Date : 04/01/2025
To,
Mr. Ram Krishna
C/O Mr. Ram krishna
S/o Govind Ram, H. No. C - 273, 2nd Floor, Behind Durga Mandir
Rohini Sector - 1, Avantika, North West Delhi
Delhi
Delhi, 110085
Subject : Claim not payable for Claim ID 2091548 of Mr. Ram Krishna with Member ID 11383899.
Details of the submitted claim
Hospital Name NORTH DELHI NURSING HOME PVT. LTD.
Date of admission 12/25/2024 12:00:00 AM
Date of Discharge 12/26/2024 12:00:00 AM
Claimed amount 18050
Diagnosis Fever of unknown origin
Dear Ram,
We regret to inform that your claim has not been approved due to following reason (s).
1. Expenses incurred towards treatment in any Hospital or by any Medical Practitioner or any other provider specifically
excluded by Us and disclosed in Our website / notified to the Policyholders are not admissible. Therefore, we regret the
claim is not payable under clause 6.11.
Unrecognized Provider
In case you believe that we have overlooked any details for evaluation, please let us know by writing to us at
https://bit.ly/3lr44xb
In case you are still not satisfied with our decision, you may approach the Insurance Ombudsman. The contact details
of the insurance ombudsman based on your location have been provided in your policy document, and are also available
on our website www.nivabupa.com
Warm Regards,
Authorized Signatory
For and on behalf of Niva Bupa Health Insurance
(Formerly known as Max Bupa Health Insurance)
Disclaimer: Insurance is the subject matter of solicitation. Niva Bupa Health Insurance Company Limited (formerly known as Max
Bupa Health Insurance Company Limited) (IRDAI Registration Number 145). ‘Bupa’ and ‘HEARTBEAT’ logo are registered
trademarks of their respective owners and are being used by Niva Bupa Health Insurance Company Limited (formerly known as
Max Bupa Health Insurance Company Limited) under license. Registered office:- C-98, First Floor, Lajpat Nagar 1, New
Delhi-110024, Customer Helpline: 1860-500-8888. Fax: 011-41743397. Website: www.nivabupa.com.
CIN: U66000DL2008PLC182918. * Niva Bupa processes pre-auth within 30 min for all active policies, subject to receiving all
documents and information(s) up to Niva Bupa’s satisfaction. The above commitment doesn’t include pre-authorization settlement
at the time of discharge or system outage. # Number of network hospitals shown is an approximate figure and is subject to
change without prior notice, please visit our website to access latest and updated list of network hospitals.
