RM
Rughshana M

1 reviews | Active since Mar 2009

08 Mar 2017, 09:00

Poor Service and Non-settlement of Claims

<p>I have been authed by the member to reconcile her medical aid bills. I queried a PMB Gynae hospital claim for 2 ********** that was shortpaid. They authorised it to be paid at cost as involuntary use on a non-DSP. The 2016 portion was then reprocessed at cost but not the 2017 portion However, after logging numerous queries to get the claims reprocessed it has still not been done. The calls take me 20-40 minutes each time just for them to investigate and tell me the same story. I keep on getting empty promises that it will be done in 2-3 days with the promise to call me once done. They keep on advising they logging a claims enquiry to have it reprocessed, Its never reprocessed and no one ever follows up or calls me back and i have to call and log a new enquiry. Its unacceptable to battle with Bankmed each week and still theres no resolution. </p>

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Replies (1)
Bankmed
Bankmed's reply13 Mar 2017, 11:38
Official

Dear Rughshana

Thank you for allowing us to look into the matter for you.

We have confirmed that you have been contacted and your concerns are being addressed. We are still working on the last claim and feedback will be provided to you regarding the claim soonest.

Regards

Bankmed Servicing Team