Bonitas Not Honouring Their PMB Commitments

Bonitas does not honour the CMS stipulation that "If the account or claim is correct and acceptable for payment, it should be paid within 30 days of receipt of the claim."

A procedure was undertaken by the Reconstructive and Plastic Surgeon on 29 November 2019 already and two months later and we are still waiting for the specialist to be paid in full as undertaken by PMB Bonitas.

I email and phone and are made promises but the account is not being reprocessed and we as the member and patient are red in the face as we have to continue dealing with the specialist.

We have also been promised the PMB Care Plan and here we are - end of January 2020 and still no Care Plan. We are also owed explanations on outstanding queries. Bonitas Escalations tells us - our case is receiving the highest priority. Well - it does not feel that way.

I urge you to honour your obligations and commitments.