RS
Renatta S

1 reviews | Active since Sept 2019

10 Mar 2020, 10:17

Delay tactics not to pay out claims !!!!!!!!!

G Thavannarain : AMBL*** <QNO198220> In actual fact this organization does not even deserve 1 star as since we have been trying to put through a claim its been a ********** experience they drag through the process and then eventually repudiate as its past the normal 30 days period for the claim to be valid

I have been submitting requested documentation to this organization since September 2019 however we are constantly receiving(which seems to be a generic email) stating the exact same wording requesting the documentation again

I have all the correspondences and the times from my response to them reading and coming back to us.

This is totally unacceptable as this pertains to pensioners and they are not email savy. We have even requested a specific contact person which we could go through to their offices and meet with to conclude the matter however the response is always the same email ''Dear Glen Thavannarain,

REMINDER: OUTSTANDING REQUIREMENTS

POLICY NUMBER: AMBL***

QUERY NUMBER: QNO198220

Our records indicate that you have notified us of a claim, however, we have not received all the documentation to be able to process the claim. We have listed below the documents that have not as yet been provided:

Medical aid statement ( Detailed claims transaction history report for Dr Moodley )

Unfortunately, without this document(s) we will be unable to proceed with the assessment of your claim. Please could you send the document(s) to *** as soon as possible and quote your Query Number in the Subject line (eg. <QNO198220> - please ensure you also include < and > at the beginning and end of the number) or reply to this email.

Thanking you in advance.

Yours sincerely

CLAIMS DEPARTMENT '' © Copyright 2018 Ambledown. All Rights Reserved.

Why has no-one attempted to call us nor provided us with an actual person to call and resolve?

Drs have not been paid nor has lancet and there is now threats of legal action should this matter not be resolved within 7 working days i will be logging a complaint with the medical board and ombudsman

Renatta Singh (daughter of policy holder Glen Thavannarain ) *** /***

0
Replies (0)