Claim No. CIG/2026/171118/0373816
Intimated for Claim on June 10th for Knee Surgery scheduled on June 11th as reimbursement Claim.
July 8th - all required documents were submitted at Star Health Office located at Virar West, Pin - 401303
July 22nd - Star Health raised a query for enquiring about duration for QA and Thalassemia, even though all required document was submitted this was requested as query and delayed Claim processing
July 25th - Submitted all required documents to Star Health
August 12th - They raised another query to provide details on payment details, basically asking payment mode used for payment to Hospital, if this was necessary they should have asked when documents were submitted on July 8th, this further delayed processing as every new query and query reply response from Company takes 15 working days
August 22nd - Document was submitted via email but was not attached to Portal for Claims team to further review
August 25th - Submitted document again at Star Health Hospital
August 31st - Called Star Health to know the status, as not receiving any updates via email or registered mobile number, they confirmed Claim was Approved and money will be credited in 7 working days
September 1st money was credited in back account, however, looking at the Amount Approved, they only reimbursed 60% of original reimbursement Amount submitted.
When checked further, in the document it feels more of Human error on Star Health where details are not checked and or audited and Approved for the sake of Approving Claim amount.
Please see attached document of Approved Amount and email where concern for deduction is raised but have been asked for 14 days of wait period.
Expecting to receive refund up to 90% of overall Claim amount as refund.
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