Medi Assist India — Hospital charged me 99, 400 but my claim was 45000.
C
Consumer Ashik
My wife undergone an endometrotic cyst removal.
Hospital charged me 99, 400 but my claim was 45000.
When i submit claim, they are putting the claim under repudiation for no reason.
I followed up many times but they are not giving any reasons.
Was this information helpful?
No (0)
Yes (0)
Medi Assist India customer support has been notified about the posted complaint.
I am not sure who is playing here, Hospital states insurance approved only 45000 and insurance states hospital did not produce bill for 99, 400.
I did a cashless claim in Royal care - Coimbatore. Cashless was approved by insurance 45000 as per the bill from hospital[protected] copay).
I had to pay 53, 500/- in cash, Now when im trying to claim they are giving reasons which are not relevant.
On scrutiny of the above documents patient admitted for bilateral endometrial cyst for which laparoscopic right ovarian cystectomy done and taking treatment elsewhere for primary infertility mentioned in a letter, hence already paid a limit of 45000 in cashless, hence we regret to pay the claim.The claim stands repudiated.
This is not related to fertility and submitted GPLA documents
Customer satisfaction rating Customer satisfaction rating is a complex algorithm that helps our users determine how good
a company is at responding and resolving complaints by granting from 1 to 5 stars for each
complaint and then ultimately combining them all for an overall score. Read more
I did a cashless claim in Royal care - Coimbatore. Cashless was approved by insurance 45000 as per the bill from hospital[protected] copay).
I had to pay 53, 500/- in cash, Now when im trying to claim they are giving reasons which are not relevant.
On scrutiny of the above documents patient admitted for bilateral endometrial cyst for which laparoscopic right ovarian cystectomy done and taking treatment elsewhere for primary infertility mentioned in a letter, hence already paid a limit of 45000 in cashless, hence we regret to pay the claim.The claim stands repudiated.
This is not related to fertility and submitted GPLA documents