claim reject

Dear Bonitas, I hope this message finds you well. I am writing in regard to an ongoing issue where my daughter’s physiotherapy claims have not been paid despite providing all the necessary documentation. Attached are the following documents for your review: • The statement showing the outstanding balance. • The referral letter from the attending physician, confirming the required specialist visits. • Proof of communication with your office regarding the claim. The claim has been repeatedly rejected due to a “mismatch,” but I have provided all the required information. I am still unclear as to why this is the case and what further documentation may be needed. Additionally, I need clarification on the ICD codes used in the claim. The specialist used two ICD codes, but I am unsure if these are correct according to your billing guidelines. Could you please provide guidance on which ICD codes should be used for this situation? Given that the referral letter and statement match the treatment provided, I respectfully request that management contact me directly to explain why the claim has not been processed and how this can be resolved. I would greatly appreciate prompt assistance in ensuring that this claim is properly handled and paid. I have been struggling with this issue for over 3 months and if no contact is being received from management I will have no alternative but to log it on social media . I think I have been fair and accommodating thus far with no success! Thank you for your attention to this matter. I look forward to your response. All I want is management to call me the claim rejected is since August !