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An insurance company has rejected a claim as they advise there is conflicting information given by the GP.
They contacted the GP initially and according to their letter to me, they advised them that I had consulted with the current condition in a certain timespan and so was ineligible. However if their informaiton was wrong to obtain supporting evidence and they would reconsider.
I know I did not consult with him for this so I asked my GP to check the medical records, which they did and confirmed that I had definately not consulted any GP there for that condition during the period mentioned by them and that it had been newly diagnosed. They sent this letter to the insurers.
Now the insurers wont accept it as they say its conflicting information.
I do also have a medical report the GP filled out which states I have never consulted for that condition, and that I have not had any symptoms related to that condition in many years (pre-specified dates by insurance company).
That has just been sent off but im feeling really angry, and upset at the moment and dont know whether they will still refuse the claim...
An insurance company has rejected a claim as they advise there is conflicting information given by the GP.
They contacted the GP initially and according to their letter to me, they advised them that I had consulted with the current condition in a certain timespan and so was ineligible. However if their informaiton was wrong to obtain supporting evidence and they would reconsider.
I know I did not consult with him for this so I asked my GP to check the medical records, which they did and confirmed that I had definately not consulted any GP there for that condition during the period mentioned by them and that it had been newly diagnosed. They sent this letter to the insurers.
Now the insurers wont accept it as they say its conflicting information.
I do also have a medical report the GP filled out which states I have never consulted for that condition, and that I have not had any symptoms related to that condition in many years (pre-specified dates by insurance company).
That has just been sent off but im feeling really angry, and upset at the moment and dont know whether they will still refuse the claim...
Hello Jonesy,
Sorry to hear you are having trouble with them
So you pay out all of this money for nothing and they try any which way they can to wriggle out of it
Wait to see if they come to their senses after your last letter you sent them and if they don't well go for the jugular:grin:
If any of my posts are helpful, please feel free to click my scales. All information is given as my opinion only, based on my own personal experiences. I have no legal training, but have educated myself in aspects of consumer legislation. My motto "NEVER GIVE IN, NEVER SURRENDER", THERE IS A WAR ON YOU KNOW
Finally had a response yesterday, they have again denied the claim.
So despite my GP confirming in a letter to them that medical records were checked for the timespan they advise of and confirming I had not consulted with that condition wth any GP.
AND copy of a medical report advising I had never consulted with that condition, it was newly diagnosed, and I had no symptoms of that condition in over 5 years before the date I had been diagnosed with it.
They will not accept the claim...
You mention going for the jugular in your last post, can you please suggest the next steps
Finally had a response yesterday, they have again denied the claim.
So despite my GP confirming in a letter to them that medical records were checked for the timespan they advise of and confirming I had not consulted with that condition wth any GP.
AND copy of a medical report advising I had never consulted with that condition, it was newly diagnosed, and I had no symptoms of that condition in over 5 years before the date I had been diagnosed with it.
They will not accept the claim...
You mention going for the jugular in your last post, can you please suggest the next steps
Thanks very much!
Hello,
Well, they don't seem to be treating their customers fairly, now do they
Can you give a bit more background information regarding your insurance company.
Who are they??????
Are they the insurance underwriters for PPI on a loan or a credit card.
When was the insurance taken out??????
Any information would be useful
If any of my posts are helpful, please feel free to click my scales. All information is given as my opinion only, based on my own personal experiences. I have no legal training, but have educated myself in aspects of consumer legislation. My motto "NEVER GIVE IN, NEVER SURRENDER", THERE IS A WAR ON YOU KNOW
Can you type up their last letter and was it their final response to you.
Your options if they are refusing to cover you for this period of sickness is to go to the Financial Ombudsman Service for their investigation .
If any of my posts are helpful, please feel free to click my scales. All information is given as my opinion only, based on my own personal experiences. I have no legal training, but have educated myself in aspects of consumer legislation. My motto "NEVER GIVE IN, NEVER SURRENDER", THERE IS A WAR ON YOU KNOW
I havnt had a letter as of yet, it was advised over a phone call.
I best get in touch and ask them to detail the reasons why they are refusing in a letter along with copies of what they referred to in making their decision. And ask for it to be a final response then.
Will then get in touch with the Financial Ombudsman. Is that the only option available to me?
PPI claim rejected
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Re: PPI claim rejected
Originally Posted by joneseyblod
and they try any which way they can to wriggle out of it
and if they don't well go for the jugular:grin:
