Jain International Organisation [JIO] — Claim reimbursement 185758.

I’m complaining about the reimbursement claim which we have been following up patiently for more than 2 months. Post hysterectomy, it was clearly mentioned as cancer (malignant) and chemotherapy documents were also submitted.

My question was simple, when malignancy is detected and chemotherapy docs are shared, on what basis capping is provided for hysterectomy and not cancer

The insurance team has been providing lame/repetitive mails, instead of solving the issue.
Discharge summary was also submitted, which clearly states the the surgery was malignant tumour.
Insurance company 6Saal Jio cannot reply what suits them and put the patient to irreparable loss.