bR
boitumelo R
1 reviews | Active since Jun 2013
01 Mar 2023, 08:23
COMPLAIN
I WOULD TO SAY THE LIVE CHAT AGENTS ARE USELESS AND WASTE TIME WHEN YOU CHAT TO THEM YOU WILL GIVE THEM THE WHOLE INFORMATION BUT THEY STILL COME AND YOU THE SAME QUESTION, I SPOKE TO 2 AGENTS SO FAR MATHABO AND KEA AND I WONT LIE THEIR SERVICE IS BAD AND THEY DO NOT READ WHAT YOU SENT TO THEM THEY ARE TOO QUICK TO ANSWER
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Replies (2)bR
boitumelo R's updateReviewer Update
01 Mar 2023, 08:38JUST TO ADD ON THE COMPLAIN THE RUDE PERSON BY THE NAME OF KEA *** SHE EVEN LEFT THE CHAT WITHOUT ASKING ME IF I HAVE ANOTHER MEDICAL AID AND I HAD MORE THAN ONE MEDICAL AID HERE ARE TRHE CHATS BETWEEN THE 2 OF US
BoitumeloHi
Chat started
Kea joined the chat
Keahi Boitumelo
how are u doing
BoitumeloI am good and you kea?
Keahi Boitumelo
BoitumeloI would like to do a follow-up on a claim that was sent for PMB review
Keai am doing well thank u very much for asking
BoitumeloDr practice no: ***, medical aid no: ***0, DOS: 24/12/2022 - 06/01/2023
Kea1 moment
BoitumeloThank
Keaclaims paid on 07/02/23 at scheme rates
BoitumeloThat I am aware of but we have sent the account to be reviewed as PMB on the 14/02/2023
I am not sure if you did read the whole message I sent to say the account was sent for PMB review
Keai see the pmb for 24/12/22 - 06/01/23
amount R11,900.00
BoitumeloAnd what is the feedback don t tell me about claim being paid at scheme rate that i know
WHAT ABOUT AN AMOUNT OF R11900.00?
Keaamount R11,900.00 is paid from pmb i am not telling you about scheme rates on the pmb payment made
Boitumeloand what is the reason for the short fall from PMB because the total amount that was sent is R13557.60
KEA I JUST FEEL LIKE YOU NOT GIVING THE WHOLE INFORMATION I NEED TO KEEP ASKING YOU, SO WHEN IS THE R11900.00 PAID
Kea
***.pdf
17.7 KB
please find the remit for pmb payment above
claim paid on ***3
BoitumeloAND WHAT IS THE REASON FOR THE SHORTPAID AMOUNT???????????????????????????
I AM TELLING YOU WE SENT AN AMOUNT OF R13557.60 AND YOU SAYING ONLY R11900.00 SO WHAT IS THE UREASON FOR THE SHORT PAID AMOUNT
Kea1 moment
as per pmb details listed the pmb department approved R11,900.00 no other notes listed, should u dispute send email request to *** for review and feedback
BoitumeloKEA PLEASE ESCALLATE THIS BACK TO PMB DEPARTMENT AND ASK WHY THERE IS SHORTPAFF AND PROVIDE ME WITH REF NO THANK YOU
Keakindy email pmb
with reasons for short payment for review
ref ***
BoitumeloTHAT HAS NEVER HAPPENED KEA SENT THIS BACK TO PMB DEPARTMENT AND ASK THE REASON FOR SHORFALL
BoitumeloHi
Chat started
Kea joined the chat
Keahi Boitumelo
how are u doing
BoitumeloI am good and you kea?
Keahi Boitumelo
BoitumeloI would like to do a follow-up on a claim that was sent for PMB review
Keai am doing well thank u very much for asking
BoitumeloDr practice no: ***, medical aid no: ***0, DOS: 24/12/2022 - 06/01/2023
Kea1 moment
BoitumeloThank
Keaclaims paid on 07/02/23 at scheme rates
BoitumeloThat I am aware of but we have sent the account to be reviewed as PMB on the 14/02/2023
I am not sure if you did read the whole message I sent to say the account was sent for PMB review
Keai see the pmb for 24/12/22 - 06/01/23
amount R11,900.00
BoitumeloAnd what is the feedback don t tell me about claim being paid at scheme rate that i know
WHAT ABOUT AN AMOUNT OF R11900.00?
Keaamount R11,900.00 is paid from pmb i am not telling you about scheme rates on the pmb payment made
Boitumeloand what is the reason for the short fall from PMB because the total amount that was sent is R13557.60
KEA I JUST FEEL LIKE YOU NOT GIVING THE WHOLE INFORMATION I NEED TO KEEP ASKING YOU, SO WHEN IS THE R11900.00 PAID
Kea
17.7 KB
please find the remit for pmb payment above
claim paid on ***3
BoitumeloAND WHAT IS THE REASON FOR THE SHORTPAID AMOUNT???????????????????????????
I AM TELLING YOU WE SENT AN AMOUNT OF R13557.60 AND YOU SAYING ONLY R11900.00 SO WHAT IS THE UREASON FOR THE SHORT PAID AMOUNT
Kea1 moment
as per pmb details listed the pmb department approved R11,900.00 no other notes listed, should u dispute send email request to *** for review and feedback
BoitumeloKEA PLEASE ESCALLATE THIS BACK TO PMB DEPARTMENT AND ASK WHY THERE IS SHORTPAFF AND PROVIDE ME WITH REF NO THANK YOU
Keakindy email pmb
with reasons for short payment for review
ref ***
BoitumeloTHAT HAS NEVER HAPPENED KEA SENT THIS BACK TO PMB DEPARTMENT AND ASK THE REASON FOR SHORFALL
bR
boitumelo R's update01 Mar 2023, 08:38
Reviewer Update
JUST TO ADD ON THE COMPLAIN THE RUDE PERSON BY THE NAME OF KEA *** SHE EVEN LEFT THE CHAT WITHOUT ASKING ME IF I HAVE ANOTHER MEDICAL AID AND I HAD MORE THAN ONE MEDICAL AID HERE ARE TRHE CHATS BETWEEN THE 2 OF US
BoitumeloHi
Chat started
Kea joined the chat
Keahi Boitumelo
how are u doing
BoitumeloI am good and you kea?
Keahi Boitumelo
BoitumeloI would like to do a follow-up on a claim that was sent for PMB review
Keai am doing well thank u very much for asking
BoitumeloDr practice no: ***, medical aid no: ***0, DOS: 24/12/2022 - 06/01/2023
Kea1 moment
BoitumeloThank
Keaclaims paid on 07/02/23 at scheme rates
BoitumeloThat I am aware of but we have sent the account to be reviewed as PMB on the 14/02/2023
I am not sure if you did read the whole message I sent to say the account was sent for PMB review
Keai see the pmb for 24/12/22 - 06/01/23
amount R11,900.00
BoitumeloAnd what is the feedback don t tell me about claim being paid at scheme rate that i know
WHAT ABOUT AN AMOUNT OF R11900.00?
Keaamount R11,900.00 is paid from pmb i am not telling you about scheme rates on the pmb payment made
Boitumeloand what is the reason for the short fall from PMB because the total amount that was sent is R13557.60
KEA I JUST FEEL LIKE YOU NOT GIVING THE WHOLE INFORMATION I NEED TO KEEP ASKING YOU, SO WHEN IS THE R11900.00 PAID
Kea
***.pdf
17.7 KB
please find the remit for pmb payment above
claim paid on ***3
BoitumeloAND WHAT IS THE REASON FOR THE SHORTPAID AMOUNT???????????????????????????
I AM TELLING YOU WE SENT AN AMOUNT OF R13557.60 AND YOU SAYING ONLY R11900.00 SO WHAT IS THE UREASON FOR THE SHORT PAID AMOUNT
Kea1 moment
as per pmb details listed the pmb department approved R11,900.00 no other notes listed, should u dispute send email request to *** for review and feedback
BoitumeloKEA PLEASE ESCALLATE THIS BACK TO PMB DEPARTMENT AND ASK WHY THERE IS SHORTPAFF AND PROVIDE ME WITH REF NO THANK YOU
Keakindy email pmb
with reasons for short payment for review
ref ***
BoitumeloTHAT HAS NEVER HAPPENED KEA SENT THIS BACK TO PMB DEPARTMENT AND ASK THE REASON FOR SHORFALL
BoitumeloHi
Chat started
Kea joined the chat
Keahi Boitumelo
how are u doing
BoitumeloI am good and you kea?
Keahi Boitumelo
BoitumeloI would like to do a follow-up on a claim that was sent for PMB review
Keai am doing well thank u very much for asking
BoitumeloDr practice no: ***, medical aid no: ***0, DOS: 24/12/2022 - 06/01/2023
Kea1 moment
BoitumeloThank
Keaclaims paid on 07/02/23 at scheme rates
BoitumeloThat I am aware of but we have sent the account to be reviewed as PMB on the 14/02/2023
I am not sure if you did read the whole message I sent to say the account was sent for PMB review
Keai see the pmb for 24/12/22 - 06/01/23
amount R11,900.00
BoitumeloAnd what is the feedback don t tell me about claim being paid at scheme rate that i know
WHAT ABOUT AN AMOUNT OF R11900.00?
Keaamount R11,900.00 is paid from pmb i am not telling you about scheme rates on the pmb payment made
Boitumeloand what is the reason for the short fall from PMB because the total amount that was sent is R13557.60
KEA I JUST FEEL LIKE YOU NOT GIVING THE WHOLE INFORMATION I NEED TO KEEP ASKING YOU, SO WHEN IS THE R11900.00 PAID
Kea
17.7 KB
please find the remit for pmb payment above
claim paid on ***3
BoitumeloAND WHAT IS THE REASON FOR THE SHORTPAID AMOUNT???????????????????????????
I AM TELLING YOU WE SENT AN AMOUNT OF R13557.60 AND YOU SAYING ONLY R11900.00 SO WHAT IS THE UREASON FOR THE SHORT PAID AMOUNT
Kea1 moment
as per pmb details listed the pmb department approved R11,900.00 no other notes listed, should u dispute send email request to *** for review and feedback
BoitumeloKEA PLEASE ESCALLATE THIS BACK TO PMB DEPARTMENT AND ASK WHY THERE IS SHORTPAFF AND PROVIDE ME WITH REF NO THANK YOU
Keakindy email pmb
with reasons for short payment for review
ref ***
BoitumeloTHAT HAS NEVER HAPPENED KEA SENT THIS BACK TO PMB DEPARTMENT AND ASK THE REASON FOR SHORFALL
Bestmed Medical Scheme's replyOfficial
01 Mar 2023, 12:05Dear Boitumelo,
We sincerely apologize for the inconvenience caused.
I have escalated the case to the Quality Assurance department and the client service supervisor for investigation and training so that we better our service to you.
The PMB claim inquiry has been escalated to the PMB department for evaluation and assistance regarding the shortfall.
Regards
Katlego Sithole
We sincerely apologize for the inconvenience caused.
I have escalated the case to the Quality Assurance department and the client service supervisor for investigation and training so that we better our service to you.
The PMB claim inquiry has been escalated to the PMB department for evaluation and assistance regarding the shortfall.
Regards
Katlego Sithole
Bestmed Medical Scheme's reply01 Mar 2023, 12:05
Official
Dear Boitumelo,
We sincerely apologize for the inconvenience caused.
I have escalated the case to the Quality Assurance department and the client service supervisor for investigation and training so that we better our service to you.
The PMB claim inquiry has been escalated to the PMB department for evaluation and assistance regarding the shortfall.
Regards
Katlego Sithole
We sincerely apologize for the inconvenience caused.
I have escalated the case to the Quality Assurance department and the client service supervisor for investigation and training so that we better our service to you.
The PMB claim inquiry has been escalated to the PMB department for evaluation and assistance regarding the shortfall.
Regards
Katlego Sithole