L
Lehlohonolo
1 reviews | Active since Jul 2023
10 Aug 2023, 08:33
I contacted Affinity on July 7th querying a rejected claim
I contacted Affinity on July 7th querying a rejected claim. The consultant told me she would resubmit the claim ad an incorrect rejection code was used and the matter would be resolved in 30 working days. Today i follow-up and I am told that the doctor needs to resubmit the claim as they had used an incorrect dependant code. 1. Why am I getting different stories? 2. Why was I not told that the doctor needed to resubmit because I would have asked them to do so? I am now sitting with a bill from 25 May 2023. And my sister cannot be seen by the doctor until this is sorted.
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Replies (2)Affinity Health's replyOfficial
10 Aug 2023, 08:38Good Day Lehlohonolo,
Thank you for raising your concerns with us, please note that this matter will be escalated to the Complaints Team for further investigation. Feedback will be communicated in due course.
Best regards,
Affinity Health Management Team
Thank you for raising your concerns with us, please note that this matter will be escalated to the Complaints Team for further investigation. Feedback will be communicated in due course.
Best regards,
Affinity Health Management Team
Affinity Health's reply10 Aug 2023, 08:38
Official
Good Day Lehlohonolo,
Thank you for raising your concerns with us, please note that this matter will be escalated to the Complaints Team for further investigation. Feedback will be communicated in due course.
Best regards,
Affinity Health Management Team
Thank you for raising your concerns with us, please note that this matter will be escalated to the Complaints Team for further investigation. Feedback will be communicated in due course.
Best regards,
Affinity Health Management Team
Affinity Health's replyOfficial
15 Aug 2023, 10:04Good Day Lehlohonolo,
We can confirm that a Complaints Officer has been in contact with you to discuss the above concerns raised and to further assist.
We can further confirm that email communication was sent through and that the claim has been paid.
Best regards
Affinity Health Management Team
We can confirm that a Complaints Officer has been in contact with you to discuss the above concerns raised and to further assist.
We can further confirm that email communication was sent through and that the claim has been paid.
Best regards
Affinity Health Management Team
Affinity Health's reply15 Aug 2023, 10:04
Official
Good Day Lehlohonolo,
We can confirm that a Complaints Officer has been in contact with you to discuss the above concerns raised and to further assist.
We can further confirm that email communication was sent through and that the claim has been paid.
Best regards
Affinity Health Management Team
We can confirm that a Complaints Officer has been in contact with you to discuss the above concerns raised and to further assist.
We can further confirm that email communication was sent through and that the claim has been paid.
Best regards
Affinity Health Management Team
