Claim ID 1122385008808 Rejected by Aditya birla health insurance company

Complain ID : CCN061405   95  

Insurance Complaint Complaint Date: February 27, 2023
  • State :  Gujarat
  • City :  Surat
  • Address: 274-swapna Villa, Nansad Road, B/H Dada Bhagwan Temple
Hello Sir,

My Mother policy No. is 23-20-0082929-02. My Filed Reimbursement claim with Claim ID 1122385008808 had been rejected. I am not satisfied with the rejection letter and reason Given in Rejection letter as below :

"On scrutiny of the documents it was observed that the patient admitted for Fever with septicemia. There are discrepancies and lapses noted in the event of hospitalization. and hence we are unable to approve your Claim."

I had called to customer care and they told me that Your claim had been rejected because your hospital is black listed. I had checked the black listed hospital list. My Hospital is not Black listed.

The Company had not provided me exact details of lapses and Discrepancies. The claim is 100% Genuine and I had not made any mistake on my part. I want Detailed Reasons for rejection or i want my claim to be passed as soon as possible.
Complaint Against / To: Aditya Birla Health Insurance Company

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