@CareInsuranceIN My mother’s claim 96907764-00 (Policy 80493824) pending for 7+ months
Rejected under EXCL04 despite 3 days inpatient IV treatment after OPD failure.
Insurer keeps changing reasons (EXCL04 → COPD) and trying to delay .
Case with Ombudsman (HYD-H-037-2526-1953)
@ravimakk Hi, we have reviewed your claim and would require certain additonal medical documents as outlined in our email sent on January 16,2026. Please make sure to check your inbox and send us the requested documents at your earliest convenience. (1/2)
@CareInsuranceIN My mother’s hospitalization claim 96907764-00 under policy 80493824 was rejected under EXCL04 despite OPD failure and 3 days inpatient treatment with IV medicines. Case is already escalated with IRDAI & Insurance Ombudsman.Repeated document requests causing delay
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