cC
claasl C
1 reviews | Active since May 2016
10 Dec 2025, 17:16
Bad service Bestmed
I kindly request the processing of a claim (Monday, 24 November 2025) for pathology services rendered by Ampath (Drs Du Buisson, Kramer, Swart, Bouwer Inc.). Please find the details below: • Account Number: • Patient Name: Lourens Claassen • Service Provider: Ampath Pathology • Statement: Attached for your reference – Key in my ID Ampath has indicated that they comply with industry billing guidelines and have submitted the account for payment. Why is this not paid?
Helpful (0)
Replies (3)0
Replies (3)
Bestmed Medical Scheme's replyOfficial
12 Dec 2025, 11:54 Dear Lourens
Thank you for your message and for providing the details of your claim. Kindly be informed that pathology providers are paid twice a month, and the next payment run is at the end of this month.
The claim dated 24 November 2025 is currently awaiting payment and will be processed from the correct benefits and according to the applicable protocol during the next payment cycle.
Kind Regards
GM
Bestmed Medical Scheme's reply12 Dec 2025, 11:54
Official
Dear Lourens
Thank you for your message and for providing the details of your claim. Kindly be informed that pathology providers are paid twice a month, and the next payment run is at the end of this month.
The claim dated 24 November 2025 is currently awaiting payment and will be processed from the correct benefits and according to the applicable protocol during the next payment cycle.
Kind Regards
GM
cC
claasl C's updateReviewer Update
12 Dec 2025, 12:03Can you follow up why the following codes are not paid and who must provide the correct codes:
Please note that declined codes 4155, 4017, 4094, 4133, 4040, 4170, 4484, 3743, 3947 & 4109, are not available under the basket of care.
Please note that declined codes 4155, 4017, 4094, 4133, 4040, 4170, 4484, 3743, 3947 & 4109, are not available under the basket of care.
cC
claasl C's update12 Dec 2025, 12:03
Reviewer Update
Can you follow up why the following codes are not paid and who must provide the correct codes:
Please note that declined codes 4155, 4017, 4094, 4133, 4040, 4170, 4484, 3743, 3947 & 4109, are not available under the basket of care.
Please note that declined codes 4155, 4017, 4094, 4133, 4040, 4170, 4484, 3743, 3947 & 4109, are not available under the basket of care.
Bestmed Medical Scheme's replyOfficial
18 Dec 2025, 14:06 Dear Lourens
Thank you for your message. Please note that your query regarding the addition of codes to your existing treatment plan has been referred to the PMB Department. You will receive direct communication from the PMB team in due course.
Kind regards
GM
GM
Bestmed Medical Scheme's reply18 Dec 2025, 14:06
Official
Dear Lourens
Thank you for your message. Please note that your query regarding the addition of codes to your existing treatment plan has been referred to the PMB Department. You will receive direct communication from the PMB team in due course.
Kind regards
GM
GM