Author: Dr. Bhavna Rajput

Location: an eastern state of IndiaPatient / Insured: Mr. XHospital Involved: Hospital A (Tier-2 City)Claim Type: Cashless (Corporate Policy) Reported Diagnosis:Critical Septicemia with Acute Gastroenteritis, Lower Respiratory Tract Infection (LRTI), and Electrolyte Imbalance The Setup: A “Life-Threatening” Medical Emergency On 08 November 2025, a cashless hospitalization request was raised for Mr. X, claiming that he was suffering from a severe, life-threatening illness. As per hospital records, Mr. X had been experiencing high-grade fever with rigor, repeated vomiting, loose motions, generalized weakness, and restlessness for several days. The clinical documentation described Mr. X as being in a critical condition. Based on…