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CASHLESS TREATMENT DENIAL
₹10 lakh dengue health claim rejected over 2-year waiting period for a spinal disc condition; here’s why the policyholder wonA significant ruling by the Delhi State Consumer Disputes Redressal Commission found in favor of a policyholder whose dengue hospitalisatio...- 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. ...
- 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...
- 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...
- AHPI revokes its decision to suspend cashless medical payments for Bajaj Allianz customersBajaj Allianz and AHPI resolved a dispute, ensuring uninterrupted cashless healthcare access for policyholders. AHPI, representing over 20,...
- Cash less, care less? Insurer-hospital standoff may add to patient traumaThe General Insurance Council (GIC) has criticized the Association of Healthcare Providers India (AHPI) for discontinuing cashless hospital...
- ET Explainer: Common empanelment & health cover costsStandardisation of packages and billing practices could reduce treatment costs. If hospitals agree to fixed rates, insurers can better cont...
- Hospitals demand cash, poor quality of service; issues surge in Ayushman Bharat grievance systemA review of complaints under the Ayushman Bharat scheme in Delhi revealed most grievances were about hospitals demanding payment despite th...
- Cashless denied for Star Health and Tata AIG: Ahmedabad hospitalsSeveral hospitals in Ahmedabad will halt cashless treatment services for Star Health and Tata AIG General Insurance from April 1. This deci...
- Zerodha's Nithin Kamath explains why insurance claims get rejected, tells what you can doZerodha CEO Nithin Kamath clarifies insurance claim rejections. He stresses the need to understand policy details. Many claims are denied d...
- Is your medical claim stuck? Find out why you face problems in health insurance claim settlement and how to avoid themWhile health insurers can sometimes be blamed putting customers through unending hardship in clearing claims, many a times it’s the policyh...
- Hospitals denying your health insurance covid cashless claim? What are your options?This is the eventuality for which people purchase health insurance so that they do not face difficulties during a health crisis. The regula...
- Max Bupa settles over Rs 150 cr Covid claims so far; closely watching impact on premium: Official"At Max Bupa we have paid Covid claims to total of 14,500 customers. In the year 2020 it was around 10,000 in a span of eight months wherea...
- IRDAI ask insurers to ensure expeditious settlement of COVID-19 claimsThe regulator noted that there are reports of certain network providers (hospitals) charging high rates and insisting on cash payments from...
- FM asks IRDAI to act against insurers for denying cashless claims"Reports are being received of some hospitals denying cashless insurance. Spoken to Chairman, IRDAI Shri SC Khuntia to act immediately. In ...
- Insurers can act against hospitals saying no to cashless coronavirus treatment: IRDAIThe regulator has also asked insurance companies to set up an exclusive grievance redressal system to solve the challenges faced by policyh...
- Insurers to provide 5 pc discount on Corona Kavach policy to doctors, health workersAs mandated by Irdai, all the 30 general and health insurers that offer indemnity based health insurance have started offering individual C...
- IRDA want insurers to provide health cover up to 65 yearsIRDA has proposed to make it mandatory for health insurers to provide policy cover to people up to 65 years and settle all claims within a ...
- Not providing cashless service costs ICICI Lombard Rs 50KConsumer Court directs ICICI Lombard to pay Rs 50,000 as compensation to one of its policy holders for harassing him by not providing cashl...
- How to make a hassle-free health insurance claim!Getting health cover is not enough, it's important to read & understand terms & conditions of policy well to avoid any heartburn in future....
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