bS
barend S

1 reviews | Active since Mar 2009

27 Dec 2015, 11:04

Bankmed useless

We submitted to you on the 15th of December in good time a claim and proof of payment for services rendered by a Dr. Your call centre agent had to be prompted and quite frankly be coaches on what to do when I queries why you have not yet paid this claim. I can see on the app that you have still not admittes the claim. This is unacceptable. Second issue is I noticed that some blood tests is declined for services rendered and the reject reason is that our baby is not registered. Well open your eyes and check, he is registered and if not immediately because you are slow as hell, you can think for yourself that he would.

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Replies (1)
Bankmed
Bankmed's reply28 Dec 2015, 15:39
Official
Hello b****303,

Thank you for your comment.

The account for Dr Van Der Walt for services rendered 14 December 2015 has been approved for a refund.

The amount of R 3785.00 will be refunded on 01 January 2016 and payment will reflect three to four work days later.

The amount which is to be refunded is paid at 125% of the Scheme rate for specialist procedures for non-contracted specialists.

A claims statement will be forwarded after the payment run to confirm the refund made.

The pathology account dated 14 December 2015 for Mason has been reprocessed and the amount of R 255.80 is approved for the next payment run which takes place on 08 January 2016.

The amount confirmed will be paid directly to the service provider and a claims statement will be sent after the payment run which serves as proof of payment.

Please do not hesitate to contact our Customer Services Department on ***3 or by e-mail on *** should you require further assistance. We look forward to being of service to you.

Kind regards

Melanie Petersen
CUSTOMER LIAISON OFFICER
BANKMED