Reimbusement of medical bills
Complain ID : JGJN019981 26
- State : Uttar Pradesh
- City : Ghaziabad
- Address: A-48/G-3, Shalimar Garden Main
Additional documents required:
Inadequate query reply received kindly provide - 1. Complete and readable medicines purchase invoices for all the medicines utilized during this hospitalization from the hospital/pharmacy shop bearing their batch no. with expiry date along with the Name, Address & contact number of the whole-seller/supplier on the Hospital letter head. 2.Authority letter on the official letter head of the hospital to verify the medicine purchase invoices from the distributor/supplier/manufacturer from which these medicines are purchased 3.Certificate from the treating Dr on his/her letter head with his/her sign and seal bearing his/her registration no. for details of S/S with duration, need for hospitalization, treatment given along with period of hospitalization & type of stay in the hospital also mentioning personal history of the insured and past treatment record if any along with his contact number and copy of registration certificate. 4.Certificate from the Pathologist on his/her letter head having conducted and examined the lab reports of the patient along with his/her sign and seal bearing his/her registration no. for confirmation along with contact details and copy of registration certificate. 5.Copy of general hospital tariff duly certified by hospital authority that includes Room Rent, ICU Charges, OT Charges, Visit and Nursing Charges. ,
I had go to the hospital and I had demanding all the documents from hospital. All the documents had provided by the hospital with in 2 days and I had sent all original documents to HDFC Ergo those provided by hospital and I I also kept photocopy with me. After that HDFC Ergo has denied and reject my claim on 23 may 2016 and they had information to me by mail as mention in this mail below.
I sent a mail to know that what is the reason to denied my claim on 24 may 2016 and also sent a reminder mail 25 may 2016. Now they had replied and also sent a letter to me as mention below. But they had not given a specific reason to me for this rejection.
Now I want to request to you please register a complaint against this rejection and do appropriate action against HDFC ergo.
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