{"id":1538,"date":"2022-08-16T15:57:00","date_gmt":"2022-08-16T10:27:00","guid":{"rendered":"https:\/\/www.insurancesamadhan.com\/blog\/?p=1538"},"modified":"2022-11-17T10:23:48","modified_gmt":"2022-11-17T04:53:48","slug":"how-to-deal-with-health-insurance-claim-rejection","status":"publish","type":"post","link":"http:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/","title":{"rendered":"How to Deal with Health Insurance Claim Rejection?"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_76 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">Table of Contents<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/#How_to_reapply_for_a_health_insurance_claim\" >How to reapply for a health insurance claim?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/#A_case_of_health_insurance_claim_rejection_resolved_by_Insurance_Samadhan\" >A case of health insurance claim rejection resolved by Insurance Samadhan:<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"http:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/#Click_on_the_below_links_to_read_some_cases_resolved_by_Insurance_Samadhan\" >Click on the below links to read some cases resolved by Insurance Samadhan:<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<p>Was your health insurance claim rejected? Was your claim genuine? If yes, then there is no need to get worried. You can ask your health insurer to reconsider it.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-1539 size-full\" src=\"https:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1.jpg\" alt=\"How to Deal with Health Insurance Claim Rejection\" width=\"1920\" height=\"1080\" srcset=\"http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1.jpg 1920w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1-300x169.jpg 300w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1-1024x576.jpg 1024w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1-150x84.jpg 150w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1-768x432.jpg 768w, http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1-1536x864.jpg 1536w\" sizes=\"(max-width: 1920px) 100vw, 1920px\" \/><\/p>\n<h2><span class=\"ez-toc-section\" id=\"How_to_reapply_for_a_health_insurance_claim\"><\/span><strong>How to reapply for a health insurance claim?<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ol>\n<li><strong>Carefully read the claim rejection document given by your health insurer<\/strong>: When an insurer rejects a claim, he gives a document which contains the reasons for the claim rejection. Read that document carefully and understand <a href=\"https:\/\/www.insurancesamadhan.com\/blog\/why-claims-of-health-insurance-get-rejected\/\">why your claim was rejected<\/a>.<\/li>\n<li><strong>Contact your insurance company and hospital<\/strong>: After understanding the reason for the rejection, if you feel that you have a reason to reapply for the claim, then approach your insurance company. It is better to contact your insurer by email as it will be a written proof of your communication. Also, contact the hospital where you were admitted to get the required details from them.<\/li>\n<li><strong>Collect proper proofs<\/strong>: Collect the proofs and documents which were missing from the earlier claim. Furthermore, if you made any errors in your claim form, rectify them. Also, if the claim was rejected because your insurer felt that a hospitalization or any medical procedure was unnecessary, you must obtain your doctor\u2019s prescription and reports to convince him.<\/li>\n<li><strong>Reapply for the claim:<\/strong> Write a formal email to your insurance company. Include a statement wherein you must mention the correct policy number, claim details and the reason for the claim. Furthermore, attach appropriate documents and proofs to support your claim. Remember, you can make multiple appeals for the claim.<\/li>\n<\/ol>\n<p>If you do not get a response within a reasonable time period, you can contact the Grievance Cell of IRDAI.<\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=organic&amp;utm_medium=blog&amp;utm_campaign=blog_post&amp;utm_term=blog_term\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/stage.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Insurance Samadhan\" width=\"500\" height=\"70\" border=\"0\" \/><\/a><\/p>\n<h2><span class=\"ez-toc-section\" id=\"A_case_of_health_insurance_claim_rejection_resolved_by_Insurance_Samadhan\"><\/span><strong>A case of health insurance claim rejection resolved by Insurance Samadhan:<\/strong><span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Mr. Jadhav\u2019s wife suffered from high fever, chills, headache and vomiting. She was treated at her home. However, she was advised by the doctor to get admitted to the hospital. Later, he sent a claim notice to the insurance company, but was rejected as the company did not find her hospitalization justified. He stated that he contacted his insurance company, but didn\u2019t get a proper response from them. On April 30, 2022, the customer approached Insurance Samadhan. We guided him and helped him to get his claim money. By July 05, 2022, his case was resolved and he received his claim amount.<\/p>\n<p><center><iframe title=\"YouTube video player\" src=\"https:\/\/www.youtube.com\/embed\/oGYVuzkqtWA\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/center>&nbsp;<\/p>\n<p>We have helped 14,500+ people in resolving insurance-related cases. Contact us to get samadhan for your insurance-related issues. We are always available to help you out.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Click_on_the_below_links_to_read_some_cases_resolved_by_Insurance_Samadhan\"><\/span>Click on the below links to read some cases resolved by Insurance Samadhan:<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/blog\/top-reasons-for-dengue-claim-rejection\/\">Dengue treatment claim rejection<\/a><\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/blog\/a-guide-for-a-life-insurance-lapsed-policy\/\">Mis-selling in life insurance policy<\/a><\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/blog\/top-5-reasons-for-death-claim-rejection\/\">Death Claim Rejection<\/a><\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=organic&amp;utm_medium=blog&amp;utm_campaign=blog_post&amp;utm_term=blog_term\"><strong>Click here<\/strong><\/a>\u00a0to register your complaint with Insurance Samadhan<\/p>\n<p>You can also<\/p>\n<p>Visit our website: <a href=\"https:\/\/www.insurancesamadhan.com\/\">insurancesamadhan.com<\/a><\/p>\n<p>Call us on +919513631312<\/p>\n<p>WhatsApp: <a href=\"https:\/\/api.whatsapp.com\/send?phone=+919910998252&amp;text=Hi\">\u00a09910998252<\/a><\/p>\n<p>Mail us at <a href=\"mailto:corporate@insurancesamadhan.com\">corporate@insurancesamadhan.com<\/a><\/p>\n<p><a href=\"https:\/\/www.insurancesamadhan.com\/register?utm_source=organic&amp;utm_medium=blog&amp;utm_campaign=blog_post&amp;utm_term=blog_term\"><img decoding=\"async\" class=\"aligncenter\" src=\"https:\/\/stage.insurancesamadhan.com\/assets\/img\/contact.png\" alt=\"Insurance Samadhan\" width=\"500\" height=\"70\" border=\"0\" \/><\/a><\/p>\n<p><script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\/\",\n  \"@type\": \"Article\",\n  \"mainEntityOfPage\": {\n    \"@type\": \"WebPage\",\n    \"@id\": \"https:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/\"\n  },\n  \"headline\": \"How to Deal with Health Insurance Claim Rejection?\",\n  \"description\": \"When an insurer rejects a claim, he gives a document which contains the reasons for the claim rejection. Read that document carefully and understand why your claim was rejected.\",\n  \"image\": {\n    \"@type\": \"ImageObject\",\n    \"url\": \"https:\/\/i0.wp.com\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-1.jpg?resize=768%2C432&ssl=1\",\n    \"width\": \"1920\",\n    \"height\": \"1080\"\n  },\n  \"author\": {\n    \"@type\": \"Person\",\n    \"name\": \"Shailesh Kumar\"\n  },\n  \"publisher\": {\n    \"@type\": \"Organization\",\n    \"name\": \"Insurance Samadhan\",\n    \"logo\": {\n      \"@type\": \"ImageObject\",\n      \"url\": \"https:\/\/insurancesamadhan.com\/images\/logo.svg\",\n      \"width\": \"224\",\n      \"height\": \"47\"\n    }\n  },\n  \"datePublished\": \"2022-08-16\",\n  \"dateModified\": \"2022-08-20\"\n}\n<\/script><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Was your health insurance claim rejected? Was your claim genuine? If yes, then there is no need to get worried. You can ask your health insurer to reconsider it. How to reapply for a health insurance claim? Carefully read the&hellip; <a href=\"http:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/\" class=\"more-link\">Continue Reading <span class=\"meta-nav\">&rarr;<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":1546,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_uag_custom_page_level_css":"","footnotes":""},"categories":[3,20],"tags":[48,24,47,16,25,46,45,49],"class_list":["post-1538","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health-insurance","category-insurance-claim","tag-claim-rejected","tag-claim-rejection","tag-health-claim","tag-health-insurance","tag-health-insurance-claim","tag-health-insurance-claim-rejection","tag-health-insurance-policy","tag-health-policy"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>How to Deal with Health Insurance Claim Rejection?<\/title>\n<meta name=\"description\" content=\"Have you ever dealt with claim rejection? 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See more..","og_url":"https:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/","og_site_name":"Insurance Samadhan","article_published_time":"2022-08-16T10:27:00+00:00","article_modified_time":"2022-11-17T04:53:48+00:00","og_image":[{"width":250,"height":175,"url":"https:\/\/i0.wp.com\/www.insurancesamadhan.com\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-thumb-1.jpg?fit=250%2C175&ssl=1","type":"image\/jpeg"}],"author":"Shailesh Kumar","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Shailesh Kumar","Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/","url":"https:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/","name":"How to Deal with Health Insurance Claim Rejection?","isPartOf":{"@id":"https:\/\/www.insurancesamadhan.com\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/#primaryimage"},"image":{"@id":"https:\/\/www.insurancesamadhan.com\/blog\/how-to-deal-with-health-insurance-claim-rejection\/#primaryimage"},"thumbnailUrl":"http:\/\/www.insurancesamadhan.com\/blog\/wp-content\/uploads\/2022\/08\/How-to-deal-with-Claim-Rejection-of-Health-Insurance-Policy-thumb-1.jpg","datePublished":"2022-08-16T10:27:00+00:00","dateModified":"2022-11-17T04:53:48+00:00","author":{"@id":"https:\/\/www.insurancesamadhan.com\/blog\/#\/schema\/person\/38d2f769aa9bdee462bd2b530c7a40b2"},"description":"Have you ever dealt with claim rejection? Did you know that you can reapply for a rejected claim? 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Was your claim genuine? If yes, then there is no need to get worried. You can ask your health insurer to reconsider it. How to reapply for a health insurance claim? Carefully read the&hellip; Continue Reading &rarr;","amp_enabled":true,"_links":{"self":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts\/1538","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/comments?post=1538"}],"version-history":[{"count":10,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts\/1538\/revisions"}],"predecessor-version":[{"id":2698,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/posts\/1538\/revisions\/2698"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/media\/1546"}],"wp:attachment":[{"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/media?parent=1538"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/categories?post=1538"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.insurancesamadhan.com\/blog\/wp-json\/wp\/v2\/tags?post=1538"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}