[Resolved]  United India Insurance — Claim rejected

Address:

Bangalore, Karnataka

I work for a telecom company and have a company group health insurance. (feb 9th 2011) my dad was diagnosed for choroid neovascular membrane and was treated with photodynamic therapy and macugen injection for which i had claimed cashless. the same was outrightly rejected stating reasons as OPD.
when i had called up my TPA which is TTK along with Hii online which is our internal support, they said this treatment is not covered in the policy. Later on they asked me to submit for reimbursement and i did. again the same was rejected with reasons as OPD and hospitalized for more than 24 hrs.
I would like to know whether a insurance company can reject a claim treated for photodynamic therapy and also reject saying my dad was hospitalized for more than 24 hrs and this was a OPD treatment. i am been running around for past 2 months and i have not got any support form them so far nor concrete rejection reasons.kindly advise how to proceed.
thanks
Subhash
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