STAR HEALTH AND ALLIED INSURANCE CO. Ltd.

,
No.15, SRI BALAJI COMPLEX,1st FLOOR,WHITES
LANE,ROYAPETTAH,CHENNAI-600014.
Customer Care Number - 044 6900 6900 / Corporate Customers - 044 43664666
Chat - +91 9597652225, www.Starhealth.in
To DATE: 20-Dec-2022

BHAVYA RANKA
NEW NO.29,OLD NO.7/2, THANIKACHALAM
STREET, PERAMBUR,CHENNAI,NA 600011 NA NA
8667414809

Dear Sir/Madam,

Sub : Repudiation of Claim.

We refer to the mediclaim preferred by you. Details are briefly given below:

Claim Intimation Number : CIR/2023/111100/1128330

Name of the insured-Patient : BHAVYA RANKA
Age / Sex : 15 years / Male
Product name : Family Health Optima Insurance Plan
Policy Number : 11230194404602
Policy period : From : 14-Oct-2022 To : 13-Oct-2023
Diagnosis : AFI WITH SPONDYLOSIS
Date Of Admission : 22-Nov-2022
Name of Hospital and : Mehta Multispeciality Hospitals India Private Limited-Old No:21, New No:2,
Location McNichols Road,,3rd Lane,

We have processed the claim records relating to the above insured-patient seeking reimbursement of
hospitalization expenses for treatment of AFI WITH SPONDYLOSIS.

It is observed from the submitted records including the discharge summary / card of the above hospital that
the insured-patient has undergone treatment primarily for nutritional deficiency.

As per Exclusion - Code Excl 21 of the above policy, the Company is not liable to make any payment in
respect of any expense incurred by the insured person for treatment of Convalescence, general debility,
run-down condition, Nutritional deficiency states.

We therefore regret to inform you that for the reasons stated above we are unable to settle your claim under
the above policy and we hereby repudiate your claim.

IRDA Regn.No.129
Corporate Identity Number L66010TN2005PLC056649
Email ID : info@starhealth.in
 STAR HEALTH AND ALLIED INSURANCE CO. Ltd.,
No.15, SRI BALAJI COMPLEX,1st FLOOR,WHITES
LANE,ROYAPETTAH,CHENNAI-600014.
Customer Care Number - 044 6900 6900 / Corporate Customers - 044 43664666
Chat - +91 9597652225, www.Starhealth.in
The above decision has been taken as per the terms and conditions of the policy and based on the claim
details/documents submitted.

We are always at your service.

Yours faithfully,

Authorized signatory.

This is an official system generated communication and does not require a signature.

In case of any questions on the rejection, kindly contact our Senior Doctor at (7305614888)
during 10 AM to 6 PM on Monday to Saturday ( except Holidays ).

For any other enquiries kindly use Whatsapp facility on +91 95976 52225.

PS:
In case you are not satisfied with the above decision, you may wish to represent to our Grievance Department
at the following address:

Mrs. Radha Vijayaraghavan,

Grievance Redressal Officer,
Corporate Grievance Department,
4th Floor, Balaji Complex, No. 15, Whites Lane,
Whites Road, Royapettah, Chennai-600014.
(Land mark: In the lane next to Satyam Theatre Parking Area)
Telephone : 044-4366 4600, Exclusive number for Senior Citizen : 044-6900 7500
E-mail id:- gro@starhealth.in

Thereafter if you wish to pursue the matter further, you may represent to the Office of the Insurance
Ombudsman whose address is given below:

Office of the Insurance Ombudsman,

Fatima Akhtar Court, 4th Floor, 453,
Anna Salai, Teynampet,
CHENNAI - 600 018
044 - 24333668 / 24335284
bimalokpal.chennai@cioins.co.in

IRDA Regn.No.129
Corporate Identity Number L66010TN2005PLC056649
Email ID : info@starhealth.in
 STAR HEALTH AND ALLIED INSURANCE CO. Ltd.,
No.15, SRI BALAJI COMPLEX,1st FLOOR,WHITES
LANE,ROYAPETTAH,CHENNAI-600014.
Customer Care Number - 044 6900 6900 / Corporate Customers - 044 43664666
Chat - +91 9597652225, www.Starhealth.in
COPY TO : Area Office - Chennai
MKM Chambers, Ground Floor,,No.42, Kodambakkam High Road,,Nungambakkam, Chennai - 600 034.

This is an official system generated communication and does not require a signature.

IRDA Regn.No.129
Corporate Identity Number L66010TN2005PLC056649
Email ID : info@starhealth.in