Family Health Plan [Fhpl] — Unsettled claim ID [protected]

Address:

No:8-2-269/A/2-1 To 6, 2nd Floor, Srinilaya Cyber Spazio, Road No.2, Banjara Hills, Hyderabad, Telangana – 500034

I have been running pillar to post for my claim of 58k for admission in hospital for severe back pain and spasm in stomach
I had the first attack on 25th Oct and consulted Doctor, was advised injection which I took from local hospital nearby. I kept taking the injections regularly for 2 day and was getting better
28th Oct morning I yet again got the same attack and on Doctor advise asked to get admitted immediately. The pain was excruciating going to both legs, lower abdomen and whole back
Since Ecard was not provided by FHPL I could not take cash less facility at hospital and paid with personal credit card.
Treatment started immediately in hospital and was administered intravenous injection through Saline.
all tests were conducted and when I was feeling bit better, was discharged and asked to follow up regularly with Doctor
I submitted all the hospital original bills to FHPL for cashless reimbursement as per policy
Later I was told the claim is rejected as this did not require admission
will FHPL or insurance company decide if patient requires admission or the Doctor?