Dear Sir,
I had taken mediclaim policy from National Insurance, karol Bagh New Delhi.

I was hospitalised for Gall bladder removal surgery twice (first for laprotomy and secondly for open surgery ) as there were certain complication after ist surgery.

I submitted my claim to Insurance company. My claim was repudiated on the ground that the treatment was not taken in the listed hospitals.

I applied to OMBUDSMAN. During hearing, the Insurance company lawyer gave in writing that the company has repudiated the claim on the above mentioned ground and on the ground that I informed the TPA after 15 days ELSE THE Claim is payable.

The OMBUDSMAN rejected the Insurance co plea that it was informed late as it was a case of reimbursement. The ground of repudiation was also rejected and accordingly it awarded the judgement in my favour.

I have received the judgement copy also

I would like to have your kind advise as to whether the Insurance Company can appeal against the judgement and if yes, in which forum and how should I fight this case further.

Your advise is awaited.

Thanking you

Meenakshi