Religare Health Insurance Company Ltd. - Hospital Claim for Nishitha not Paying

RD 16 Jul 2019

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Myself Rajesh Korupolu F/o. Nishitha Korupolu my daughter suffered with Fever on 24th of February 2019 night and we gave her CALPOL 250mg for a day and the fever got reduced by 26th of February 2019. Later on 03rd March 2019 she got fever and we found her face got swollen immediately on 04th March 2019 we took her to Bangalore Baptist Hospital OPD for treatment and from OPD they shifted her to PICU for further treatment. On 5th March 2019 they daiognized with ALL. For the same treatment is going on. As I have taken Family Health Insurance from Religare Health Insurance Company Ltd. and at that time of taking the insurance they told CASHLESS CLAIMS will be provided if the case if for the first time. So we tried for CASHLESS Claim on March 05th 2019 and that time they sent their company representative to the Hospital and to my requesting you humbly to consider the surprise later I come to know that their person mentioned in the letter that she is have PRE MEDICAL for this issue due to which they rejected the Cashless claim of Nishitha Korupolu. Later in the month of April we tried to claim by Reimbursement by sending all the related case history to Religare but from then till date they are sending me with only one query i.e. 1. PHOTO ID OF PROPOSER / NOMINEE. MR RAJESH KORUPOLU 14 6C CROSS MEHTHA HOUSE MANORAYANPALYA SULTAN PALYA MAIN ROAD RT NAGAR POST NEAR LAXMI GOLD PARADISE BANGALORE 560032 KARNATAKA 2. ADDRESS PROOF OF PROPOSER /NOMINEE AS MENTIONED IN POLICY. MR RAJESH KORUPOLU 14 6C CROSS MEHTHA HOUSE MANORAYANPALYA SULTAN PALYA MAIN ROAD RT NAGAR POST NEAR LAXMI GOLD PARADISE BANGALORE 560032 KARNATAKA 3. EXACT DURATION AND PAST HISTORY OF PRESENT AILMENT WITH 1ST CONSULTATION PAPER AND ALL PAST TREATMENT RECORDS. 4. PRE HOSPITALISATION OPD TREATMENT RECORD. 5. COMPLETE INDOOR CASE PAPERS WITH ADMISSION NOTES, HISTORY SHEET, DOCTOR`S NOTES, NURSING NOTES AND VITAL CHART. Since 4 months these Insurance people sending this query only eventhough I provided all the case history. Its an Humble request to raise a LEGAL COMPLAINT on RELIGARE HEALTH INSURANCE and help me in getting the money spent on my daughter for her HEALTH. Till now we spent around 3.2 lakhs Thanking you With Regards Rajesh Korupolu 7760099068

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