[Resolved]  Religare Health Insurance — Regarding claim amount

Address:313001

Dear team

I have a corporate policy of religare health, policy no.10612751.

I am submitted claim of my mother sushil babel, client id – 53659507, today i have received a message regarding the pendency in claim and after communication to religare customer care they informed me that i have not submitted the x-ray image. But i have already submitted the x-ray at the time of submitted all the documents.

I have submitted all the necessary bills with post & pre hospitalization.

My claim are divided in 3 parts ;-

1). Pre hospitalization = rs.1300 + 1460= 2760 (Bill and x-ray image already submitted at the time of submitted all the documents.)

2). Hospitalization expenses = rs. 80650 (Bill submitted)

3). Post hospitalization = rs.700 (Bill submitted at the time of submitted at the documents)

Total claim amount is rs.84110

I got a message from religare co. Regarding rs. 58313.25 has been approved but i can’t understand what and which amount is taken under process.

If pre & post hospitization rs.2760 & 700 in under process than the remaining amount is rs.80650 and after deduction of 25% co - payment the amount is rs.60487.50

I have attached my claim amount details and also the bill of pre hospitalization.

Request to you that kindly check the document again.
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Feb 6, 2017
Complaint marked as Resolved 
Religare Enterprises customer support has been notified about the posted complaint.
Verified Support
Jan 05, 2017
Religare Enterprises Customer Care's response
Hi,

We would like to update you that as against the claim documents received of Rs.77751/- claim approved of Rs. 58313.25/- as co –pay is applicable under your policy while pre/post claims are under process details of which were already shared with you.

Regards,
Team Religare
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