Consumer Redressal

Consumer complaints & judgements portal
Insurance Active

Complaint #3392 — Imran Shaikh

Filed: 29 Nov 2013  ·  Address: 191/193 NISHANPADA ROAD, OWAIS MANSION, 2ND FLOOR, ROOM NO 10-11, MUMBAI 400 009
Hi, this is wz ref to my mail which i had sent on 24th Oct\'13 to Oriental Insurance Company Ltd, would like to inform after submitting additional documents which MD India has requested and on checking today the status of my claim it has come to my notice my claim has been rejected which i totally fail to understand as to why ? my claim was for approx Rs 1.74 lacs i had gone for reimbursement with them as my daughter was operated for Ureteric reimplantation surgery at Saifee Hospital on 5th Oct and today they are rejecting the claim giving reason as it was internal disease. Sir, my daughter was admitted in Jaslok Hospital during the period 22nd Aug - 27nd Aug for the same treatment but surgery was not done and claim was successfully settled and also prior and post hospitalisation expenses was also settled .. then why this time my claim is getting rejected. below are the details for your ref Oriental Insurance Family floater policy no 121100/48/2013/4853 MDID No MDI5-0011235135 CCN No MDI 1700305 (present claim no which is getting rejected) CCN No MDI 1668087 (previous claim no of cashless which was successfully settle) Policy Issuing office : Oriental House, 4th Floor, 7th Jamshedji tata road, churchgate, Mumbai, Maharashtra 400020 Regards Imran

‹ More Insurance complaints File your own complaint