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Insurance Company Paid Only Part of the Claim: Can the Policyholder Dispute the Deduction?

An insurance claim may not always be rejected fully. In many cases, the insurance company may approve the claim only partly and deduct a substantial amount. The policyholder may receive a settlement message showing a reduced amount, but the reason for deduction may not be clear. Partial settlement can arise [...]

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Health Insurance Claim Rejected for Pre-Existing Disease: What Documents Can Challenge the Rejection?

A health insurance claim may be rejected when the insurer alleges that the illness was a pre-existing disease. This is one of the most common reasons given in health insurance disputes. The policyholder may receive a rejection letter stating that the disease, symptom, treatment or condition existed before the policy [...]

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Health Insurance Claim Rejected? 10 Things to Check Before Accepting the Insurer’s Decision

A health insurance claim rejection can place a patient and family under sudden financial pressure. The policyholder may have paid premiums regularly, submitted hospital bills and followed the claim process, but the insurer may still reject the claim by referring to policy exclusions, pre-existing disease, waiting period, non-disclosure, incomplete documents [...]

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Cashless Health Insurance Claim Denied by the Hospital or TPA: What Should the Policyholder Do?

House construction delay can place a family under severe financial and practical pressure. A house owner may have paid substantial amounts expecting the work to be completed within the agreed period and according to the promised specifications. Problems arise when the builder or contractor repeatedly postpones the work, abandons the [...]

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Health Insurance Claim Rejected for Pre-Existing Disease: What Should a Policyholder Check?

House construction delay can place a family under severe financial and practical pressure. A house owner may have paid substantial amounts expecting the work to be completed within the agreed period and according to the promised specifications. Problems arise when the builder or contractor repeatedly postpones the work, abandons the [...]

Read More