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CASHLESS CLAIM REJECTION
Cashless health insurance claims: What policyholders can do when hospitals and insurers clash over bills, approvals, and deductionsInflated bills, delayed approvals, arbitrary deductions. As hospitals and insurers trade charges, policyholders are left footing the bill. ...- Rs 5 lakh health insurance claim denied by insurer over waiting period for pancreatitis; here's why the policyholder's wife wonA health insurer cannot automatically reject claims using waiting-period clauses. The Mumbai Consumer Commission ruled that insurers must p...
- Is ₹5-10 lakh health insurance cover enough? Check these 3 factors to know how much you needHealthcare costs in India are soaring due to escalating medical inflation. Experts warn that securing adequate health insurance is no longe...
- Care Health Insurance rejected heart attack patient's mediclaim over ‘pre-existing diabetes, hypertension’: Court says these are ‘lifestyle diseases’; orders insurer to pay Rs 2.1 lakhCare Health Insurance has been ordered to pay Rs 2.1 lakh after a Delhi consumer commission ruled that rejecting a heart attack patient's m...
- Insurer-hospital panel on the cards to resolve disputes, says General Insurance Council CEODr S. Prakash, CEO, Health Insurance Ecosystem & Strategic Partnerships, General Insurance Council, speaks to Preeti Kulkarni on policyhold...
- Mumbai hospital delays newborn's discharge after mediclaim rejection: Staff keep 2-day-old baby away from mother for over 9 hours; court orders Rs 37,000 payoutMumbai's Bhatia Hospital has been ordered to pay Rs 37,000 after a state consumer commission found its staff kept a 2-day-old newborn away ...
- Aditya Birla Health approved insurance before treatment, then cancelled it during discharge: Family left to pay Rs 44,000 hospital bill gets relief; court orders Rs 74,000 payoutAditya Birla Health approved insurance, then cancelled it during discharge: A Delhi consumer commission has ordered Aditya Birla Health Ins...
- 5 critical checks before buying health insurance policy to avoid claim rejectionsChoosing health insurance requires careful consideration of several important factors. Opting for a policy simply because it has a low prem...
- Oriental Insurance rejects mediclaim saying policyholder's hospitalisation wasn't necessary: Court says doctors, not insurers, decide medical necessity; orders over Rs 2 lakh payoutOriental Insurance rejects claim saying hospitalisation wasn't necessary: A Delhi consumer commission has ordered Oriental Insurance to pay...
- Cashless health insurance claim rejected? You may still get your claim settled; here’s howCashless health insurance claims are often rejected due to documentation or procedural issues, not outright denial. Understanding the reaso...
- Your travel insurance claim can be rejected even when you are fully covered; 5 things people get wrong
- Health insurance: Overall claims experience needs improvement in India; delays, rejections are big pain points in reimbursement, says surveyPolicybazaar's latest Health Claims Experience Index reveals that while cashless claims are preferred, the overall process needs significan...
- Record health insurance claims settled in FY25, average payout per claim declinesIndian insurers settled a record number of health claims in FY25. Settlement ratios improved significantly, with fewer claims rejected. Ave...
- Star Health ordered to pay Rs 50,000 for rejecting claim, Court says Insurer can't decide treatmentA district consumer commission ruled that an insurance company cannot dictate medical treatment methods. The panel ordered Star Health and ...
- Unsure insurance: When health cover promises peace but delivers paperwork and panicHealth insurance policyholders in India are facing a surge in claim rejections and disputes, leading to a crisis of trust. Despite paying p...
- A reality check of health insurance claim: Denial of simple claim sparks huge online debateNitin Shukla, a policyholder, faced rejection of his health insurance claim. He wrote on X (formerly Twitter) that Care Health Insurance de...
- Nearly 70% health claim users opting for reimbursement mode don't have enough liquid savings to pay bills: SurveyA recent study highlighted challenges faced by health insurance policyholders opting for reimbursement, often resorting to borrowing or dip...
- 6 recent health insurance claim rule changes every policyholder should knowInsurers will have to clear a health insurance claim within three hours of receiving it from the hospital during discharge. Irdai has also ...
- Health insurance rule change: Cashless treatment at any hospital from today; how to get it, chargesTill now, a health insurance policyholder can get cashless treatment only at network hospitals with whom the insurance company has tied up....
- ET in the classroom: Cashless mediclaimCashless mediclaim is not a new concept anymore. As the name suggests, you can get hospitalised, undergo surgery or both without having to ...
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