Family Health Plan [Fhpl] — [protected] - Claim Settled in Wrong Category

Address:

Chennai

I have submitted claim for hospitalization due to viral infection on 8th March 2023 with claim id [protected].
However, the claim is settled 5, 000 only, with reason “it is considered as pre-maternity treatment and only 5, 000 allowed for that category”.

But I was submitted the claim for viral infection only, not for any kind of maternity treatment.
• Also I informed claim intimation as “admitted for viral infection”, at the day for hospitalization through toll-free number.
• And, in the claim form also I ticked “illness” only, never ticked “maternity” check box (attached claim form).

For the only reason patient is pregnant (5 months) while treating for viral infection, seems this claim converted in to pre maternity treatment. This is un-expected.

Could you please re-investigate / verify / process the documents and claim form I have provided and approve the balance amount also.

If any other details needed, please let me know.

I have contacted "[protected]@fhpl.net" and "[protected]@fhpl.net" also, but no success.