"STALE CLAIM"

On 25/09/2017 I called the ambulance as my husband was having a seizure. The ambulance arrived and transported him to the hospital. We have not heard a single thing from Netcare or Medical Aid regarding any bill until yesterday when netcare emailed the bill.

Netcare tells us that they submitted the claim Europ Assistance - See below follow up from Netcare:

"Dear Pam

Thank you for your email.

As per your scheme’s rules, we are not allowed to submit claims directly to Imperial Med.

As per their prescribed protocol, we submitted the claim to Europ Assistance in October 2017. Europ Assistance is responsible for assessing the claim and then submitting to your medical aid.

In November 2017 Europ Assistance informed us your claim was still to be processed.

In December 2017 Europ Assistance informed us they had not received the claim.

In January 2018 the claim was sent to Europ Assistance again. (Still within the 120 day submission period)

Kindly contact Europ Assistance directly to query why the claim had turned stale before they submitted it to the medical aid."

So tell me Europ Assitance - Who is going to be forking out the R3000 bill? Surely this is not our problem ????? Husband ID 881 ********** 084