Oriental Insurance – Medical Claim Reimbursement issue

Unjustified deduction of Rs. 11185/- in the name of incremental charges from mediclaim reimbursement.This is no where written in the policy documents that if we pay room rent charges beyond 1% of sum assured then incremental charges will be deducted from other expenses also.I paid Rs. 2800/- per day room rent charges for 2 days, hence only Rs. 1600/- should be deducted from claim. Instead of this Company has deducted 11185/- from whole amount apart from 1600.

we have received lesser amount from our justified claim. my details are as under name smriti pandey tpa: paramount health services (tpa) pvt. ltd. phs id:oi mum 20819667 idbi e insurance co. the oriental insurance co ltd. policy no. 530000/48/14/00189 new delhi – 110058 hospitalisation details: date of admission: 16.10.2013 date of dischare: 18.10.2013 intimation no. 6810595 name of hospital: amar leela address of hospital: b-1/6, janakpuri, main najafgarh road, new delhi-58 contact no of hospital: 45663333, 91-11-25530838, 25537965-66 total expenses: 53,983

Please reimburse our justfied amount of Rs. 11185/- from the insurence company

Complainant Information
name- deepak

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