Worse feedback

<p>My daugther went in for an opperation on the 01/11/2016. I phoned for pre authorisation on the 04/10/2016 and asked the lady if the opperation will be paid in full as this is a PMB condition.</p> <p> </p> <p><br />I received the account from the dr that only R3300 was paid of the account.</p> <p> </p> <p>I contacted bestmed and asked them why there was only R3300 paid of the account and they informed me that the dr that operated on my daughter was not one of the prevered providers dr list that they work with on bestmed, shocked I asked the lady but nobody informed me about this and she then said that they have informend the members last year May (2016) I informed her that i never received that communication and not aware of this change. I then requested that they can pull the recording of the conversation because according to Sherina it was recored on the system that the lady that gave me the pre- authorisation number did informe me that the Dr is not on the list and that is not true. She also said that i will receive feedback in 2 days with regards to this query(this was on the 7th ref number ********** 1) I phoned back on the 9th ( ********** 1) asking for feedback and the gentelman that was on the phone Morne said that there was no feedback and that his team leader Meriechen said that they send out sms's and emails with regards to the dr that is now on the list. I said to him clearly you did not look at the notes of my prevouis call as this was a entire +- 50 min phone call on the 7th and that is why I requested the phone recording of the pre auth, he went again to spoke to his team leader Meriechen and he said she said that they will pull the recording becuase she thought that she had to listen to something els, Amazed I asked him well you tell me what did she think she had to listen to and he said he can not disclose that information to me and i said that its a lie because im not a 3rd party and its my call that was logged so he must tell me what she thought she had to listen 2 he then said no its on a other client... What does a other client query have to do with me as we are talking about the feedback on my query. I requested to speak to the Team leader Meriechen or the Call Centre manager Peresh and he kept on saying that I cant and wanted to give me a email address where I could send a mail I said i will not send a mail with regards to the above as i want feedback today. He then after a huge argument he put me through to the pre autorasation department because this is a query with them.</p> <p> </p> <p>I spoke to Nomvundo Shange and she said her manager will request the recording and give me feedback also couldnt give me a reference number as they do not have reference numbers at the pre authorisation department because the do not log calls( this i do understand) I requested her to send me a confirmation email that states that she did give the instruction to her manager and that she did say that I want feedback today 09/02/2017.</p> <p> </p> <p>What i also whant to know is Bestmed has on every option Network option and Non Network option why do they have the 2 options if it is then that even if you are on the NON Network option you are only allowed to go to theire specific dr we pay more on this option and even when its a PMB condition, so in other words that if me and my family happen to be involved in an accident we then first need to stop the dr that is assisting us |(even if your life depends on it) and ask him sorry are you on the prevered provider list of dr for Bestmed?</p> <p> </p> <p>The dr offices also called Bestmed asking when was this a rule from Bestmed that they only worked with the prevered providers they also then confirmed that it was last year May she then asked but why was the dr not informed about this as they surley also need to be given a chance to apply to be on this list and they confirmed with her that only the members was informed and not the dr.</p> <p> </p> <p> </p> <p> </p> <p> </p>