Robinhood Insurance Broker Private Limited

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  3. Health Claim
  4. Not Happy with Settled Amount

How do we help you?

  • Process Explanation

  • Procedural Guidance

  • Manual Intervention

Top Reasons of Deduction in Claim Amounts

  • Various limits & sum limits in policy.
  • Reasonability of expenses.
  • Proportionate deductions.
  • Alternative lines of medicine that is not covered in the policy.
  • Non medical expenses.
Why Claims Get Rejected

  • Treatments comes under permanent exclusion.
  • Treatment carried out in waiting period specified treatment/PED
  • Duration of treatment less then 24 hours,except day care processes.
  • Treatment only for diagnostic purposes.
  • Absense of active line of treatment.

Not Happy with Settled Amount

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