BONITAS NON PAYMENT OF PMB CLAIM

We have a deaf 72 year old patient who has pulmonary embolism and weekly goes for INR under PMB legislated code I26.9. Apart from that she also has hyperlipidemia (E78.0). According to her care plan she has one physician consultation for the year!! Authorisation for this consultation *** was obtained by her GP. Only for the account to be REJECTED!!! A motivation was then sent in and this query 210225QTZ5LL was closed without resolution!! It is now almost 3 months yet the member did EVERYTHING as a responsible member!! This is unacceptable. Lastly I spoke to a gentleman by the name of Eon with call reference 030425QWDP3N who should be rewarded and acknowledged for his customer service capabilities. 9