Medi Assist India — medical bill claim related

Address:

Pune, Maharashtra, 411057

Hi team,

My complain is regarding the claim#15999456

My mother was admitted to hospital on cashless scheme.
The final bill was of 473001 /- rs, out of which rs.205542/- got approved by mediassist. Rest i paid and left for home.

As per policy normally 80% should be paid by mediassist 20% by patient side, but in my case i paid more than 60% of the bill, so i have gone through the bill in detail,

In the non payable section, there are few things which i understood like excess icu charges, surplus bed charges.. Etc but there is an term "weighted average" which is of 79, 162 /- rs.
I have asked for its clarification multiple times but didn't got response in detail.

Second important thing apart from my base policy, i have taken the addition cover of 2 lakh rupees, which they forgot to consider at time of final bill.
So post discharge i got a message from mediassist that additional 34000/- got approved against your bill.
As i already paid the bill to hospital according to the previous approval amount.
Ideally i 'll be getting that money in my account, for that i have submitted all the papers to them but after 3-4 months they denied to pay, saying everything is covered in cashless.

Pfb required details:
Empid : 592395
Maid : [protected]

Patient name: dulari devi (Mother)
Maid : [protected]

Thanks