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Aditya Birla Health Insurance - Lack of Transparency and Unexplained Deductions in Cashless Hospitalization Claim

Aditya Birla Health InsurancePC-2026-02756Insurance ClaimsAnonymous ·
A refund received, but the questions around my health insurance claim remain unanswered. I was admitted to Manipal Hospital, Dwarka, on 7 September 2026 and discharged on 11 September under the cashless facility with Aditya Birla Health Insurance. My hospitalization was processed under the cashless facility. After discharge, I had to pay ₹48,918 to the hospital from my own pocket and began following up with the insurer regarding the claim deductions and the amount payable under my policy. Aditya Birla subsequently communicated a customer liability of ₹33,816.75. Based on that figure, I requested clarification regarding the difference between the amount I paid and the stated liability, along with a detailed reassessment of the deductions applied to my claim. After repeated follow-ups, I have now received a reimbursement of ₹29,248 in my bank account. I acknowledge this payment, but my concerns regarding the claim deductions and their justification still need a clear, consolidated response. I have been seeking:n* An item-wise explanation of disputed deductions.n* The exact policy clauses supporting them.n* A transparent reconciliation of the amounts paid, deducted and reimbursed.n* Confirmation of whether my claim reassessment is complete. Here is the financial breakdown from my claim correspondence:nn• Hospital bill: ₹2,32,735n• Amount approved by the insurer: ₹1,73,612n• Total deductions reported: ₹59,123n• Amount paid by me to the hospital: ₹48,918n• Customer liability communicated by the insurer: ₹33,816.75n I paid ₹48,918 to the hospital, while the customer liability communicated to me was ₹33,816.75. I have requested a refund of the difference and which I received of ₹29,248. However, my concern goes beyond the refund. Despite multiple service requests, getting a clear answer has been challenging. A policyholder should not have to repeatedly chase different teams for transparency about their own claim. Mayank Bathwal, Sir, I request your intervention to ensure my case is reviewed end-to-end and all outstanding questions are addressed fairly. I am not asking for anything beyond a correct assessment under my policy, transparent communication and settlement of any amount found payable. Aditya Birla Health Group InsurancenMayank BathwalnAditya Birla Health Insurancen #AdityaBirlaHealthInsurance #HealthInsurance #ClaimSettlement #CustomerExperience #InsuranceClaim

Reference details

Hospital Bill
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Approved Amount
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Deductions Reported
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Out of Pocket Paid
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History

  1. Case filed

    System · 22 Oct 2026, 7:12 pm

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