MJ
Mario J
1 reviews | Active since Mar 2018
25 Feb 2025, 08:42
Delayed Claim Reimbur*****ts
I have submitted a reimbur*****t refund claim to Affinity for an Out-of-hospital specialist visit on 22 November 2024. I received confirmation on the 10th of December 2024 that the claims have been completed and will take 30 days to be finalized. I have contacted them since and was told that the claim is in its final processing stages. The 30-day processing lapsed on 21 February 2025 and still, they are preaching the same "The claim is in its final processing stages" Nikita told me that they have started making use of an external service provider to disburse these claims and have been experiencing delays and there is a backlog but it can be fast-tracked but I have not received that option.
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Replies (4)
Affinity Health's replyOfficial
25 Feb 2025, 08:52Dear Mario,
Thank you for taking the time to raise your concerns with us, here, on Hello Peter.
We do sincerely apologise for any delays and the inconvenience this has caused. The above will be referred to our Complaints Department for further investigation.
Warm regards,
Affiinity Health Management Team.
Thank you for taking the time to raise your concerns with us, here, on Hello Peter.
We do sincerely apologise for any delays and the inconvenience this has caused. The above will be referred to our Complaints Department for further investigation.
Warm regards,
Affiinity Health Management Team.
Affinity Health's reply25 Feb 2025, 08:52
Official
Dear Mario,
Thank you for taking the time to raise your concerns with us, here, on Hello Peter.
We do sincerely apologise for any delays and the inconvenience this has caused. The above will be referred to our Complaints Department for further investigation.
Warm regards,
Affiinity Health Management Team.
Thank you for taking the time to raise your concerns with us, here, on Hello Peter.
We do sincerely apologise for any delays and the inconvenience this has caused. The above will be referred to our Complaints Department for further investigation.
Warm regards,
Affiinity Health Management Team.
MJ
Mario J's updateReviewer Update
25 Feb 2025, 09:00Thank you so much for the prompt response, I have always received the best service at Affinity Health until I had this claim. I just needed a clear directive from your Claims team but they have not been very forthcoming since I have been calling numerous times
MJ
Mario J's update25 Feb 2025, 09:00
Reviewer Update
Thank you so much for the prompt response, I have always received the best service at Affinity Health until I had this claim. I just needed a clear directive from your Claims team but they have not been very forthcoming since I have been calling numerous times
Affinity Health's replyOfficial
25 Feb 2025, 09:24Dear Mario,
We understand how this situation might have left a negative impression, and we truly regret that it did.
Please note that the Complaints Department will investigate whats has transpired .
Warm regards,
Affiinity Health Management Team.
We understand how this situation might have left a negative impression, and we truly regret that it did.
Please note that the Complaints Department will investigate whats has transpired .
Warm regards,
Affiinity Health Management Team.
Affinity Health's reply25 Feb 2025, 09:24
Official
Dear Mario,
We understand how this situation might have left a negative impression, and we truly regret that it did.
Please note that the Complaints Department will investigate whats has transpired .
Warm regards,
Affiinity Health Management Team.
We understand how this situation might have left a negative impression, and we truly regret that it did.
Please note that the Complaints Department will investigate whats has transpired .
Warm regards,
Affiinity Health Management Team.
Affinity Health's replyOfficial
07 Mar 2025, 13:44Dear Mario,
We can confirm that you have been contacted by a Complaints Officer with regards to the concern raised above.
Thanking you,
Affiinity Health Management Team.
We can confirm that you have been contacted by a Complaints Officer with regards to the concern raised above.
Thanking you,
Affiinity Health Management Team.
Affinity Health's reply07 Mar 2025, 13:44
Official
Dear Mario,
We can confirm that you have been contacted by a Complaints Officer with regards to the concern raised above.
Thanking you,
Affiinity Health Management Team.
We can confirm that you have been contacted by a Complaints Officer with regards to the concern raised above.
Thanking you,
Affiinity Health Management Team.