[Resolved]  ICICI Lombard Insurance Company — mediclaim rejected by company without base

Address:

Pune, Maharashtra

Dear Sir/Madam I have ICICI Lombard corporate group medical Health policy no-4016/85361626/00/000. I admitted my wife CHETANA JHALA in condition of severe headache last 3-4 day in ADITYA BIRLA HOSPITAL, CHINCHWAD, PUNE on 08/08/2014 at after noon. After examine by doctor, they told it is a migraine and they told for admission. Doctor started medicine regarding treatment and also done MRI which is required for diagnosis. Then I have submitted all necessary documents at TPA desk for Cashless Madiclaim Pre-Approval and I got 15000/- Pre-approval intimation by SMS and also confirm by TPA. The AL no is[protected] Till evening my wife feel better & Migraine Pain under control, so I have applied for Discharge. For billing final bill amount and detail send to ICICI LOMBARD by hospital then ICICI Lombard rejected my claim due to reason that the document sown like patient admit in hospital only for checkup not for treatment Then I have discussed with my doctor and she given me verification letter for detail treatment given to my wife and confirm the patient condition at the time of admission. I have given full payment for discharge which is 21439.00 /- It was very pain full then I received such type of response from Health Insurance Company. Please suggest me what should I do now. Thanks Abhijeet Singh Jhala mobile-[protected]