I made a cashless claim type for my father's by pass surgery in Billroth hospital, during pre-auth verification they just keep insisting on various documents including previous doctors and illness details. I provided all genuine documents from Billroth and also what ever relevant details on the old treatment I had. From the beginning they showed negligence in doing the pre-approval and keep sending back and froth in asking so many questions, I got this insurance through my company and its a corporate account still they didn't consider any of the request and at the date of admission they simply denied the request by saying this surgery is having a related with the pre existing illness. I really don't understand one thing, BP and diabetes are common for most of the people and my father is 60+ so regular check up and treatment is common. The issue currently may have some reasons attached to it, but its a bypass surgery and it should be done as early as possible otherwise the blood circulation will be stopped completely going to the legs. I really don't know what needs to be done to revoke this process and come out of this situation. Frankly speaking this is my first ever approach on any of the insurance company in my 20+yrs of IT experience. First itself become worst and I lost the hope on such insurance companies or TPA who is associated with that. Are these are running for helping the people or putting more tensions and mental stress to people. Asked the hospital to resend the documents and trying to process again, hopefully good happens and my father gets operated successfully.
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