Summary:
Ludhiana, October 21Holding the denial of a mediclaim by the insurance company to be improper and unreasonable, the Insurance Ombudsman has directed the company to settle the claim within 30 days. The Insurance Ombudsman passed the orders while deciding a complaint moved by Satish Kumar Malhotra of Kidwai Nagar, Ludhiana. The complainant has submitted that he submitted claim with the United India Insurance Company for operation of his eyes, but the same was denied. However, the insurance company pleaded that the complainant was treated with intravitreal injection under local anesthesia which could have been done on OPD basis and does not require hospitalisation. But after hearing both the parties and appreciating the evidence on record, the Insurance Ombudsman disagreed with the decision of the insurance company..