Medi Assist India — denial of the claim

Address:

D-801, VIJAYNAGAR CHS, SAHAR ROAD, 400069

Sub : claim no. 20298857
Policy no.[protected]
Insurer claim no. Tp[protected]
Insurer member id po 27915647

My husband mr. Shekhar deshmukh was admitted in nanavati hospital for fever, cough, cold, chest and left lower back pain on 4th august 2019. The doctor diagnosed the fever as h1n1 and lower respiratory tract infection. After hospitalization the fever had gone but respiratory problem was still there. Dr. Also suggested angiography which we have done after clearing the cough /cold infection.

We have submitted required documents regarding insurance claim of mr. Shekhar s. Deshmukh in stipulated time i. E. On 19th august 2019. We have also submitted internal case papers on 26th august 2019 as demanded by the company. We have also done angiography as suggested by our doctor but not submitted the angiography documents and claim papers, as doctor has given discharge on the same day i. E. On 27th august only.

The claim has been denied by giving remark ‘no need of hospitalization’ on 25th october 2019 with no valid reason. After that, we have submitted the supporting documents explaining the need of hospitalization on 13th november 2019.in december 2019 my agent mrs. Janhavi sathe visited the office to remind them regarding claim. But no response from the insurance company received by us.

It is really surprise, the way your organization giving service to genuine insurer. It look like we have wasted our money by paying premium regularly. Though, our claim amount is much less than premium paid.

Now, request you to look in to matter & advise on settling the claim on top priority as it has alomost more than 4 (Four) months have passed after submitting justification letter from our doctor.

We hereby also request you to our angiography reimbursement with the said claim.

Thanks and regards,
Madhuri
(Wife of mr. Deshmukh)