Medi Assist India Pvt. Ltd., Bangalore — Rejection of my genuine claim due to negligence of staff

R S Kannan

from Chennai, Tamil Nadu

Address:

600091

R s kannan ex. Staff no. 14429 canara bank medi assist india pvt. Ltd., bangalore
Claim ref no. 12459670 ack no. [protected] dt.25.3.2016.
I have submitted a claim for rs. 19465/ for hospitalisation. I was under
Hypertension problem because of that left nose blood bleeding was there. I have consulted nearby residence doctor and then ent specialist. It has not been stopped and hence he has recommended to admit in madras ent research foundation, raja annamalaipuram chennai . As per the doctoer advice i have consulted the doctor and i had treatment., it was not stopped and then i was admitted in the hospital on 8.3.2016 at5 4 pm and discharged on 9.3.2016 at 6pm. Only after stoppage of bleeding of blood in my left nose i was discharged. In the history it was mentioned as hypertension and because of that nose blood bleeding was there.
I have submitted the bills to medi assist india pvt. Ltd., bangalore and i t has
Been rejected by them fror the reason that the hospitalisation is not necessary for that treatment. Please note that hospitalisation should be
Decided by the doctor and not by the insurance company. It is clear in the
Bank circular that under item no. 13 hypertension treatment is also available
For hospitalisation and also domicilary treatment. I have been denied the
Same by medi assist india pvt. Ltd., hence it is due to negligence of staff it has happened. Hence my genuine claim should be sanctioned immediately.
I have tgaken policy under united india insurance iba medical care and the
Bank has directly debited in my account.
Report by r s kannan

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May 03, 2016

Updated by R S Kannan R s kannan ex. Staff no.14429 canara bank has got united india insurance
Co policy under medical care 500100/48/1/41/000044 from 1.11.2015 to 31.10.2016. The claim ref., no.12459670 vide ack no. [protected] dt.25.3.2016/ i have been admitted in the madras ent research foundation, raja annamalaipuram chennai on 8.3.2016 at 4 pm and discharged on 9.3.2016 atr 6 pm on the condition of hypertension with nose blood bleeding. The dr. Has advised me to admit in the hospital since outpatient
Services has not yielded any result. I have enclosed prehospitalisation, hospitalisation and post hospitalisation expenses. In the canara bank circular
It is clearly mentioned under item no.13 that hypertension is eligible for reimbursement. I have been denied my noble claim. It is the violation of
Principles. It has been rejected purposely. Duye to negligence of staff.