Reimbursement claim
8 months ago
My reimbursement claim has been rejected for not submitting the original bill..I have inform them that I have misplaced the original bill that's why submitted with a duplicate bill but still they are denying..what should I do now
A.Dear Claim,
In case of misplaced or loss of the original document/bill, Insurer accepts the duplicate copy of the bill if it is certified by the bill issuing authority as certified to be true and processes the claim for reimbursement. You may escalate your grievance before the Grievance Redressal Officer of the Insurance Company for redressal of your grievance and if your claim is denied then you can file a complaint before the Consumer Court claiming the reimbursement and compensation for harassment.
In case of misplaced or loss of the original document/bill, Insurer accepts the duplicate copy of the bill if it is certified by the bill issuing authority as certified to be true and processes the claim for reimbursement. You may escalate your grievance before the Grievance Redressal Officer of the Insurance Company for redressal of your grievance and if your claim is denied then you can file a complaint before the Consumer Court claiming the reimbursement and compensation for harassment.
Helpful
Helpful
Share
A.Dear client,
Is this is an insurance policy. If it is then you have the following remedy
First, register an online complaint on the website of the Insurance Insurance Regulatory and Development Authority.
Approach Insurance Ombudsman in accordance with Redress of Public Grievances 1998 Rule 12.
Is this is an insurance policy. If it is then you have the following remedy
First, register an online complaint on the website of the Insurance Insurance Regulatory and Development Authority.
Approach Insurance Ombudsman in accordance with Redress of Public Grievances 1998 Rule 12.
Helpful
Helpful
Share
Read Related Answers
Regarding insurance claim rejection
Dear client, withour directly resorting to the complaint on the insurance company try to re-inititate the claim process and talk to them and submit the required documents. Even then if there is no cla...
Hospital avoiding cashless treatment
Dear Client,
In the given situation, bring the matter to the notice of the Grievance Cell of the concerned Insurance Company endorsing a copy to the insurance regulatory authority, IRDIA. In case, no...
Medical Insurance cancelled after 3 years
Dear Client,
Pre-existing diseases (PED) are mostly expensive to treat as they are chronic in nature. Unfortunately, most health insurance plans cover pre-existing diseases after a waiting period of 2...
Legal Liability for Helper Covered If Death occurs by Gun Firing
Dear Sir,
The copy of FIR and terms of life insurance policy are to be read minutely to answer your question.
Review of award by Insurance Ombudsman
Dear Sir,
You may approach Consumer Forum or High Court for getting justice in many cases same formula being used.
Read Blogs on Insurance
Insurance Lawyers
Find Lawyers by Location
