1 reviews | Active since Apr 2012
Can't pay basic PMB claims
I am truly sick and tired having to spend my hard-earned money doing your job for you. <br> I had a CSection with pre-eclampsia last December. That, dear Bestmed, is a PMB, which means that according to the law, you pay it in full. Obviously this did not happen. Why you ask? Because the PMB was the second ICD10 code and apparently you can't read further than the first (the doctors room was speechless when I told them this). Then, you tell me to tell them to resubmit the claim (because my R5000 monthly fee isn't enough for you to pick up the phone and do it yourself) and when they do, you reject the claim saying you have received the claim before. Are you freaken kidding me??!! Easy as pie, Bestmed, you either get your affairs in order or I will be reporting you to the CMS for refusing to pay a PMB. Your bad service obviously knows no bounds.
Thank you for taking the time to bring your complaint to our attention. The contents have been noted and we are currently investigating the issue.
Please note that the complaint will be handled and responded to by an Escalation Specialist. If however, you need more information, do not hesitate to contact us.
Your wellbeing, as a valued client of the Scheme, is important to all of us at Bestmed.
With kind regards
Bestmed Medical Scheme
Thank you for taking the time to bring your complaint to our attention. The contents have been noted and we are currently investigating the issue.
Please note that the complaint will be handled and responded to by an Escalation Specialist. If however, you need more information, do not hesitate to contact us.
Your wellbeing, as a valued client of the Scheme, is important to all of us at Bestmed.
With kind regards
Bestmed Medical Scheme
