1 reviews | Active since Oct 2016

27 Oct 2016, 12:37

Claim not processed in over a month

<p>I am very disappointed with the service I have received from Affinity Health. I have never defaulted on payments, ever but Affinity has failed to pay out a claim I submitted in August 2016. I submitted a claim with all the relevant documents for a claim for a doctor's appointment who is outside the affinity network. I got an instant reply confirming they had received my documents and the claim would take up to 30 days. It is now 27 October 2016, over a month since I put in the claim and still no response or feedback. I have called the call centre and the agents have just given me the runaround. I have been told by agents that I would get call backs telling me how far they are with the claim and I have received nothing. Very disappointing, indeed.</p>

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Replies (1)
Affinity Health
Affinity Health's reply27 Oct 2016, 13:10
Official

Good day Pumza,

Thank you for bringing your concern to our attention.

We apologize for the delay of payment relating to your claim. We make every effort to maintain good communication with all our members and find it disturbing to read that you are still waiting for us to make contact with you.

We will certainly look into this as a matter of urgency in order to provide you with the necessary feedback.

A complaints officer will be in contact with you shortly to assist.

Kind regards

Affinity Health Management Team