Medi Assist India — escalation - 399035 | claim id # 98856506 | why intensive care unit has been mentioned not as eligible room rent

Address: Kolkata, West Bengal

Dear sir/madam,

I am tcs employee. My employee id : 399035

My father (Mr. Amarendra nath chakraborty) got admitted in rabindranath tagore international institute of cardiac sciences on 2nd august 2019 under emergency. He was later moved to intensive care unit. As he is the beneficiary of the mediclaim facility provided by your company, the cashless has been raised for the project (Claim id #[protected]. He got discharged yesterday i. E. 6th august 2019.

The total bill as sent by the hospital to you is rs. 95394. Here is the document attached - amarendra_bill. Pdf. (See attached file: amarendra_bill. Pdf)

And the amount approved by you is rs. 23794. Here is the screen shot for your reference -

The rest of the amount (Except the non medical items) has not been approved by you because you have mentioned "proportionate deduction due to higher room rent occupancy". Here is the screen shot for your reference -

Now here is my concern -

As mentioned in the attached document (Mediassist_payment_breakup. Pdf) (See attached file: mediassist_payment_breakup. Pdf), i am eligible for twin sharing room for my parents. I have not opted for single or twin sharing. From emergency, my father has been moved to intensive care unit (Icu) which is multi-sharing room and also economy ward and from there, he has been moved to general ward. Could you explain how come the icu is of higher eligible room than single or twin sharing room. Can you explain me why the intensive care unit (Icu) has been mentioned as higher than the eligible room rent. Because of this, the amount for the rest of items has been approved proportionately.

Taking the reference, my father got admitted in the same hospital back in 27th april 2017 (Claim id #[protected] in the very same situation and he was the beneficiary from your insurance company back then as well. This issue did not crop up back then and apart from the non medical items, you approved the claimed amount.