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Aditya Birla Health Insurance left a wife's jaundice hospitalization claim unresolved despite a 67-page resubmission

Aditya Birla Health InsurancePC-2026-03302Insurance ClaimsAnonymous ·
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Unnecessary Delays, Repeated Queries & Lack of Accountability – Aditya Birla Health Insurance Company Limited I would like to publicly raise my serious concern regarding the handling of my wife's medical reimbursement claim following her hospitalization due to Stage 3 Jaundice. What should have been a straightforward reimbursement process has turned into an exhausting cycle of repeated queries, document resubmissions, and unexplained delays. To put the facts on record: Initial Rejection: The claim was initially rejected citing missing endorsement documents. Complete Documentation Submitted: The entire 67-page endorsement document was subsequently submitted as requested. Repeated & Unnecessary Query: A further query was raised regarding the doctor's consultation note, despite it already being part of the submitted endorsement document. Evidence Resubmitted: The relevant page containing the consultation note was specifically highlighted and resubmitted for the claims team's reference. Despite complying with the requirements and repeatedly following up, the claim remains unresolved. This is extremely disappointing and reflects a concerning lack of coordination and accountability in the claims-handling process. The situation has caused considerable inconvenience, unnecessary loss of time, and repeated follow-ups, especially since I am based in Gurgaon, while the hospital is located in Ahmedabad. Reference Details: CRM ID: 31138299 QMS ID: ****** I expect Aditya Birla Health Insurance to take the following actions without further delay: Immediate intervention by the designated corporate insurance representative or relationship manager to coordinate with the insurance company and resolve this matter. Written confirmation of whether any documents are genuinely pending. If additional documents are required, provide one consolidated and definitive checklist clearly explaining the requirement for each document. Confirm that all previously submitted documents, particularly the highlighted doctor's consultation note, have been reviewed and acknowledged. Ensure that no further repetitive queries are raised without first thoroughly reviewing the documents already submitted. Let me be very clear: Customers should not have to repeatedly submit the same documents or chase multiple teams to get a legitimate medical reimbursement claim processed. An insurance policy is meant to provide financial support during difficult medical situations, not create additional stress through an inefficient and repetitive claims process. I expect a clear written response, accountability from the concerned team, and time-bound resolution of this claim, rather than another routine query or generic response. Mayank Bathwal Ananya Birla Customer service and claim settlement accountability must be demonstrated through action, not just assurances. #AdityaBirlaHealthInsurance #HealthInsurance #ClaimSettlement #CustomerExperience #InsuranceGrievance #Accountability #ConsumerRights

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  1. Case filed

    Filer · 3 Nov 2026, 11:12 am

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  • Aditya Birla Health Insurance (via email)Company

    Received via email from the company's official address · Sender: abhi.service@abhiservice.adityabirlacapital.net.in

    Dear Customer, Thank you for reaching out to Aditya Birla Health Insurance Co. Limited. We acknowledge the receipt of your email. We have registered the same with us under Case No. 31742971 for your reference and are actively working on resolving your concern and You can track the status of your request through the Activ Health App. If you have not yet downloaded the app, please click on the following link: https://abhi.sng.link/Abhn4/s6jp/xobn. To enhance your experience, we have introduced a range of convenient services on the Activ Health App, including policy detail updates, claim submission and tracking, and easy access to policy documents - all at your fingertips. We request you to quote the above Case Number in for all future communications and to avoid raising duplicate or multiple requests of similar nature. Wishing you good health and prosperity. Stay Active, Stay Healthy Warm Regards, Customer Service Team Aditya Birla Health Insurance Co. Ltd. Click here to unsubscribe

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