Manipal Cigna Cashless Denial. Help!

Hello all,

My friend's father has admitted in the hospital and the dcotors have deiced to go with bypass surgery.

Manipal is rejecting the cashless with below reason. Can anyone suggest or help on what's the next step?

Denial Reason: We have received claim documents of <name redacted> admitted at Yashoda Super Speciality Hospital since 30-09 with CAD unstable angina. Claimant is covered under Manipal Cigna health insurance since 18-08 Based on the information available at this stage, we're unable to determine the medical history and assess the claim. liability. Additional verification or investigation may be required to confirm the admissibility of the claim. Hence, we're unable to approve the request on a cashless basis. We regret our inability to admit this liability under the present policy conditions, We also reserve the right to repudiate the claim under any other ground/s available to us subsequently.

Denial Remark: We have received claim documents of <name redacted> admitted at Yashoda Super Speciality Hospital since 30-09 with CAD unstable angina, Claimant is covered under Manipal Cigna health insurance since 18-08-2024 Based on the information available at this stage, we're unable to determine the medical history and assess the claim liability. Additional verification or investigation may be required to confirm the admissibility of the claim. Hence, we're unable to approve the request on a cashless basis. We regret our inability to admit this liability under the present policy conditions. We also reserve the right to repudiate the claim under any other ground/s available to us subsequently.

I did spoke spoke to the claims representative regarding shat documents they need that will help for investigation and there is no information received.

They say it has been decided by their panel of doctors that this needs more investigation, like a broken record.

Every question is replied with the same answer.

Has anyone faced this before from Manipal Cigna. Can you please give any suggestions. We have already paid 4L+ to the hospital and are in serious need of help and suggestions.

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u/Little-Caregiver2063 — 12 days ago

Ee Moladaaram enduku bhai

My waist thread got cut and I removed it. It has been like 15 days and my mom noticed it today that I don't have it anymore. Khatam inka pedda godava. Enduku thisesinav adhi idhi. I jsut asked her why should someone wear it?, she doesn't have an answer.

The argument was heated.

Do you guys still wear it and keep it like a ritual to never lose it or damage it? Veskokapothe enti asalu. Sasthama? 😒

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u/Little-Caregiver2063 — 3 months ago

Chicken 🐔

Where do you guys get fresh chicken, especially whole chicken breasts or chicken thighs?

Zepto and Instamart have the but only in frozen form not fresh. So can't cook them immediately without defrosting.

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u/Little-Caregiver2063 — 3 months ago

Rapido Drivers in Knr

This is just a rant about some Rapido drivers in Knr. Ivala around 8:00 pm I got a call, a friend had an accident and was admitted in hospital. I immediately booked a rapido, I mentioned to him that someone close is admitted in hospital and we need to reach the place a bit quickly. While I reminded him multiple times along the route (brother konchem thondagara vellali hospital ki) he drove at a snails place that too road meedha dikkulu chuskuntu. For 3 kms it took around 25 mins. I just lost it. People don't even have empathy and can't even understand the situation.

Thought of giving him 1 star, kaani I didn't.

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u/Little-Caregiver2063 — 4 months ago

Any good driving schools in KNR

Know any good driving schools? I did take some classes fro a driving school near Vidyanagar but the people teaching were not good and I ended up completing the course without gaining any confidence.

So if you have taken classes from a school where people are professional and let you drive the vehicle without micro managing do suggest.

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u/Little-Caregiver2063 — 4 months ago

Sofa Makers

Looking to get some sofas made for my home. Any recommendations of good makers in KNR? Not preferring the type of people who use a belt as a base.

Need a hard wood base with pocket springs.

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u/Little-Caregiver2063 — 5 months ago