[Resolved]  Bajaj Allianz — mediclaim reimbursement related complaint

Address:

Bajaj Allianz General insurance Limited, Pune, Kanpur, Uttar Pradesh, 208017

Respected sir,
On 29 th july 2019 my wife’s health was gone in serious condition on that time in emergency i went to take her in emergency at new g. T. Nursing home, kanpur (U. P.). Hospital authority took her into emergency ward. They did an operation and gives her 2 unit whole blood after 2 days gone in emergency ward they shift her into semi private ward so they admitted her from 29 july 2019 to 02 august 2019. On that time intimated to our corporate/unit about the matter and take leaves.
After discharging doctors prescribed her for 15 days to 1 month bed rest and all bills collected my me and given to insurance person in that hospital for doctor’s verification. After 10 days i got all verified bills, discharge summary along with filled claim form part b of your company.
After this gone to corporate and submitted all original documents for mediclaim reimbursement against corporate health insurance card which was collected by mr. Saurav batham (Corporate representative at rspl, kanpur). On 3 rd september 2019 i got a mail and sms also for acknowledgement receipt no which is in[protected]. After few days later i did a call at toll free no.in bajaj general insurance company and enquired about received acknowledgement receipt no but no satisfactory answer given and instruct to mail my policy no and health id card no to hat (Bajaj).
After that my matter gone into orphan and started e - mailing on instructed email id by c. C. E. I kept irdai grievance e mail id in bcc but no satisfactory answers given by any one of them and this follow up was running between 12 september 2019 to 20 september 2019.
I was feeling hopeless on that time and complaint in national consumer helpline and registered my complain docket no is 1611193.
On 30 september 2019 received e-mail from priority h. O. Bajaj and conclusion is that matter is closed due to reason of outpatient and give treatment in o. P. D. I. E. Hospitalization not completed 24 hours after that enquired at our corporate and bajaj c. C. E about that matter and they both said that claim reimbursement amount is inr 2347 as shows in system and you take an o. P. D. Treatment. I am attaching some important documents which was already photocopied by me which will may be helpful for you.
I am totally confused about how can she is an outpatient after 05 days hospitalization.
I am waiting for your reply.

Thanks
Vivek kumar gupta