BONCAP- No payment of Lancet (In-Hospital tests done on baby)
   

<p>It saddens me to have to resort to Hello Peter for the non-payment of an In-Hospital pathologists account for my son authorised admission (emergency admission) in Jan 2016.</p> <p>Bonitas refusal (reason) for non-payment of my account of more than R1000.00 is what is alarming to me. And I quote as per their email response" Kindly note that as per the pathology management department, code 4439 is the incorrect code used for the test. An amended claim can be forwarded to Boncap on the below details."</p> <p>I took this up with Lancet and they advised me that they cannot change the code of the test, it would be an incorrect and untrue. They also forwarded a letter issued by their Managing Partner dated 15 Oct 2015 where it states that they will be using code 4439 to bill for a list of test (Using SAMA code 4439). Also listed in this letter are 2 things: A list of medical schemes that do accept the code and pay their members accounts and A list of medical schemes (on advice from Veripath) that don’t cover this code.</p> <p>Now, my problem as a member of Bonitas BONCAP option, why is this my problem and for my account when my dependents and I are to be covered @100% on OAL benefit?</p> <p>I have been communicating with the two (medical aid and service provider) and still I have no joy in getting this account paid. I pay my monthly membership fees in full and for me to have to liaise with Bonitas and the service provide is not a problem, but to be advised of a code that must be changed, that apparently can't be changed, and still I am left with no service is a frustration, and this for an hospital account.</p> <p>What was I to do when this test was done, ask if Bonitas will pay 1st then give the go-ahead for the pathologist or not? Or When the Dr's in hospital request test to be done on my sick son, obviously for his well-being as a patient, are we now to 1st call Bonitas or request a different pathologist that use the correct code? Come on man, this is unreasonable.</p> <p>I am not in the position to pay for hospital accounts due to a difference in agreements in codes between the scheme and service providers, and I am urgently requesting that Bonitas review the feedback and settle my account ASAP.</p> <p> </p> <p> </p>