[Resolved]  AB Arogyadaan - Andhra Bank Mediclaim — harassment, mental agony & delay in settlement of hospital dues

Address:

Khordha, Odisha, 751001

After confirmed approval received through sms from good health insurance tpa limited vide claim ref:199110 on[protected], my wife was admitted to the apollo hospitals, bhubaneswar on[protected] for surgery. After being discharged by the concerned surgeon on[protected], i was told that the relevant bills amounting to rs.1, 29, 000.00 approximately sent to the tpa for approval. At 5.10pm i got a message that only rs.50, 000/- has been sanctioned and i have to pay the balance rs.79, 000/-approximately, to which i declined to accept & contacted ghpltpa customer care more than 5 times till 11.30pm on[protected] to no avail. As a result, my wife and i have to go through a lot of mental stress & harrassment. The next day ie;[protected] at 5.50pm after more than 10 calls & after compelling for more than 24 hours, i got the message that rs.87, 200/- has been authorised. By then, being humiliated by the attitude of the tpa, having no alternative, since the tpa neither approved the amount claimed nor declined, but continued delaying tactics, i was compelled to pay rs.32, 800/- to get discharged.