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15%
1.07 

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Worst Insurance Service Provider
Jan 21, 2016 12:59 AM 65643 Views (via Mobile)
(Updated Jan 21, 2016 01:00 AM)

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If we want to reimburse afterwards then why we opted for cashless facility from Religare? We opted for cashless and there is no reason for denying so we are in no mood of reimbursement.


You think what if any patient's relative condition is not that good and they are solely dependable on your policy and if they are not having any reason for cashless denial but your end than also denies then what will be there condition? How they will manage? Have your end seriously ever thought of this?


Religare states reason for denial is as per documents submitted preexisting nature ailment could not be ruled out so now we need to know from which reports of hospitals your end states that the ailment was pre existing all reports dated after hospitalization of patient at Hinduja were normal(Blood report MRI report CSF report) and for this too we forwarded the written application from doctor on hospital letterhead stating that "The patient is suffering from Millar Fischer variant of Gallien Barre Syndrome which is not because of any pre existing illness" but that too was ruled out. If your end in is no mood to pass the claim than straight forwardly inform that to the patient families because at such moments they are already passing through mental and emotional strain and insurance companies do the same thing with them, so stop harassing the people.


Religare doctor's visited the hospital and seen that the patient is being hospitalized in ICU and they took all the necessary documents with them and again the company asked for the same the other day.


On what basis Religare denied the cashless claim we want the justification regarding the same as we are not satisfied with the reason stated by you. Religare should prove this that the illness was pre existing and that too before the policy start date or should face the legal action for the denial with penalty reimbursement as your end challenged the decision forwarder by the doctor treating the patient at a reputed Hinduja hospital  .


Kindly reply us with acceptable reasons for denial or proceed with cashless facility as early as possible  or if the mail get unnoticed than the next mail will be to IRDA with legal action.


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