1. The appellant / Insurance Company has preferred the present appeal under S.15 of the Consumer Protection Act, 1986 against the order dated 9.7.2013, passed by the District Forum, Vikas Bhawan, I.P. Estate, New Delhi in Complaint case No. 1249 of 2010, titled as Sh. Amit Mittal v. National Insurance Co. Ltd. and Ors.' The appellant has prayed for setting aside the order dated 9.7.2013 passed by the Ld. District Forum.

2. Brief facts necessary for adjudication of this appeal are that the Respondent No. 1 / insured had purchased a Medi Claim Policy bearing No. 354500/48/09/8500000214 from the appellant / Insurance Company which was valid for the period 29.5.2009 to 28.5.2010. On 12.11.2009, the respondent No. 1 / insured had an accidental fall, leading to severe pain, swelling and instability in the left knee and for his treatment, the respondent No. 1 / insured got himself admitted to Artemis Health Institute, Gurgaon on 19.11.2009 and was discharged on 22.11.2009.

3. On 27.2.2010, the respondent No. 1 / insured raised a claim of Rs.88,067.00 with Respondent No. 2 / TPA. In reply to the claim, Respondent No. 2 / TPA vide their claim query letter dated 4.3.2010 called for some docu