求助,升级保险有好几条exclusion
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作者:frog2009 (等级:3 - 略知一二,发帖:437) 发表:2023-06-16 12:50:54  4楼 
请问有没有啥仲裁类型的部门可以咨询的
搜到这么一段,可以拿这些来施压吗?会有用吗?

Policyholders who feel their claims have been unfairly rejected and are unable to reach a satisfactory resolution with the insurer may file a claim for mediation or adjudication at the Financial Industry Disputes Resolution Centre (FIDReC). MOH has also established a Clinical Claims Resolution Process (CCRP) for Integrated Shield Plan claim disputes of a clinical nature, such as whether claims were unfairly rejected for medically appropriate treatment or procedures, or whether there was over-charging or over-servicing by medical practitioners.
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