IFFCO Tokio General Insurance — [claim rejected] iffco tokio insurance | |||
Name of insurance co : iffco tokio general insurance company ltd. Phs id : 31173703 U/w office name : gurgaon name of beneficiary : arpita kothari Policy number : 52894951 name of proposer/employee : aman jain Group name : samsung india electronics pvt ltd. Policy period : 01/01/2018 to 31/12/2018 Employee number : 16788409 gender : female Address : 20th-24th floor two horizon centre dlf phase - 5 sec - 43 golf course road gurgaon - 122002 relation : wife My claim inr 41819/- is denied. Processing status : insurer instruction received to communicate their decision of repudiation claim processed date : 21/02/2018 Discharge voucher received date: - not payable expenses : 41819 Insurer says patient claim is related to anxiety neurosis which is an psychiatric disorder. The patient presented with complaints of vomiting, giddiness on 15-jan-18 at eternal hospital. Insured was diagnosed with anxiety neurosis with vit b12 deficiency. The submitted documents indicate oral medicines, iv medicines was administered. The the discharge summary submitted / retrieved in the douments indicate. Patient is treated for anxiety neurosis which is an psychiatric disorder. Hence the claim is being denied under clause no. 69 irda non payable item of the policy. It is a vitamin deficiency not a psychiatric disorder. I mailed paramount tpa regarding this but they denied claim, Please issue a notice to insurance company and get my claim success. Request you to look into the matter. Thanks & regards Arpita kothari [protected] Was this information helpful? | |||
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IFFCO Tower, Plot No. 3, Sector 29, Gurgaon, Haryana, India - 122001
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