National Insurance Company — faulty reimbursement claim

Address:

Vadodara, Gujarat, 390022

Application : faulty reimbursement amount settled by heritage tpa national mediclaim pocily number[protected] and claim number-hh[protected]
Dear sir/mam

First of all please read national mediclaim policy conditions then read following details.
Please do needful for following details and please consider following amount for the reimbursement claim.

Please see the details of deduction in claim number-hh[protected].

1) hospital room rent 4 days consider.
Answer: in the file of reimbursement claim it is clearly shows that patient was living
Hospital room 5 days due to knee replacement surgery. She was not capable to move her leg due to operation. Who is responsible to pay 5th day charges?. (Even heritage/national a doctor was not visited to see patient in 5 days)

2) 10250 rupees surgeon fees not paid.
Answer: as per policy holder patient have sum assured sufficient to claim total surgeon fees of amount rupees 59000. So who is responsible to pay surgeon fees?

3) 895 rupees not paid of medicines by shop.
Answer: as per policy condition it is payable of 50% of sum assured.

4) 4062 rupees not paid of medicines by shop.
Answer: as per policy condition it is payable of 50% of sum assured.

5) 500 rupees o2/gases not paid.
Answer: as per policy condition, o2/gases is payable at 50% sum assured.

6) 1500 rupees pulse oximetery charges not paid.
Answer : patient was under operation and oximetery charges is not payable. Please see policy condition.

7) 500 rupees catheterisation charges not paid
Answer: can you specify at which condition you did not paid it.

8) 2000 rupees physiotherapist charges not paid.
Answer : it is clearly paid to petitioner as per policy condition.

9) 5000 not paid of medical equipment.
Answer: it is clearly shows in policy that medical and surgical appliance is payable 50% of sum assured.

10) ot charges rupees 2475 not paid
Answer: as per policy condition it is payable.