[Resolved] Religare Enterprises — Claim rejected even for emergency admission

Kamleshdumca

from Pune, Maharashtra

Address:

Lucknow, Uttar Pradesh, 226010

Religare health insurance
Claim no :[protected]
Insurance policy (#[protected]
Client id : 52545500

I was admitted to forrd in emergency condition on 28 july 2016 at 4 am in morning.
I made a claim for reimbursement and sent all the required documents to religare.

But my claim has been rejected with reason "investigation and evaluation not covered normal vital"

They are saying that i could have been treated in opd and admission was not required. I went to hospital at 4 am in morning in emergency condition.
I sent doctors letter on letter head in which it was mention that admission was necessary and i was admitted in emergency condition.

I contacted all the concerned person, grievance cell etc but my case is not resolved.

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Nov 25, 2016

Complaint marked as Resolved

Religare Enterprises customer support has been notified about the posted complaint.

Verified Support

Oct 25, 2016

Religare Enterprises Customer Care's response Dear customer,

As per the feedback received from the concerned team, We regret to inform you that the said claim was denied as all vital parameters were normal and the admission was only for investigation and evaluation.

Thanks & Regards,
Team Religare