Medi Assist India — claim not resolving wrong approval letter sent

Address:New Delhi, Delhi, 110087
Website:www.medibuddy.in

Claim status number: 17002490
Case: emergency delivery maternity

All the documents from hospital were sent and the claim pre approval for full amount was received.

Hospital told me that the final approval letter was sent with a wrong details.

Room category is mentioned wrong which was clearly mentioned at the time of taking the pre approval as well.

I contacted mediassist helpine with numerous calls. It takes approx half hour to get someone to talk. And many times person put your call on hold and disconnect after few mins.

After going through this 5-10 times and talking to different helpline people they admitted as well it is a mistake from mediassist side only and each one assured me correct letter will be sent shortly. 20 mins then wait another hour then next morning nothing happened!!

Then after two days again after numerous calls to helpline luckily got someone to talk after 1.5 hrs hold and disconnects. Then someone told me that sir please contact your company dedicated corporate helpline mail they only can resolve for you now as patient is discharged!!

I sent the mail to corporate dedicated mediassist mail id @mediassistindia.com

Only a automated kind response received "we are working on your request
Ticket number: 3825853 will get back soon". I have mailed multiple times now in 3 days same thing just an automated kind of response.

It is a very simple thing hospital has asked me to get the letter of approval corrected mentioning the right room category the claim approval is already there no increase in approved amount or anything still there is no response and from beginning people are giving false promises we will send the letter in 20 mins then wait till next morning etc!!!

What kind of service is this for a corporate insurance.

Can this be resolved i need to focus on my patient and baby or spend my hours arguing with the helpline number and mails.!!

Mayank aggarwala
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[protected].[protected] Calim no to medicine drug & x ray payment not to approval & docotor pripsan and bill to attach to claims file

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