Why are the policy claims under Chief Minister’s Comprehensive Health Insurance Scheme being denied on 'flimsy grounds'

There have been reports of policy claims under the Chief Minister’s Comprehensive Health Insurance Scheme being denied on 'flimsy grounds'. Explore the reasons behind this issue.
1. Lack of clarity in policy guidelines: Due to ambiguous or unclear policy guidelines, insurance claims may be denied on flimsy grounds. 2. Incorrect documentation: If required documents are not submitted properly or are incomplete, it can lead to claim denial. 3. Pre-existing conditions: Some claims may be denied based on pre-existing conditions not being disclosed or documented correctly. 4. Misinterpretation of policy terms: Claims may be denied due to misinterpretation of certain clauses or terms in the policy. 5. Lack of communication: Insufficient communication between healthcare providers, policyholders, and insurance companies can result in denial of legitimate claims.
Answered 2 months ago
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