Universal Sompo — claim issue 210018

Address:

545/HN/19 HANS NAGAR COLONY NEARN, PARA POLICE THANA,, LANDMARK SAI MANDIR, LUCKNOW UP PIN, 226011

Policy no. 2825/60049570/00/000
Online policy no. Usgi/webah/0034548/00/000
Claim reference no. 210018
Patient name nidhi prabhakar
Claim amount 12000/-

Respected sir,
The patient was suffering from difficulty in not passing urine for the last 24 hours, due to which she was having unbearable pain, then i had to take the patient to the hospital. At the hospital, the patient was given a dortin (Injection) by the doctor and also tried to pass urine but the patient did not get rest, then the doctor advised to be admitted, then the patient was admitted. Because the doctors did not know which problem the patient is suffering from., then the next day ultrasound of the patient was done, then it was discovered that the patient has a 5.4 mm stone. After the patient was given medicine and injections, the patient got some rest, then discharged the patient and brought her home.
In which the patient was not treated with any stone related, only diagnosis was made inside the hospital. And it was found out that the patient is suffering from stone disease.
And my claim was rejected saying that the patient already had a stone problem. While the doctor or patient discovered that the patient was suffering from stone, the usgi representative's single line email reply was very frustrating. I had several calls to her toll-free number, but not one time was connected to the customer care representative.
I felt very sad at a time when i was denied and i had no money to deposit. Which i borrowed and paid to hospital.in such a case, buy health policy, if i do not have money could get treatment through medical card. This shows that, the first way for the usgi health company is not to make any claims to the patient, but when the policy has to be renewed by the company, you are called several times by the company. Because at that time company has to take premium money.
I am sending the medicine bill, discharge card, hospital bill, medical report and doctor's diagnosis report by the attached win-rr file. So that you see what the reality is, because if you reject the claim in this way, then i will be forced to go to the social media site to spread my trouble and tell you.
I hope you don't disappoint me and take my problem seriously. I am waiting for your positive reply.