Medi Assist India — claim denied for hospitalization

Hi team,

Medi assist team has denied my claim due to to some in valid reason. I have submitted the medical details all bills, discharge summary. After that they asked for doctors written letter, since they only have common letter pad, they can only issue medical certificate with doctor's sign and seal but will cost you around 430/-, and i paid for that and submitted that also. After getting all these document they denied the claim. I have also shown them the policy details which was published in news (https://www.business-standard.com/article/finance/revised-mediclaim-policy-to-a...⇄
Claim no.:[protected]

The reason provided is (Now this policy witnesses that subject to the terms, conditions, exclusions and definitions contained herein or endorsed or otherwise expressed hereon, the company undertakes that, if during the period stated in the schedule or during the continuance of this policy by renewal, any insured person shall contract any illness (Herein defined) or sustain any injury (Herein defined) and if such illness orinjury shall require any such insured person, upon the advice of a duly qualified medical practitioner / surgeon to incur medical expenses/surgery at hospital / day care centre (Herein defined) in india as an inpatient, the tpa will pay to the hospital /day care centre, or reimburse the insured person the expenses listed in 2.1 to 2.6 below that are reasonable and customary, and medically necessary incurred for the treatment of such illness or injury., on persual of this ccn documents enclosed, this ccn pertains to xxxxx where the asked required additional documents for further processing was not been enclosed even after the query been raised - that is clarification towards the need for suction and evacuation for the present pregnancy not the confirmation for the procedure that it was done or not. Hence this claim stands denied. We regret our inability to admit this liability under the present policy conditions.)