The Madras High Court has ruled that a medical reimbursement claim cannot be rejected solely because the patient was treated in a non-network hospital. The court stated that the treatment decision should be based on medical grounds rather than the hospital’s network status. This decision could have implications for insurance companies and their reimbursement policies. The court’s ruling emphasizes the importance of focusing on the patient’s health and well-being rather than administrative considerations when processing medical claims.
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Can’t reject Medical Reimbursement Claim only because patient was treated in a non-network hospital: Madras HC
