Author: Dr. Samim Ahmed

Auditor - Checkers and Trackers Consultancy Services Pvt. Ltd.

The policy under review was a ported health insurance policy with an inception date of 14 August 2025, with no exclusions and no pre-existing disease declared. The insured, referred to as Mr. A for confidentiality, is a practicing doctor in a reputed city, and his wife, Dr. B, is also a medical professional. As per the allocation attachment, the date of admission was 20 September 2025 at 11:30 a.m. for a planned URSL (Ureteroscopic Lithotripsy) with DJ stenting on the left side for left renal calculus. The first diagnostic document submitted was an ultrasonography report dated 18 September 2025. This…

Read More