LJ
Lynne J

1 reviews | Active since Mar 2009

10 Mar 2024, 14:48

USELESS ***********, UNHELPFUL ACCOUNTS DEPARTMENT AND CUSTOMER SERVICE

Ampath - In the email I sent you on 1 March I warned you that I was going to do this. I have sent Ampath SIX emails: Dates being: 19 February ; 24 February; 26 February; 27 February; 28 February; 1 March 2024 telling them that my medical has rejected part of the claim and the reasons. I have also repeatedly asked Ampath to use the correct codes given by the doctor viz “S22.00 & W01.11. “As it is It is a legislative requirement that an external cause ICD10 code be included together with the primary treating code for injury related treatments.” Ampath can do nothing more that just print off the original account with the full amount owing and repeatedly resend it. They can’t even credit the account with the amounts paid to date. The claim has been yet again rejected by my medical aid, this time as a duplicate. This is due to Ampath’s GROSS *********** behavior. They cannot capture a correct date. The procedure was on the 9th of February, not the 8th. They cannot assist by resubmitting the claim to my medical aid with the correct requested codes and motivation, (Ampath you need to please add the W01.11. code please) Nor can Ampath capture a credit for the amount paid to date and show the correct amount due. They resubmit the full original amount to my medical aid so it bounces back as a duplicate. Ampath are incapable of sending me a proper response other than “We acknowledge receipt of your enquiry and confirm that it has been referred to the relevant division for attention, action and feedback.” or a link to their website. And, then they send me yet another statement for the full amount. Could Ampath please resubmit to my medical aid with motivation for the new codes viz S22.00 & W01.11 and show the amount outstanding as R920.10 and not R2997. I know I agreed to pay Ampath for any shortfall but I don’t think it is fair to have to pay Ampath when I have a medical aid that is willing to pay provided they are billed by the service provider correctly. The shortfall to date is due to nothing more than Ampath’s incompetence and unhelpful behavior.

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Replies (1)
Ampath Laboratories (Pty) Ltd
Ampath Laboratories (Pty) Ltd's reply11 Mar 2024, 11:17
Official
Hi Lynne. Our sincere apologies for this experience. Let us escalate this to the relevant team for further support and resolution.