Mediclaim
Curtailed Claim From RAKSHA TPA COMPLAINT

I had filled a claim for my hospitalisation with RAKSHA TPA, Insured with New India Assurance ltd.

Claim had original hospital bill & on query raised even submitted Hospital in house log sheet which was given by hospital (Bhatia Hospital).

In house panel of TPA construed that hospital stay was prolonged hence deducted the claim by all most 25% directly, this means standard given by mediclaim policy issuer company (The New India Assurance Company Limited) has mandated to all TPA's to deduct 25% of all claims received, those coming back on case to case basis, will be approved or further process per merits.

I need assistance in filling this legitimate case for full recovery as well mental trauma.

Company: Mediclaim
Country: India

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