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CASHLESS CLAIM REJECTION
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 payout- 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 payout
- 5 critical checks before buying health insurance policy to avoid claim rejections
- 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...21 Jul, 2026, 12.11 PM IST
- Should you go for accidental death insurance despite having term insurance? Check this before decidingTerm insurance offers protection, but an accidental death rider provides additional payout. This rider is an optional add-on, not a replace...10 Jul, 2026, 02.22 PM IST
- Why NRIs are re-evaluating health insurance for parents in IndiaRising healthcare expenses in India necessitate reassessment of parental health insurance. Many existing policies offer insufficient covera...08 Jul, 2026, 03.53 PM IST
- 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...03 Jul, 2026, 11.14 AM IST
- 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...22 Jun, 2026, 11.25 AM IST
- The old health insurance model sees hospitalisation as an inconvenience, says Narayana Health's Viren Prasad Shetty; bets on managed care modelIt has been close to two years since Narayana Health’s wholly owned subsidiary, Narayana Health Insurance—which has adopted a ‘managed heal...15 Jun, 2026, 11.11 AM IST
- 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...05 Jan, 2026, 12.35 AM IST
- 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 ...04 Dec, 2025, 04.31 PM IST
- 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...30 Nov, 2025, 07.07 AM IST
- 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...11 Sep, 2025, 05.59 PM IST
- Now, no cashless facility for Niva Bupa customers in Max Hospitals across IndiaNiva Bupa Health Insurance has suspended cashless treatments at Max Hospitals across India from August 16, 2025. The decision follows unsuc...01 Sep, 2025, 05.57 PM IST
- 10 reasons why your health insurance claim can get rejected and how to avoid itHealth insurance offers financial relief, but claim rejections can arise from incorrect info, waiting periods, non-disclosure, expired poli...09 Jul, 2024, 12.56 PM IST
- 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...26 Jun, 2024, 05.32 PM IST
- 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 ...24 Jun, 2024, 06.30 AM IST
- Health insurance claim rule change: Cashless claims must be cleared in 3 hours; insurer to pay hospital charges for delay in discharge, says IRDAIHealth insurance: The Insurance Regulatory and Development Authority of India (IRDAI) has released a master circular to streamline health i...30 May, 2024, 02.31 PM IST
- 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....26 Jan, 2024, 04.39 AM IST
- 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 ...10 Mar, 2010, 01.19 AM IST
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