Medi Assist India — Ref no:[protected] denial of claim

Address:

New Delhi, Delhi, 110052

Hospitalisation bills in r/o hospitalisation in sunder lal jain hospital as per final bill no. sib012142 dated 10.10.2016 – ipd no. sip013404 pt. code-sp615171

Policy no. : 272900/48/2017/3261 ma-id no. [protected]

Your ref no.[protected]
Beneficiary name: mrs. shakuntla sharma w/o mr. gianendra sharma
Age: 66 years
Address: flat no.5, block no.7, pocket-b, phase-iii, ashok vihar, delhi-110052

Doa: 04.10.2016 dod: 10.10.2016

The above claim was submitted to you alongwith all the original bills and discharge certificate of the hospital for rs.235566.00.

The following information is available on net:
Non payable amount: rs.2, 35, 566/-
Reason: as per policy not covered, so pre existing deniel.

The claim amount has been wrongly denied as the disease was not pre-existing as certified by the treating doctor of the hospital; which was also submitted alongwith the claim. the doctor clearly mentioned as under:
“she has no previous history of any medical condition or risk factor for cad”.
A copy of the said certificate is embedded hereunder on next page no.2 for your information.
In view of above, please reconsider your decision as the hospitalization was on account of sudden acute heart attack.
Thanking you,
Shakuntla sharma
(insured) dated: 03.11.2016