EW
Elton W

1 reviews | Active since Sept 2009

14 Jul 2015, 10:20

Claim rejection

I have only experienced bad service from Bonitas with my wife's pregnancy. It all started from the incorrect codes loaded onto my hospital authorisation to the goodie bags that have still not arrived even though the birth was in April.<br> <br> But my biggest problem is the continued rejection of a claim for a service that was rendered in April. This claim has been rejected 4 times, each time for a different reason. Granted, some of the mistakes made on the claim was by the midwife herself, but my question remains, does the staff working with claims not check the document in its totality? Rather then just see a mistake and then rejecting outright, asking the member to fix, then rejecting again for some other reason???!!! I would not have had a problem with the rejection of my claim if everything on the document was checked, and I was required to fix everything the first time.<br> <br> And your staff are not very helpful, they just repeat policies which I know by now. I am seriously considering my options at the end of the year when it comes to medial aid change.<br> <br> My claim was re-submitted yesterday again, and I don't know what to expect, after waiting almost 3 months.

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply14 Jul 2015, 12:36
Official
Hello dean27,

Thank you for submitting a comment to us through Hello Peter.

This is to confirm that we have received your comment and that we are currently investigating this matter.

Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.

Kind regards
Bonitas team

Best regards,