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Subhash Jha on 05 March 2017
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Non disclosure pre existing disease

Dear Customer, Patient Name : SARITA SUBHASH JHA HDFC ERGO ID : ER1602433949-02W CCN No : RC-HS16-10422490 Hospital Name : SMT. JAYABEN MODY HOSPITAL Hospitalization Period : From 04/03/2017 to 05/03/2017 With reference to your cashless authorization request for hospitalization of above mentioned patient, we have scrutinized your request with respect to policy terms & conditions. And we regret to inform you that we are unable to sanction the cashless benefit for the said hospitalization due to following reasons : As per the documents submitted, patient admitted on 04/03/2017 for the treatment of carcinoma uterus. Patient is a known case of epilepsy before the first inception of the policy 13). There is history of epilepsy for the last 15 years . Insured had not disclosed the ailment while purchasing the policy. Hence there is non disclosure of material facts and thus this claim is being repudiated under Section 10 r ii. of policy terms and conditions. . Please note that the cashless claim rejection for the said request does not imply denial of treatment and does not in way prevent you from seeking necessary medical attention or hospitalization and claiming for reimbursement subject to policy terms & conditions.