AH
Anele H

1 reviews | Active since Feb 2015

21 Oct 2025, 14:48

Claims and refund issues

I have 2 issues with Ampath that I have repeatedly called them to try and resolve.

On the 6th Aug 2025 I paid for tests and bloods because they tried to claim from Discovery and they informed me I don't have daily savings available. I then swiped R3072.80. They gave me a proforma invoice which they attached my slip to. I later found out that they submitted a partial invoice that didn't show all the tests requested nor that I had paid, they then got paid by Discovery as well. They did not refund me as yet because of subsequent tests that I have had to do and they keep having to wait for those payments to be done by Discovery. However, after they receive the payment, there's radio silence. I have to then contact them to find out if it's being processed.

2ndly, the last test I had to do didn't have an icd10 code on the request form. Instead of asking me to ask my Dr or them call my Dr for the code, they submitted as is, resulting in my medical aid not paying from the appropriate basket (declining the claim due to daily savings being finished).

Yulandi has been difficult to engage with-she doesn't listen well, interrupts as you clarify, and doesn't follow up on and revert to concerns raised. I spoke to the manager today Tumelo, who seems to know what is happening and gives clearer explanations. So hopefully it will be resolved today. However, I am very unimpressed with Ampath. I used them because they are the closest lab to my specialists office. I have never encountered such inconvence with Lancet.

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Replies (2)
Ampath Laboratories (Pty) Ltd
Ampath Laboratories (Pty) Ltd's reply22 Oct 2025, 11:16
Official
 Good day Anele

Thank you for bringing this matter to our attention. We apologise for the unpleasant experience you had with us. We will investigate and inform you of our findings. 

Best regards,

AH
Anele H's update10 Nov 2025, 14:26
Reviewer Update
My case was eclscalated to manager Andrew Peterson, and
We had back and forth engagement, also involving my medical aid to correct the issues and it was eventually resolved.
Most of the stuff I have engaged with tried to be helpful, but I do think that there are systemic challenges that can be worked on so that customers aren't inconvenienced in the manner that I was.