Bima Lokpal — Pending claims against policy No. 530000/48/2016/507 issued by Oriental Insurance Co.

Address:	Mumbai City, Maharashtra, 302004
Website:	[email protected],, [email protected]

Sir, undersigned had taken hni policy bearing no. 530000/48/2016/507 issued by oriental insurance company in the name of kushagra sandeep singh parakh. After issuance of policy u/s was availing cashless benefit for first four months as my son was taking treatment for blood cancer (Hodgkin's lymphoma) but from july'16, cashless facility was withdrawn and tpia (Health india) asked undersigned to take reimbursement by submitting claims.

Duly completed claim forms (3 nos + 2 nos = total 05 nos) along with all relevent documents were submitted in the health india office at anand commercial compound, gandhi nagar, vikroli, mumbai in august and sept 2016. Thereafter, claim deficiencies as intimated by health india thru email, were taken care and all requisite documents were sent to tpia (Health india)

Inspite of elapse of more than 07 months time, claims of about rs.1.57 lac are still lying pending with health india / oriental insurance. On the contrary insurance company refuting claims stating that "on going treatment does not come under the scope of policy" so claim is repudiated by the tpa.