doesnt mean the claim proceeds are released.
After setllement the TPA office indent for payment from Insurer through their accounts department for onward transmission to the insured.
3. in his case, it took 60 days for the TPA to arrange for the payment from the insurer, may be their accounts dept. did not forward the indent to the Insurer in time or they were weak in following-up with the insurer.
but my friend kept his follow-up regularly
Ultimately my friend got the payment after 110 days and off-cource because of his vigorus follow-up. which one has to do.
