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Hospitalization claim no 0155887 dtd 6th july 18.
My wife was admitted at medihope hospitals in bangalore for treatment of a fracture in her right had wrist on 27-06-18 and the star health had approved the payment of rs 24000 to the hospitals. This hospital made us to buy few medicins and other items required during the hospitalization and the payment was made by us. They also did not entertain consultation fees, registration charges etc for this hospitalization.
Post hospitalization i submitted a claim to the insurance co for rs. 8924/- against the above mentioned charges and the insurance co approved an amount of rs 3279.00 only and sent a dd to me (Yet to be received) by post.
I asked them why the claim is not paid in full and they sent me a mail stating few medicins and items are adisallowed even though the same were purchased for the purpose of the treatment during the hospitalization.
Attached is a copy of the claim and the mail sent by the star helath insurance co.
Please clarify if this is correct or what i should do to get the balance payment.
Mail copy:
Cli/2019/161112/0155887 claim dated 18th jul 18-cr[protected]
Yahoo/inbox
• support
To:[protected]@yahoo.co.in
28 aug at 11:43 am
Dear sir/madam,
We refer to your representation regarding the review of your claim cli/2019/161112/0155887,
In this regards we wish to inform you that as per the claim documents received our medical panel has reviewed and the non payable item has been disallowed.
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Volini spray, vasofix, cannula fixator, octocal not payable, service, mrd, admission charges not payable bonmed, xcral not payable.
No report for x-ray dated 16.7.18 hence not rs 300/- not payable
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