Medi Assist India — Genuine hospitalized claim rejected for no reason even after submitting the required additional documents multiple times

Address:Chennai, Tamil Nadu, 600006
Website:<[email protected]>

Claim no :14298886
Policy : 520000/48/2017/883 policy period:[protected] to[protected]
Patient name : shalini r policy holder name : flsmidth pvt ltd
Claimed amount : 39384 final diagnosis : benign neoplasm of brain and other parts of central nervous system
Maid : [protected] hospital name/city : guest hospital
Doa : 17 mar 2017

Hello team, i have submitted my insurance claim on march 20 2017. And i have got reply that its been rejected with the folloiwng response.

On scrutiny, it is observed that the claimant mrs. Shalini r, 26year old female admitted in guest hospital, chennai with the diagnosis of pituitary microadenoma with headache 17/03/17 and 18/03/17 and was managed conservatively for the same. On observation, it is found the hospitalization is not warranted and can be done on opd basis. Hence, the claim stands repudiated.

I have reached out to mediassist office in choolaimedu several times and have been there in person as well to submit all the requested documents such as drug charts and ipcp report. Each and every time i was told to bring a different report from the hospitals (Apollo hospital perungudi and guest hospital) and i have furnished the same to them. I was also told that my claim would definitely be processed, however, i have received a rejection after 3 months and i am unable to apply for insurance elsewhere as well. Can you please take a look into this and try to process it again?
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