1 reviews | Active since Aug 2023
DELAY TACTICS IN AUTHORIZING/DECLINING AUTHORIZATION
No star rating of -10, a star rating of one is extremely high for lack of service received.The worst of the bunch!!!! I have been awaiting an authorization for a procedure for close to two weeks. All required information sent as requested on August 23rd 2023 in order for it to be sent to the medical advisor. I am then informed the turnaround time is 24-72hrs. Friday 25th, I follow up again and I'm told it is moved to a different department for further review. Monday 28th, I am advised it is with the membership department for further review. Wednesday 30th I am told it is with the underwriters who will review the case on Thursday 31 August 2023 and provide feedback back to the membership department by COB that same day, however I will receive feedback whether approved or declined the following day. Thursday August 31 15:00 I follow up telephonically and I I'm told the medical advisor is requesting information which sent on August 23rd!!!! Now keep in mind the procedure is scheduled for September 1st 2023! I have expressed the date since following up on the 23rd of August.The underwriters/board supposedly only review cases on Thursdays , funny right as this will be well after the scheduled procedure. I find it quite disheartening that a week and half later my matter lies in limbo, not because of information not provided but because the medical advisor chose to ignore information provided. At this rate BestMed should actually decline the request so I can stop wasting my resources going on an endless chase for an authorization. Staff and/or departments have all failed dismally to take any accountability. The reviews are very telling, how we decided to proceed with this scheme boggles my mind!!!!
Kindly be informed that the admission case is currently being investigated by the clinical investigative officer for possible non-disclosure as part of Bestmed Managed Care admission protocol for members with less than 12 months membership with the scheme.
The case has been escalated for urgent finalization and feedback to you. We sincerely apologize for the delay and inconvenience caused.
I trust you will find this feedback useful. If, however, you need more information, or support from our Client Relations Communication Team, please do not hesitate to contact us again. Your wellbeing, as a valued client of the Scheme, is important to all of us at Bestmed.
With Kind Regards
Katlego Sithole
Kindly be informed that the admission case is currently being investigated by the clinical investigative officer for possible non-disclosure as part of Bestmed Managed Care admission protocol for members with less than 12 months membership with the scheme.
The case has been escalated for urgent finalization and feedback to you. We sincerely apologize for the delay and inconvenience caused.
I trust you will find this feedback useful. If, however, you need more information, or support from our Client Relations Communication Team, please do not hesitate to contact us again. Your wellbeing, as a valued client of the Scheme, is important to all of us at Bestmed.
With Kind Regards
Katlego Sithole
What is the standard turnaround time for an urgent escalation?
I need a response urgently as I need to make alternative arrangement and or cancel this membership.
What is the standard turnaround time for an urgent escalation?
I need a response urgently as I need to make alternative arrangement and or cancel this membership.
Your request has been evaluated and finalized.
Feedback has been sent accordingly.
Regards
Katlego Sithole
Your request has been evaluated and finalized.
Feedback has been sent accordingly.
Regards
Katlego Sithole
