reject claim

After submitting all documents in the manner required to claim for a Accidentel hospital benefit,I was informed today 13/11/18 that the forms is incomplete. I immediately phoned The Unlimited to inquire about the missing documents because I made sure that everything was submitted. eg, Detailed computer generated hospital statement including treatment for every day in hospital. Police report, case number, bank statement, doctors report, copies of ID, Drivers license . reports from x-ray and radiology.

The reason for the incomplete claim are non of the above and not stated on the claim form. The Unlimited now wants a detailed letter from the doctor stating the initial diagnosis, final diagnosis and long term diagnosis and the reason why the length of admission was deemed necessary How am I suppose to know to submit above information if it is not requested in your claim form. This is not a non compliance but a change in contract and you are playing cat and mouse, not willing to deliver on your promise.

It is all in the documents I have submitted, Part of the claim form requests the initial and final diagnosis and was completed by the surgeon. The radiology report confirms the doctors diagnosis, treatment and length of stay. I hit a *** with a motorbike and what the bike did not hit, i did with my body. If you think 5 days for a tibia broken in 2 places and torn ligaments in the ankle is long, wait for my next claim. I was only released from hospital to recover for 2 more operations, One is a broken bone in m knee and the second is a crushed T12 vertebrae. If you want more detail you can phone the doctor yourself. like I told your telephone operator, even gave her the number but she was unwilling to comply. You are adding demands to your claim as you see fit. Not an ethical code of conduct.

Just like your company, there is another company going around phoning for customers called Legal and Tax. They will be contacting you soon