I am writing to express my dissatisfaction with the recent claim settlement process for claim reference number CCN# 44390605 under policy number[protected]. The approved amount of Rs 12, 129 is far below the legitimate bills submitted, which totalled Rs 33, 878. Additionally, the explanation provided for the disallowed amount of Rs 4, 096 as "bills not found" is unsatisfactory.
I believe this claim has not been reviewed properly. It appears the amount has been reduced without any proper justification. If there were any missing bills, they could have been asked to submit them, but this did not happen. I have already provided all the bills, including the detailed breakup requested for the OT sale bill.
From the beginning, the claim approval process has been excessively time-consuming, with numerous back-and-forth queries. Many of these questions could have been addressed in the initial assessment instead of causing further delays. I found it disturbing, as I was requested to submit all the bills and reports again despite my having already submitted them. It is evident that all the documents are available in the Medi-Assist portal, so I find it unnecessary to be asked for all the bills again.
I am completely dissatisfied with their service and sincerely hope that a senior person reviews and validates this claim promptly.
Your prompt attention to this matter would be greatly appreciated. Was this information helpful? |
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