1 reviews | Active since Feb 2024
Bad service
I have received the worst service calling in as my claims are being rejected in which I have received authorization which was done in hospital on the 26th of March and discharged on the 28th of March at rosebank netcare clinic. My procedure was initially supposed to be the 22nd of March at mediclinic Morningside which was canceled and only the CT scan was done. I called then the authorization department on the 25th of March to provide updated codes and procedures which was approved for the surgery on the 26th of March 2024. I have been calling in since the 8th of April as they keep on rejecting the drs claims. Authorization number ***8 was given and all codes and procedures were approved now no claims wants to be paid to the drs.
I was first told by Ashton that the claim was submitted incorrectly as in room service and not in hospital. I called the drs rooms, they did submit the claim correctly as in hospital. The case manager has updated my hospital file and sent it twice, the 2nd of April and today the 9th of April. I called again twice today, I spoke to svuyo which she picked up the updated file which I was now told it's been sent to the case manager's. Why am I as a paying customer receiving such poor service and incorrect information. I was told by Ashton a referral letter from my gp in the claims department is needed which was in correct. I also spoke to Stuart and Thabo who helped me they told me the authorization number suppose to be linked to the claims which was not done and they have done so and still my drs claims and bills are being rejected.
I never would have gone for the procedure if I never received authorization from the authorization department.
Call ref numbers B0N***5, B090424Q4J4XD ref,Bon050424Q4BGPW ref,B0N***6
I need these claims to be processed and paid. Someone is not reading notes Query number 080424Q4H4D2 and 080424Q4H3Y9.
Thabo has made notes and sent the claims for reprocessing now they still rejecting and refusing the claims, in which the authorization was already given and approved for my surgery at netcare rosebank clinic.
Can someone higher please assist in this matter as this is now being ridiculous and I'm being given the run around
Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve.
We will investigate this matter.
We appreciate your patience while we are resolving this query for you.
Kind Regards
Bonitas Team
Thank you for notifying us of your complaint. We are so sorry to hear about this, we are glad that you brought this to our attention to resolve.
We will investigate this matter.
We appreciate your patience while we are resolving this query for you.
Kind Regards
Bonitas Team
Please can someone check this claim as well ref number 050424Q4BGPW this claim is also urgent that needs to be processed
Please can someone check this claim as well ref number 050424Q4BGPW this claim is also urgent that needs to be processed
