kB
kim B

1 reviews | Active since Jan 2018

31 May 2023, 13:30

Bonitas - Different answers from different consultants re. follow up visit

Can someone at Bonitas please tell me if a claim will be paid or not?? I have made numerous calls from the 23 May till today and am not getting ANY joy. A follow up visit has not been paid - rejected by Bonitas. 24 May - Call in - was told claim will be sent for review. ***. 31 May - Call back to follow up - was told that claim was rejected due to the incorrect billing code being used. (I was told twice that the incorrect billing code was used by the service provider). Call the service provider - billing code is correct. Call the service provider again, she will call the hospital and the medical aid. She was told that there are inusufficient funds!! ***. Call Bonitas back - was told something about sending a motivational letter?? Are the funds depleted or not? Will the claim be settled or not? Will they (Bonitas) pay a portion of the claim or not or pay at scheme rates??

Please can someone advise me and give me a proper answer as I am tired of calling and getting different answers from different people, and having to buy airtime to call your call centre.

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply31 May 2023, 13:46
Official
Hello kim B

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 are investigating this matter.
  
We appreciate your patience while we are resolving this query for you.

Kind Regards

Bonitas
kB
kim B's update05 Jun 2023, 09:12
Reviewer Update
Good Morning.
I did receive an claim acknowledgement email on 31 May for the amount in question. Do you have any feedback for me please?