Address: | Pune, Maharashtra, 411045 |
Sir/ Mam,
My Policy Number is -[protected].
Claim Amount of Rs. 26654
My husband hospitalized in Metro Hospital on 02.06.2018 .
I am submitting my reimbursement documents on 18.06.2018.
From insurance company inform me,
We regret to inform you that, your claim has been denied because, "On scrutiny of claim documents it has been observed that, patient admitted at Metro Multispeciality HospitalPune for prolapse of intervertebral disc L4-L5 from 02/06/18 to 04/06/18 and as per date of first MRI report 06/02/2018 and date of inception of policy is 27 Mar 2018 which means duration of illness prior to inception of policy and patient disclose this material fact in his /her proposal form so we regret our inability to admit this liability under the present policy conditions. we wish to point out, that you still have the right of appeal with the insurer."
But I sending a mail to insurance company again and again and inform to insurance company;
The date of MRI 06/02/2018 is mentioned as per the MM/DD/YY format.
In case you have any doubt or confusion with MRI date, can I Submit Original MRI Films/ Copy for your reference/ Verification.
But insurance company again and again forward me the following mail.
I request you to please check all information by right way & perfectly and then after you can take final design about my cllaim
Thanks & Regards,
Mrs. Sushma Chavan
Mb. No. [protected] Was this information helpful? |
Post your Comment