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2024 Supreme(Online)(CAT) 12518

CENTRAL ADMINISTRATIVE TRIBUNAL
M.G.Sewlikar, Member (J)
Dr. Rajeshwar Uniyal – Appellant
Versus
Union of India – Respondent


Advocates:
For the Appellants/Petitioners: Ramesh Ramamurthy
For the Respondents: Dr. V.B.Joshi

Table of Content
1. applicant's kidney transplant medical history (Para 1 , 2 , 3)
2. applicant's claim for full reimbursement sans emergency certificate (Para 4 , 7)
3. respondents deny emergency, demand certificate and cghs rates (Para 5 , 8)
4. undisputed surgery; disputes on emergency certification (Para 10 , 11)
5. om 2009 eliminates essentiality/emergency certificate requirement (Para 12 , 13)
6. renal failure transplant justifies non-empanelled hospital (Para 14 , 15)
7. reimbursement based on treatment factum, not technicalities (Para 16 , 17 , 18)
8. rejects claims lacking supporting documents (Para 19)
9. grants partial relief with interest, no cghs impleadment (Para 20 , 21 , 22)

ORDER

The applicant filed this OA under Section 19 of the Administrative Tribunals Act, 1985 for seeking relief of quashing and setting aside the order dated 5th April, 2022 and direction to the respondents to pay the remaining balance medical expenses to the tune of Rs.7,53,197/- with interest @18% per annum.

2. Applicant’s case in brief is that he had joined the department of Indian Council of Agricultural Research (ICAR), Central Institute of Fisheries Education (CIFE) (respondent No.3) on 16th May, 1984

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