Mims Hospital — Insurance Claim

Address:

THALASSERY

I wish to bring your attention to the following for your judicious action.

First of all let me express our satisfaction for your excellent service and care given to the patient.

My wife SUSHAMA DEVI K bearing ID number[protected] expired on[protected] at 3.55 am due to cardiac problem followed by covid. As i have to get the body released at the earliest i cleared the bill in full settlement, without waiting for insurance amount.

1) Total bill amount is 175275, including food expense of Rs.2555 . So
eligible insurance coverage is 172720 only.
2) Hospital claimed an amount of Rs.184662 in the bill of same patient.
Insurance company after deducting Rs.5047authorised Rs.179615.
On verification of the report it is found that Rs.5047 is again deducted
by hospital from my eligible amount of Rs.172720. So i taken up the
matter to the manager, who is dealing the insurance section of the
hospital informed me that nobody bargained like this so far. The
replay is not at all reasonable. here it is clear that there is no
bargaining on my part but only requested to refund the amount
deducted by hospital from me.
In order to justify the stand of bill section, they submitted a
settlement report which is a clear proof of my argument is correct.
3) Final amount shown as Rs.187217, which included the expense of
food amount of Rs2555 already paid by me. They have arrived a
figure under non medical expense of Rs.7602. The derived
amount is nothing but unnecessarily deducted from me an amount
of Rs.5047+ food expense, total comes Rs 7602.

In a full settled bill how the difference is taken place which cannot be justified through law of justice and mathematical accuracy. More over hospital is having no loss. So i request your reasonable and favorable action in this regard.

I have attached needful documents here.

Venugopalan EK
my contact number : [protected]