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How to get documents to get mediclaim amount


22-May-2023 (In Consumer Court Law)
Hi Good day, To get the mediclaim from insurance company, they asked me to submit MLC and ICP so i visited hospital to get required document but hospital refused to give it to me (the patient) and they asked insurance people to directly come and collect the documents in the hospital. Then i requested insurance company to visit the hospital regarding this. Now Hospital again refused to give documents to Insurance person also who visited the hospital directly as hospital demanded. When i came to know this from insurance company, immediately i called hospital person but he refused to talk to me and disconnected the call saying that" if you want directly come and talk to me in the hospital". Pls help me to get the documents to get mediclaim amount ( 58K)
Answers (4)

Answer #1
567 votes
Sir

please file a consumer complaint against the hospital. It is true that the Insurance company Representative have the authority to collect the document. It is the duty of the hospital to give all details of your bills. Please issue a notice to the hospital and direct them to furnish the document to the Insurance Company representative.
Answer #2
775 votes
What is the designation of that hospital person, complain about his unprofessional conduct to the hospital higher authority. Check about the procedure to get the documents at hospital staff whoever who is concerned other than the person whom you have asked.
Answer #3
609 votes
Your matter squarely comes under the category of deficiency of service. The insurance people have been co-operative but the Hospital has certainly erred and you can go ahead and file a complaint in consumer forum.
Answer #4
963 votes
Dear friend,
You have two choice as per you have expressed your query , first to follow your those hospiral direction n keep following it for several years , second to fight out for your rights in a clever n smart way legally .choice yours . In case you want to chose second n for legally consult at : Adv Pankaj Kumar & associate.....

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