Mediclaim company denying cliam

Dhruva Shah (Querist) 25 May 2010 This query is : Resolved
a person who was kidnapped, after being found was treated for various problems like dehydration,loss of weight etc. among other health problems. He was also given treatment by a psychiatrist during hospitalization. Thereafter treatment for typhoid was also give.

When claim was lodged for all the above purpose, mediclaim company denied the claim on the grounds of "Psychosomatic Disorder".

What recourse does one have against this harassment of the mediclaim company?

Please help

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Arvind Singh Chauhan (Expert) 25 May 2010
Issue legal notice to company then file knock the door of consumer forum.

mahendrakumar (Expert) 25 May 2010
every insurer is supposed to have a claim review committee at their divisional office and zonal office.

before proceeding legally, send an appeal against the repudiation order to the review committe for reconsideration and wait for their response.

Dhruva Shah (Querist) 26 May 2010
thank you sir, i shall be taking up this route and shall update you for more guidance

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