BC
Barend C

1 reviews | Active since Mar 2011

05 Jul 2017, 13:40

No feedback on rejection of claim

<p>My son was born 22 Feb 2017, and was diagnosed with bil****y right after he was discharged from hospital. The hospital provided us with the treatment services of Billi Baby Phototherapy (Liebenberg AJF)and daily blood works that needed to be taken to check if he was recovering, which continued from the 25th to the 28th of February 2017. This was submitted to Bestmed per invoice 2016-314. However months later in May, Billi Baby contacts us to say only a small portion of the claim was paid. I checked on the Bestmed portal what was not paid, and the reference provided was code 184 - "Could be possible PMB... Please submit supporting documentation for PMB entitlement". However neither myself or Billi Baby nor the hospital ever received any communcation asking for additional information. </p> <p> </p> <p>Now what is really getting me angry is that when I sent Bestmed an email (ticket EA2ED4C599A44) on 23 June 2017 to ask what additional information they need, and when and to whom it was communicated, I don't receive any response. I resent my query on Monday 3 July 2017 again, but still no one has been in contact with me about why the claim was in fact rejected and what additional information was required.</p> <p> </p> <p>To me it looks like Bestmed doesn't want the supporting documentation (or to even aknowledge a total lack of communication), because that might result in them actually having to pay out for the claim. Will this result in feedback / the claim being processed? I hope so, otherwise I'm already looking to move my business elsewhere.</p>

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