AS
Aschwyn S

1 reviews | Active since Jun 2013

04 Jul 2023, 09:33

Poor Claims Service

I have been with this medical insurance for well over a year now - first they refuse to authorize a procedure - the after the year period has been done they authorize it, and now when it is time to pay the doctor they ask for for invoice after invoice, yet they have paid the very doctor before. How difficult can it be to do a EFT payment for something that has been approved. I am dealing with a lady by the name of Menzelwa, who has been asking me for 2 weeks for an invoice which I have provided to her twice already - the procedure took place on the 06-06-2023, it is a month later and I am still having back on forth on a payment of R6200. Please can this be settled

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Replies (2)
Affinity Health
Affinity Health's reply04 Jul 2023, 09:36
Official
Good day Aschwyn,

Thank you for voicing your frustrations to us, kindly note that this matter will be relayed to the Complaints Team for further investigation and assistance.

Kind regards
Affinity Health Management Team 
Affinity Health
Affinity Health's reply07 Aug 2023, 12:17
Official
Good day Aschwyn,

We can confirm that the Complaints Team has been in constant communication with you, keeping you updated on your claim.

We can further confirm that the claim in question was paid and the proof of payment was sent to you via email.

Should you require any further assistance, please let us know.

Best regards,
Affinity Health Management Team