rejection and cancellation of my daughter’s health insurance

Complaint Date:

Company Name:

Respected Sir/ Madam,
* Sub: Claim rejected by Medi Assist
Before I highlight areas of concern let me furnish the details of the
insured .

*Claim No:* 11167151
*Claim Type:* RI
*Policy No:* RLIC089/51060143
*MAID:* 5009839715
*Beneficiary Name:* Shilpa Ranjit
*Hospital Name:* Specialists Hospital
*Claimed Amount:* 86505
*Patient Name : Shilpa Ranjit*
*Policy No : RLIC089/51060143*
*Claim No : 10878748*
*MAID : 5009839715*

We confirm the receipt of your claim as per the reference given above. On
scrutiny of the documents submitted by you, the following documents /
information would be required for further processing of your claim. We
request you to furnish the following at your earliest convenience:
*required all the previous and first consultation papers related to
hidradenitis prior to admission. ,*
*Photo copy of admission notes & Pre anesthetic check up notes from the
hospital. ,*

We assure you that on receipt of the above stated information / documents
your claim shall be processed expeditiously. Should you require any
clarification do call on our Customer Service Helpline. All the above
listed documents required to process the claim are to be furnished within
10 days from the date of this letter. It shall be the sole responsibility
of the insured to submit the required claim documents.

*Please submit the above documents to the respective branch office
Processing the claim and Quote our reference No: 10878748 in all your
future correspondence.*
Thank you for availing our services and assuring you the best of our
services at all times.

With Regards,

Search results:

– CLAIM ID:10878748

Claim Details:
Claim ID:10878748Claim amount:Rs.86,505/-Approved amount:-Admission date:
14-Jan-2015Claim received date:21-Feb-2015Claim denied date:-
Claim type:ReimbursementPre-Authorized amount:-Claim status:In
date:17-Jan-2015Claim approved date:-Hospital name:Specialists Hospital

Denial reasons

Missing documents

Deduction Details

Non payable amount: Rs.1,969/-

Reason: Post hospitalization medicine charge Rs. 244.Pre hospitalization
charge Rs. 1725

rejection and cancellation of my daughter’s health insurance
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