National Insurance Company — Denial of claim 22061806 under[protected]

Address:

manjit nagar basti guzan

This informs you that i am an employee of randstad india pvt ltd, having policy no[protected] of my spouse name babita from the mediassist (Insurer name - national insurance). I was submitted my spouse maternity claim no[protected]Insurer claim no :[protected] before more than two month, they inform me you claim denied due to
On scrutiny of documents it is observed that the hospital is not registered and does not full fill the criteria. Also treating dr was bams md ayurvedha who has performed c-section. Based on these confirmations provided by our internal investigation team the claim is being repudiated

But i am not satisfied the from the investigation and reason for denial because in the document checklist the point no 8 clearly mentions if the hospital is not registered please get the letter from the hospital letterhead number of beds and doctors and nurses available round the clock. I already submitted this letter to the mediassist, also submitted the treatment description which clearly mentions the four doctors involved in treatment in which dr neeru bala (M. D) (Gynecologist and obstetrician) and dr gautam chawla done the surgery. But still they investigate the claim on information based on sites of internet and nobody went to hospital for check their records.
The four doctors with their regd number mentioned at the hospital letterhead already given.

1. Dr renna kakkar b. A. M. S, m. D (A. M)
Regd no 6889

2 dr neeru bala (M. D) (Gynaecologista and obstetrician)
Regd no 36424

3 dr bali (Pmc)
Regd no 46047

4 dr gautam chawla (M. D) (Pald)
Regd no mci 086535

L request to reinvestigate the claim properly and complete claim process asps.