In Tamil Nadu, CM’s health insurance policy claims continue to be denied on ‘flimsy grounds’
The HinduClaim denials on “flimsy grounds” under the Chief Minister’s Comprehensive Health Insurance Scheme remain a contentious issue for many government hospitals in Tamil Nadu. Documents accessed by The Hindu show that during 2024-2025, nearly 29,000 policy claims from various government hospitals amounting to around ₹36 crore were denied for reasons of delay in submission/re-submission/query response, discrepancy and liaison officer sign issues. “Claims should not be denied for reasons like mismatch in names and radiological images not clear,” another doctor said. “A simple spelling mistake in CMCHIS card and investigation reports also leads to denial.” If replies to queries are not within 48 hours, it is rejected, another doctor said, adding that the State government should conduct an audit of the claims rejected.
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