CGHS
CLAIM NOT ACCEPTED

Dear Sir,

With reference to the subject cited above, we have received return medical reimbursement documents on 29th of Aug’ 09 with regrets letter from your side which is stated that you are unable to settle this medical reimbursement claim because treatment in private recognized hospital without prior permission is not reimbursable.

This is to inform you that our treatment is consecutively running in Safdarjung Hospital with Dr. Uma Kishore (Specialist Nephrology) as he referred us for AV fistula creation in any CGHS Panel Hospital then we have visited in Local Dispensary narouji Nagar and meet CMO for Permission she replied that we can operate in any CGHS hospital and we can get a reimbursement claim from CGHS. At the time of submission of medical reimbursement claim in Sec-8 office again I have discussed same issue with CMO and he has agreed with the situation and submitted the document.

Company: CGHS
Country: India

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