Raksha Health Insurance TPA — Rejection of my claim with out asking any query

Address:Rakesh R bank of india mariyamman koil Street kappur villupuram

Claim number [protected] and [protected]
My mother is suffering from tuberculosis (Granulomatous mastistis, consistant with tuberculosis). I have requested for the claim as mentioned above in raksha tpa, but my claim was rejected with the reason that the illness is not covered under domiliciary claim. But actually tuberculosis is mentioned in domiliciary claim. I don't know why raksha tpa rejected this. Actually my mother was diagonised with this decease on august 2020 and i got the hospitalisation claim from raksha tpa as cashless. But from 01/10/2020- 30/09/2021 our bank made insurance tie up with safe way tpa. I got all my domiliciary claims approved for the last one year perfectly by safe way tpa. They sanctioned me 100% of claim. But from 01/10/2021 onwards our bank started a new tie up with raksha tpa. Now rapsha tpa rejected my claim for which i got approved by safe way tpa for last one year.

I need a solution
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Raksha Health Insurance TPA customer support has been notified about the posted complaint.
Nov 26, 2021
Updated by Rakiiiiiii
Not yet solution given
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