Customer Feedback Form

CCN *
Policy Number*
MDID*
Patient Name*
Phone Number*
Email ID*
Hospital Name*
Rohini ID*
Date of Discharge*
Please take few minutes to fill out this survey on the relevance and quality of service you have received.
Feedback
1 Would you recommend our services to your family and friends.
2 Did you get proper assistance and help
3 How would you rate our Turnaround time for Claim settlement
4 Do you have any suggestions for improving the health insurance benefits or TPA services?