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Wrong deduction applied from Hospital

Complain ID : CCN056592   57  

Consumer Forum Complaint Date: February 2, 2022
Respected Sir / Mam,

I came here after 8 month mental torture from one of hospital, Please read my concern below


I met accident on the 27 Aug 2021 and i fractured my hand.

For that treatment i got admitted in "Gokuldas Hospitals Ltd" Indore. As i have cashless insurance from the "ICICI Lombard" And its Group insurance.

At the time of admission Hospital took 20,000/- as deposit and this was clamed refundable by hospital.

On 30th Aug i discharged and when i asked them for my refund they mentioned that we will give cheque in 1 week but after continues follow they provide cheque after 3 MONTH :( and that cheques amount was reading 13276/- RS .

Gokuldas Hospitals deducted 6824/- RS from my deposit. After inquiry to hospital and ICICI insurance company i came to know that only 1165/- RS should be deduct as Non admissible items. Hospital added discount amount and excess room charges as per MOU to my bill and This amount should not be collect from Patient(This clearly mentioned in ICICI email).

I am chasing them since 8 month and they are not answering any answer to me and not providing my money.

Please Find the below summary of Bills

Final Requested Amount from Hospital : 135686 /- RS
Final Sanctioned Amount from ICICI : 128863 /- RS
----------------------------------------------------------------------------------------------------------
Network related Deductions :
Hospital Tariff Deductions :4320 /- This is wrong included in my bill. As per the insurance company. Remark from ICICI Deducted as excess room charges as per MOU (not to collect from patient)

Discounts (Shall be applied at the time of Final Authorization) :1339/- This is discount from hospital to ICICI insurance company. And they included in my Bill

Amount to be paid by Insured :1165 /- This Should be paid by me and i agree on this.

Hospital dont reply on my emails and not hearing my some time they pick call and give excuses.

I have all proofs which i will upload as image. Its too much mental torture from them and that is to for my hard earned money.

I Request to help me here and i expect all my money including compensation for mental torture. My humble request to teach hard lesson to such fraud and scammers they are eating money.


Name of the Patient : HARI SINGH CHOUHAN

UHID Number : IL18847245800

Policy Name : YUGENSYS SOFTWARE LLP

Policy No : 4016/X/220233252/00/000





gokuldasmediclaim@gmail.com

8989443332, 7999143567

GOKULDAS HOSPITAL PVT LTD

11, Sarju Prasad Marg
Indore (M.P.), India, 452001
Tel. : +91-731-2519212 – 18
Fax : +91-731-2512584
Complaint Against / To: GOKULDAS HOSPITAL PVT LTD

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