United India Insurance Co. Ltd. — MEDICLAIM
(IIIrd REMINDER DT.30/10/2008)
DATED : 23-09-2008
United India Insurance Co.Ltd.
17 Barakhamba Road
Sub: Policy No. 042500/48/08/97/00001129 with DO 25 Karol Bagh 42500 in
the name of Mrs.Neelam Chadha.
Claim Ref. No.48081290000741
My wife Neelam Chadha was admitted in Mata Chanan Devi Hospital on 09-08-2008 due to Enteric Fever, Headache, Back Bodyache & pain in abdomen and discharged from Hospital on 16-08-2008. With all formalties & requirements, I had submitted all my Documents & Reports in Original with Hypothyroidism Certificate of Dr.V.K.Goyal, Sr.Consultant from Mata Chanan Devi Hospital dt.18-08-2008.
I had submitted a total bill of Rs.56522.00 (Rupees Fifty Six Thousand Five Hundred Twenty Two Only) with all the original Doctor prescriptions & Receipts of Mata Chanan Devi Hospital.
But to my surprise, I received a cheque of Rs.49, 121.00 (Forty Nine Thousand One Hundred Twenty One Only) with no payment advice/deduction details on 19-09-2008 after my repeated visits of Insurance Officer. After enquiry from the Mediclaim Officer, I learnt that they have deducted the amount of MRI & Physiotherapy charges as ‘not allowed’ which was done by Mata Chanan Devi Hospital during admission.
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As my wife, Ms Neelam Chadha was suffering from Enteric Fever with unbearable fever back pain & Headache the Sr.Medicine Consultant Dr.V.K.Goyal/Dr.Amit Baweja had recommended my case to Physiotherapy Doctor & Doctor of Neurology Deptt. Neurology Doctor had recommended MRI tests for fever back pain due to long Enteric Fever .
It is for your information that I and my wife Neelam Chadha is a policy holder of your company for the last four years.
As desired by the Mediclaim Officer, I submitted all original documents & Certificate from Mata Chanan Devi Hospital. If the Mediclaim Officer had any doubt, he should enquire from Hospital authorities but Insurance Company should not deduct the genuine amount claim paid by me .I am enclosing the photocopy of Hospital Discharge Slip & Hospital Bill for your information and necessary action at your end.
I humbly request you to reimburse my balance amount of Rs.7200/-. I shall be very thankful to you.
BLOCK CC 21-D,
Email ID : email@example.com
C.C. : Head Office, Manager, Grievance Department, Chennai
Encl : As Above.
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United India Insurance Mediclaim Policy - denial of cashless treatment on flimsy grounds with intention to cheat policy holders