28 November 2023
I availed medical insurance facility for Knee replacement of my mother. Cashless claim was settled at the time of discharge from hospital. However, physiotherapy is required post discharge. And it was done at my home by a local physiotherapy clinic. The clinic is Unregistered with GST. For claiming this expense from Insurance company, I had submitted payment proofs (Partly UPI and Partly Cash) by way of handwritten acknowledgment on the Clinic letterhead stating payment amount and date of payment. Insurance Company has denied the claim stating they require proper bill. The clinic is willing to give me invoice but I anticipate the insurance company will deny it saying that these are back dated invoices. By now they know that the clinic doesnt give invoice bcus acknowledgement on letterhead was an alternate to invoice in the first place. What are my options ?