On 14th March 2025, a doctor from Ahmedabad had to make a medical claim under his health insurance plan from ICICI Lombard. It was a regular reimbursement. Everything was submitted, the claim was processed, but ₹3,648 was missing from the settlement. It was a small amount, but it was his money. The doctor’s son noticed the shortfall and reached out to CoverYou on 4th April 2025 to help resolve the issue. That one call made the difference.
What was the issue?
The insurance company had already processed an earlier claim, but ₹3,648 was left unpaid. They said the bills for that part of the amount weren’t received. But the family had the bills. They just weren’t submitted at the right time.
What CoverYou did
After speaking with the client, CoverYou began working on the case the same day. The team sent an email to ICICI Lombard asking to reopen the claim. This time, they also attached the bills that were missed earlier. There was no need for an argument. Just clear steps and communication. You stayed in touch with the insurance company and followed up regularly. Every time there was an update from ICICI, it was shared with the client. On 12th April 2025, ICICI Lombard confirmed that the remaining amount had been approved. By 13th April, the money was credited.
Final Claim status
The claim was filed under an individual health policy issued by ICICI Lombard, bearing claim number 220101304836-2. The amount requested was ₹3,648, which was also the final approved amount. The claim was settled through reimbursement, and the amount was credited on 13th April 2025.
Why this Case matters
The amount was small. But for the family, it was about being treated fairly. It was about getting back what was rightfully theirs. Sometimes insurance companies don’t decline
claims, but they cut amounts quietly. In this case, the family didn’t ignore it, and CoverYou helped them claim it back.
