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Vipul Medcorp TPA Pvt Ltd issue Deniel of Cashless

Complain ID : CCN032996   35  

Insurance Complaint Complaint Date: August 2, 2018
Modified date: September 17, 2018
I was bleeding through stool continuously since 30/07/2018. I am 81 year old senior citizen shocked to seen the continuous blood and black stool four to five time on the same day. When I consult Dr Jaskaran at Fortis Hospital, upon review of ongoing bleeding and my situation he recommend to get immediate admission and start medication. Fortis hospital has immediately started the medicine through oral and through fluid in vains. I am still bleeding till 01/08/2018 morning. They have done number of test to ruleout the reason for the same and send the case for cashless approval.

But to my surprise you have deny to provide cashless approval on the ground of some exclusion 4.10 and raised some baseless queries which was duly respond by the hospital that admission is unavoidable (copy of letter enclosed). Despite that regular response and justification, your team has rejected the cashless and force me to pay the money. Please let me know how a poor old man will get the money to pay hospital despite having valid medical insurance.

Since I have no money to pay to hospital and you have deny to pay cash less, I am in extreme tension.

My son tried to convey this number of time to your team and request to connect some senior person but you have not connected him.

If I die or suffer any heart attack just due to your un-human cruel rejection, the Vipul Medcorp is responsible for everything happen to me.

Again requesting you to kindly approve the cashless for a tension free day in this old age or suggest to finish the story of life in this hospital just because of Vipul Medcorp.

Thanks

Aeshwar Prasad Jain
Policy Number 0402002818P103266042-File No 19CB01UIA3297
Complaint Against / To: Vipul Medcorp TPA Pvt Ltd

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