Universal Sompo — cashless denial card no.[protected], dated 30/6/2019

Address:Krishnaiahnapalya, Indiranagara, Krishnaiahnapalya, 560038

Patient name: bhagya, health insurance card no.[protected]

After learning that your health insurance policies are empanelled with institute of ayurveda and integrative medicine, bangalore, karnataka and obtaining the conformation again from the hospital authorities, i (Mrs. Bhagaya) got admitted for treatment on 17/06/2019.

Further on 18/06/2019, the hospital authorities have sought the cashless authorisation request from your establishment. Accordingly on 18/06/2019, through ref. No.[protected], claim no.176631 got authorisation letter approving rs.12000/-from your establishment, same is marked and attached as annexure-01.

I took treatment upto 30/6/2019.

On 30/6/2019, when my medical final bill was sent to your establishment for final authorisation, the same was denied (Annexure-02) stating that ayurvedic treatment not covered as per policy t & c.

It was really surprising to note on the last minute of discharge that the claim amount of rs.72356/- was denied on the last minute that too on sunday.
Like your establishment many more health insurance companies are empanelled with the above hospital and the bills are settled by those insurance companies. Hope, your insurance company must have cleared the bills too.

My husband mr. Hemachandra and my son mr. Rahul have called your office number and spoken to your officer concerned and requested to clear the bills, if not, i would be put into great hardship as i was already in trauma. But, all of their pleadings have gone waste and denied the request totally.

On the last minute at around 4.30 pm, i was forced to beg and borrow cash from others and got myself discharged.

You are immediately requested to settle my claim as well pay the compensation of rs.1, 00, 000/- for pushing me for trauma.
Thanking you,
Bhagya
Mob: [protected]
Bangalore, karnataka
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