Not hospital’s fault if insurance company does not reimburse claim on hyper-technical grounds
Issue -
February - 2025, Posted On: 01 February 2025
An interesting case was recently reported from a judgement pronounced by the Punjab State Consumer Commission.
The patient accidently fell at home and hence, was admitted to the hospital. Rotator cuff and bankart repair procedures were performed, and an implant was also used. The hospital provided treatment bill which included the implant cost. However, the patient demanded a separate bill for the implant, which the hospital refused.