SM
Sheralene M

1 reviews | Active since Apr 2011

21 Apr 2022, 11:14

Claims do not get paid even when inline with PMB conditions

Bonitas owes my service provider R194941.88 in unpaid medical bills! they make you phone, email, amend invoices jump though hoops and all they do is say we are busy reprocessing. Only to Reject once again . All auth codes/ ICD10 codes/ Tariff rates are correct, Resubmission done intime. Patient is Chronic PMB condition yet two years later we must still fight for payments. I have emailed countless people and at first the person managing my query was responding, now my emails fall on death ears with still Zero payments made to the service provider.

0
Replies (3)
Bonitas Medical Fund
Bonitas Medical Fund's reply21 Apr 2022, 11:25
Official
Hello Sheralene M 
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 will investigate this matter.  We appreciate your patience while we are resolving this query for you. 
Kind Regards

Bonitas Team

SM
Sheralene M's update21 Apr 2022, 11:33
Reviewer Update
Thank you for your response - service provider in need of URGENT settlement is Albrech Nursing PR***. This has honestly been going on for two years now and so far non of the promises to resolve have been attended to. I hope this is my last resort and that I wont need to uplift to the CMS. Feel free to contact me.
Bonitas Medical Fund
Bonitas Medical Fund's reply21 Apr 2022, 11:48
Official
Hello Sheralene M 
Thank you for notifying us of your complaint.

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

Bonitas Team