Star Health And Allied Insurance — CIR/2022/131131/2514204 Reimbursement Claim Rejected

Address:

No.1, New Tank Street, Valluvar Kottam High Rd, Nungambakkam, Chennai, Tamil Nadu 600034

I have submitted my claim documents to Star Health on May 27th 2021. After 30 days, they rejected my claim mentioning 'RTPCR report is missing'. I have provided HR CT film with the report which says Patient is Covid +ve with an infection of 52%. The treating Doctor suggested us to admit the patient into Hospital. My father had undergone a full week of COVID treatment for the dates[protected] to[protected] from the Dreamland Hope Hospital Nizamabad. Patient had given 6 doses of Remdesivir (COVIFOR from Hetero) injections as well during the treatment.
I have submitted all the documents such as Lab Tests, Medical bills and HR CT films to the Insurance Company. But they rejected the complete claim of 2.3 lakhs for not having RTPCR report. During the peak Covid time in April, In Nizamabad, all the Labs said that, it takes 3 days to get the RTPCR report as they need to send the samples to Hyderabad and get the report from Hyderabad. So, to avoid delay we consulted the Pulmonologist and where the Doctor confirmed that the patient is infected with COVID by the blood test and CT scan reports.

Even after clearly stating everything, they Insurance claim team had rejected it.