extent of `1,91,250/-
as per agreed PPN Tariff by GIPSA .
3. The respondent incurred expenditure
to an extent ... contended that in
terms of the guidelines of PPN Tariff prescribed by GIPSA, the TPA settled the claim and the respondent accepted
the amount towards
PRINCE MANGAL D.O.D.: 06.11.2024
set package under GIPSA and GIPSA was not mentioned in
the policy and even clause 3.12 and the complainant ... terms and conditions of
the policy and as per the GIPSA packages rate. The Appellant further
submitted that an amount
Revised terms of Group Mediclaim Policy Covering
Employees / Retired Employees of GIPSA Member Companies and
GIR , Enclosure to Letter Dated 02.05.2013 - Annexure ... Revised
terms of Group Mediclaim Policy covering the Employees / Retired
Employees of GIPSA Member Companies and GIC, Enclosure to letter
dated 02.05.2013 Annexure
Oophorectomy) treatment and also made deduction basing it PPN packing pricing and GIPSA package, which is not related to complainant. It is also stated that ... submitted that reimbursement claim was lodged and it was settled as per GIPSA package and Fortis Hospital Mohali being a Network PPN Hospital
suspension of cashless facility for General Insurance Public Sector Association (GIPSA) at the aforesaid Hospital, the Complainant had to foot the entire expenses from ... taken by the hospital due to suspension of cashless for GIPSA (General Insurance Public Sector Association). Therefore, the Complainant was forced to make the entire
account of this we
have charged extra fees as per the GIPSA fee schedule and
request the insurers to kindly consider the same considering
matter was deliberated at length amongst the GMs (Motor)
of the four GIPSA member companies at GIPSA level on 24
February, 2015 for discussing
that Fortis Hospital, Ludhiana came into the tie up
arrangement with GIPSA on 07.03.2019, whereas the Cashless
Health Insurance was obtained by the complainant ... this document, the
Fortis Hospital came into the tie up arrangement with GIPSA on
07.03.2019 i.e. much later than the cause of action accrued
paid by the hospital on account of over and above of GIPSA PPN PKG charges, therefore, appellant/complainant prayed for compensation for mental agony
proof for loss of original keys. Hence, as per Claim
Manual for GIPSA Companies point No.8.4 of Motor Own Damage
requirements in case
