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K.S.CHAUDHARI
Sibaji Sen – Appellant
Versus
Oriental Insurance – Respondent


Advocates:
Counsel for the Parties:
For the Appellant:Mr. Sibaji Sen, In person with Sh. Shir Shankar Banerjee, Advocate Sh. Basabraj Chakraborty, Advocate
For the Respondent No.1:Mr. Randheer, Advocate
For the Respondent No. 2: Dr. Balraj Gupta, In person
For the Respondent No. 3:Ms. Malika Choudhari, Advocate.

ORDER

K.S. Chaudhari, Presiding Member—This appeal has been filed by the appellant against the order dated 6.1.2014 passed by the learned State Consumer Disputes Redressal Commission, Kolkata (in short, ‘the State Commission’) in Consumer Complaint No. 70/2013 – Sibaji Sen Vs. The Oriental Ins. Co. Ltd. & Ors. by which, application of OP No. 3 for deletion of his name was allowed.

2. Brief facts of the case are that complainant/appellant obtained medi-claim insurance from OP No. 1/Respondent No. 1 for a sum of Rs.2,00,000/-. On 10.3.2011, complainant became sick and was admitted in hospital of OP No. 3/Respondent No.3 and OP No. 3 / Respondent No. 3 applied on behalf of complainant to OP No. 2/Respondent No. 2 for obtaining cashless facility. Complainant was discharged on 30.3.2011 and OP No. 3 raised bill for Rs.1,84,104/-, but OP No. 1 & 2 paid only Rs.88,240/- and refused to pay balance amount as not reasonable or customary. It was further alleged that if bills raised by OP No. 3 were not reasonable or customary, he has right to claim the amount from OP No. 3. Alleging deficiency on the part of OPs filed complaint before State Commission for refund of aforesaid amount along with











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