[Resolved]  Indian Health Organisation [IHO] — claim status pending for since last 4 months.

Address:	Mumbai City, Maharashtra, 400062
Website:	iho.in

Hi,
My name is rajaram and i voicing my concern about the unprofessional behavior of iho and their affiliates like tpa and the insurence company.

My father had a policy with his and my mother as members in that policy.
In feb 2017 my father had a brain hemorrhage and hospitalized for 2.5 months with bill reaching as high as 20lakhs. He finally succumbed to that in april after which i helped my mother to put in a claim to get 2 lakhs which was as part of the iho policy.
Part of the money (6 lakh out of 20lakhs) was paid by my office which also covered my parents and my mother has put in additional claim of 2 lakhs via iho policy.

This claim process has been in process for last 4 months now with the tpa (Paramount tpa) asking newer documents one by one instead of providing a list of all the required documents for the process.

Tpa representatives have been providing false answers ever since and giving reasons like the bank details are not visible in a original check which was sent to them to delhi all the way from mumbai which is another headache the even though they have a local branch in thane (Mumbai).

In spite all these hurdles i have helped send all the documents they requested in last 4 months.
Now suddenly they are asking to provide an affidavit from my mom again asking me and my brother are ok with the money being sent to her account all this despite she being part of the policy and me and my bother not being part of that policy.

My case number for this is 3509255.

I have been trying to talk to the iho, tpa and both of them are pushing it on to the other saying u can talk to iho and iho says talk to tpa and tpa says talk to iho or insurance provider.
I dont know if this a ploy by both iho and tpa or dissuade the customer from taking the claim forward.

It feels like being cheated for paying for the policy for last 2 years without any claim.

We have 2 policies from iho in our house 1 policy for my father and mother only and other for my family only.

I hope someone take a note of this complain and can help my mother get her claim processed.

I can be reached on my email - [protected]@gmail.com
Regards,
Raj