Family Health Plan [Fhpl] — Rejected claim

Here I, Mr Uday Digambar Bajare (Claim id 3670429 TPA FHPL) bring to your notice that in the Month of January 2022, i fell ill as because my mother expired on 29th December 2022, then we had to follow all post death rituals in freezing cold of January
Hence due to all I was suffering Viral Fever with Acute Bronchitis (chest infection) So i got admitted in OASIS MULTISPECIALITY HOSPITAL PIMPLE SAUDAGAR PUNE which very near to my home almost 500mtrs ahead. Where Doctors did every required investigations & I received all the relevant treatment.
As after completing course of Antibiotics, l fully recovered & took Discharge.
I made all the payment in Cash & Hospital gave me proper valid receipts for same.
Then after I submitted all my claim Documents to FHPL TPA for reimbursement process & kept following for same.
In between l received mail that your claim is under verification as Hospital is black listed
After few days again I received mail that my claim has been rejected because they noticed hospital doing Malpractice.
However when i enquired for same with Hospital authority then i came to know that Few months back
excecitives from FHPL were very arrogant with their female staffs at reception & Doctors
They also provided wrong investigation report to FHPL TPA so that the claims for reimbursement will get rejected.
Even for same when hospital received that wrong investigation report, lodged police complaint at Sangavi Police Station Pune
Even As per my knowledge as my claim is genuine & all Documents are Authentic then even though Hospital might blacklisted for CASHLESS Facility then also I have right to reimburse all my expenses which I have paid for medical facilities.
Thanking you.
Mr Uday D. Bajare
Claim no 3670429( FHPL TPA)
The New India Assurance Company Ltd.
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