Jehangir Hospital — Complaint Regarding Delay and Discrepancies in Insurance Claim Processing

Address:Pune

. I am writing to bring to your attention a series of significant issues I encountered during the processing of my insurance claim at Jehangir Hospital. I believe it is crucial to address these concerns promptly to ensure a smoother experience for other patients and to maintain the hospital's reputation for efficiency and professionalism.

1. **Delay in Claim Submission:**
On 5th Jan, 2024, the final bill for my treatment was submitted to the insurance desk around 4 p.m. However, even after 5:20 p.m., it had not been sent to @Bmc Mediclaim When I visited the desk, I discovered that the claim was eventually sent at 5:25 p.m., along with another patient's bill, which contained their claim number under my patient's name.

2. **Incorrect Claim Number:**
Upon contacting Paramount, I was informed that my claim could not be processed due to an incorrect claim number sent by Jehangir Hospital. Despite my visit to the insurance head, Mr. Rohit More, a new claim was raised around 7 p.m. with another incorrect claim number. It took multiple interventions to ensure the correct claim number was quoted, resulting in approval around 8 p.m.

3. **Dispute in Tariff and Billing Issues:**
Subsequently, a dispute arose between Paramount and Jehangir Hospital regarding the tariff. I was asked to pay an extra amount, which, as per the letter received at 8 pm. from Paramount, should not be payable by the insurer. The billing department did not initiate contact with the insurance department to resolve the issue promptly, leaving me in a difficult position. Despite my attempts, the insurance department was closed, and I was compelled to pay the extra amount around 8.30 pm.

4. **Mental Harassment and Request for Apology and Compensation:**
As a patient undergoing painful chemotherapy, the prolonged and problematic insurance claim process has caused immense mental harassment. I believe I deserve an apology for the inconvenience caused and request fair compensation for the additional stress and financial burden this situation has imposed on me.

I understand that unforeseen circumstances may arise, but the extensive delay and errors in claim processing have significantly affected my overall experience at Jehangir Hospital. I trust that you will address these concerns promptly and implement measures to prevent similar incidents.

Altaf from Paramount tried to help me even after his shift was over but the billing department was not ready to listen to him.
I have attached an incorrect bill imposed on me and an authorization letter related to a traffic dispute. Please let me know if you need additional information.
I appreciate your immediate attention to this matter and look forward to a swift resolution.
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    Pune
    India
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