Meena kumari
New member
I am filing this complaint against the hospital for refusing to cooperate in providing the necessary medical documentation required for my son's insurance reimbursement claim.
My son was admitted to the hospital for one day and received medical treatment. At the time of discharge, I paid approximately INR 4,000 towards the treatment charges. However, despite repeated requests, the hospital failed to provide me with the following:
A computer-generated discharge summary/treatment details.
A detailed itemized medical bill.
Complete treatment records.
The duly completed and signed medical reimbursement form required by my insurance company.
The hospital staff informed me that they do not fill insurance reimbursement forms and refused to assist further. Because of this refusal, I am unable to submit my insurance claim and recover my medical expenses.
As a patient and consumer, I believe I have the right to receive complete medical records relating to my son's treatment. The refusal to provide proper treatment documentation and refusal to certify the treatment on the insurance reimbursement form has caused me financial loss, unnecessary hardship, mental stress, and delay in processing my insurance claim.
I respectfully request the competent authority to direct the hospital to:
Provide the complete computer-generated treatment records and discharge summary.
Provide a detailed itemized bill and payment receipt.
Complete, sign, and stamp the medical reimbursement form, or alternatively issue a medical certificate containing the diagnosis, treatment provided, admission/discharge dates, doctor's signature, registration number, and hospital seal.
Compensate me for the inconvenience, delay, and financial loss caused due to their refusal.
I request that appropriate action be taken against the hospital to prevent similar issues for other patients.
Facility Details Clinic Name: Amma Clinic
Doctor: Dr. Matta Srinivaas, MD (Paediatrics)
Address: Radham Street, Ichapuram, Andhra Pradesh - 532312
Specialization: Pediatrician and General Physician
My son was admitted to the hospital for one day and received medical treatment. At the time of discharge, I paid approximately INR 4,000 towards the treatment charges. However, despite repeated requests, the hospital failed to provide me with the following:
A computer-generated discharge summary/treatment details.
A detailed itemized medical bill.
Complete treatment records.
The duly completed and signed medical reimbursement form required by my insurance company.
The hospital staff informed me that they do not fill insurance reimbursement forms and refused to assist further. Because of this refusal, I am unable to submit my insurance claim and recover my medical expenses.
As a patient and consumer, I believe I have the right to receive complete medical records relating to my son's treatment. The refusal to provide proper treatment documentation and refusal to certify the treatment on the insurance reimbursement form has caused me financial loss, unnecessary hardship, mental stress, and delay in processing my insurance claim.
I respectfully request the competent authority to direct the hospital to:
Provide the complete computer-generated treatment records and discharge summary.
Provide a detailed itemized bill and payment receipt.
Complete, sign, and stamp the medical reimbursement form, or alternatively issue a medical certificate containing the diagnosis, treatment provided, admission/discharge dates, doctor's signature, registration number, and hospital seal.
Compensate me for the inconvenience, delay, and financial loss caused due to their refusal.
I request that appropriate action be taken against the hospital to prevent similar issues for other patients.
Facility Details Clinic Name: Amma Clinic
Doctor: Dr. Matta Srinivaas, MD (Paediatrics)
Address: Radham Street, Ichapuram, Andhra Pradesh - 532312
Specialization: Pediatrician and General Physician