[Resolved]  Medi Assist India — Claim Repudiated - Awaiting insurer concurrence even after provided all documents

Address:1st Floor, C Wing, Manikchand ICON Building, Dhole Patil Road, Pune - 411001

I am registered with MEDI ASSIST past many years. Under the Corporate policy, Spouse and 1 Kids are registered along with me.

Claim No :[protected]
Policy: Gold Plus
Patient Name : Itish Nigam
MAID : [protected]
Hospital : NRS Hospital Wakad Pune
Treatment Date : 04-June-2022 to 05-June-2022
Ailment Summary : B/L KNEE AND HIP ARTHRITIS
Claimed Amount : Rs. 143, 452

We had initiated the reimbursement process and provided all the documents, responded to multiple annoyed queries and still after so many days of back and forth, Medi Assist moved the claim to "Repudiated - awaiting insurer concurrence" state.

There is no explanation why the claim was moved to this status, what else they need from us. We have mailed them many times, calling on numbers which apparently are not working anymore.

The documents are clear and valid . I am really disappointed and frustrated at this time as Medi Assist customer care numbers are not reachable and no reply via email.

I have called their contact center so many times but no one is taking ownership to get it processed. It is very one of the Worst Experience that I have come across. Even complaint team is not available to take up the call or get this fixed and back end team just keep sending email for a ticket which I have raised.

After following all treatment process/protocol, uploading all docs, provided all queries response via original documents and finally, MEDI ASSIST company is saying that from our side, claim's is Repudiated but we are still awaiting insurer concurrence.

Kindly help me in this.
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May 11, 2023
Complaint marked as Resolved 
Medi Assist India customer support has been notified about the posted complaint.
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Comments

They cancelled my calim saying that even if you are admitted for 24hr this cannot be setteled. The customer care executinve are clueless who don;t even know how to open claim documents. pathetic company.
Itish did they provide claim amount for that it was showing repudiated?

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