Medi Assist India — mediclaim not passed for medical bills

Address:Vadodara, Gujarat, 390019
Website:www.mediassistindia.com

I have mediclaim policy since last 4 years from "national insurance company limited"for whom "medi assist insurance tpa pvt. Ltd." is working as tpa.

Insured person : rasikbhai patel & niranjanaben patel

Mrs niranjanaben patel is hospitalised in network hospital and cashless claim accepted by tpa. However of the total medical store bills of around 18, 500 only around 10, 500 bills has been passed and remaining is considered as non-medical expense. However we haven't purchased any single rupee item for our personal use & all the items purchased from medical store is used in hospital treatment only.

How can such a practice of not passing bills of medical store is justifiable?

It's not about how much money we needs to bore but it's all about practice of doing this fraudulent activity continuously.

My policy details is as below:

Policy holder name : rasikbhai chunilal patel
Contact details : +91-[protected], [protected]@gmail.com
Policy number : 310300/48/16/[protected]
Period of hospitalisation : 01-nov-2017 to 07-nov-2017
Tpa : medi assist insurance tpa pvt. Ltd.
Ma-id : [protected]
Claim number : 15620702
Total claim amount : 35, 453
Claim not passed : rs. 7, 816
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Medi Assist India customer support has been notified about the posted complaint.
Nov 10, 2017
Updated by P_tp88
How can one deduct Rs. 7, 816 such a huge amount for the claim amount of 35, 453

Can anyone guide me legal action steps please.

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