Najmunnisa N A
New member
- Policy Name
- MEDISEP
- Company Name
- ORIENTAL INSURANCE COMPANY
- Customer Care Number
- 04842358967
- Loss Amount
- 475000
- Ratings
- Opposite Party Address
- Oriental Insurance Company, 2nd Floor, Rukiya Bagh, Bus Stop, Adjacent To Kanoos Cinema Building, Mahatma Gandhi Road, Ravipuram, Perumanoor
Ernakulam - 682036 (Kerala) India.
Ticket ID: MG38498
OPEN
Type
HOSPITAL
Grievance/Complaint
Subject: Request for Reconsideration of Health Insurance Claim Rejection – Policy No. [1966325] Dear Sir/Madam, I am writing to formally request a reconsideration of the rejection of my recent health insurance claim related to the hospitalization of my father at Medical Trust Hospital, Ernakulam. Details of the case: Patient Name: Aboobacker N M Hospital: Medical Trust Hospital, Ernakulam Admission Date: 05/07/2025 Discharge Date: 31/07/2025 Total Bill Amount paid as advance: Rs. 4,75,000/- Diagnosis & Treatment: Elevated blood sugar level (diabetes-related complications), plastic surgery treatment, and pre-existing heart condition. The claim was unfortunately rejected on the grounds of a delayed reply to a query. I deeply regret the delay due to an urgent admission of my father in hospital in that specific day (query raised day). I would like to mention that it was unintentional and possibly due to unforeseen personal and logistical issues during the recovery period. Given the seriousness of the condition and the substantial medical expenses incurred, I kindly request you to review the case once more with compassion and understanding. I am ready to provide any additional documents, clarifications, or medical reports required to support this claim. I sincerely urge you to take necessary steps to reconsider and process the claim at the earliest. Thank you for your attention to this matter. Najmunnisa N A (MEDISEP ID: 1966325) PEN: 502110
OPEN
Type
HOSPITAL
Grievance/Complaint
Subject: Request for Reconsideration of Health Insurance Claim Rejection – Policy No. [1966325] Dear Sir/Madam, I am writing to formally request a reconsideration of the rejection of my recent health insurance claim related to the hospitalization of my father at Medical Trust Hospital, Ernakulam. Details of the case: Patient Name: Aboobacker N M Hospital: Medical Trust Hospital, Ernakulam Admission Date: 05/07/2025 Discharge Date: 31/07/2025 Total Bill Amount paid as advance: Rs. 4,75,000/- Diagnosis & Treatment: Elevated blood sugar level (diabetes-related complications), plastic surgery treatment, and pre-existing heart condition. The claim was unfortunately rejected on the grounds of a delayed reply to a query. I deeply regret the delay due to an urgent admission of my father in hospital in that specific day (query raised day). I would like to mention that it was unintentional and possibly due to unforeseen personal and logistical issues during the recovery period. Given the seriousness of the condition and the substantial medical expenses incurred, I kindly request you to review the case once more with compassion and understanding. I am ready to provide any additional documents, clarifications, or medical reports required to support this claim. I sincerely urge you to take necessary steps to reconsider and process the claim at the earliest. Thank you for your attention to this matter. Najmunnisa N A (MEDISEP ID: 1966325) PEN: 502110
