Medi Assist India — Claim no:13913821 : Declined claim and unable to answer my questions

Address:	411057
Website:	medibuddy.in

Claim no:13913821

I am working for Techmahindra and i have submitted a claim for my mother, who is a policy holder with Mediassist, who was hospitalised for 2 days due to VERTIGO GIDDINESS CERVICAL NEURALGIA WITH HTN.

The claim was declined and with no proper justification. stating as "On persual of claim documents submitted the patient got Admitted on 23/1/16 & Discharged on 25/1/2016 at Dr Bhoomi Reddy Hospital, Karimnagar Diagnosed as VERTIGO GIDDINESS CERVICAL NEURALGIA WITH HTN managed medically .ADMISSION ONLY FOR INVESTIGATION PURPOSE .The given treatment and the ailments mentioned do not warrant hospitalisation . Hence, claim is repudiated as per T & C "

i have tried to escalate this to Mediassit through phone, the customer service person says, it can only be escalated through email.

i have emailed asking questions as below.

"This hospital mentioned was one of your network hospitals, and why did they asked for a 3 days hospitalization If it is it just for an investigation purpose and can be managed medically?

Why don’t you ask your member to investigate from hospital end? Since its one of your network hospitals. Is this why we pay for mediclaim policy?

Do you really think the hospital kept the patient for a bed rest just for investigation?

I would like to escalate this further please."

But no response received for the many emails sent since last one month.

I dont know where to go for help as the mediassist is not responding for my emails, i have all the evidences of emails that i have sent from last one month.

Please help me.