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Cashless Claim rejected

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01 Sep, 2022 by  Mohan Patel

Hello there,


My wife has a high fever, body ache, etc. on 17/08/2022 and then we went to local doctor so he gave her medicine after that body ache and head ache continue with low grade fever and than on 26/08/2022 again temperature of body increase so again went to same doctor and advise for reports CBC,CRP,Widal and in that Widal is positive so that they advise for higher evaluation.

So on 26/08/2022 evening we went to hospital where cashless treatment offers and than we admitted and our claim got rejected..Reason"Admission not justified", what should i do next??

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Health Insurance

2 Answer

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01 Sep, 2022
connect with advisor

Sir,


You may file the reimbursement claim. With company.

With all the relevant papers.


Insurer company?

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02 Sep, 2022
Mohan Patel
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02 Sep, 2022
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01 Sep, 2022
CEO, Insurance Samadhan

Dear Mohan

You should represent your case justifying your admission .

As advised , please apply for reimbursement with a certificate from Doctor that why hospitalisation is required .

In case of any problem , ypu can reach Insurance Samadhan . We have guided in many such cases .


Best wishes


Shailesh Kumar

Insurance Samadhan


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02 Sep, 2022
Mohan Patel
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