New India Assurance — Non reimbursement of hospital expenses

Ref: Claim ID 3502906/1
Policy holder UHID No: NIAC.24105989
Policy No:[protected]
The policy holder had undergone a D&C procedure at KIMS Hospital, Trivandrum. She was admitted in the hospital on 26th September, 2021 for the same and discharged the next day after the procedure. Prior Intimation was sent to the TPA FHPL regarding this on 25th September, 2021. Claim intimation No. given was 399907. Under the terms of the policy D&C procedure was also covered for reimbursement. The D&C was necessary to check for abnormality as consecutive scans showed progressive thickening of endometrium. However the claim has now been rejected by FHPL on the grounds that there was no active line of treatment.
Kindly look into the matter and settle the claim at the earliest.