1 reviews | Active since Mar 2015
Does anyone read in this place?
<p>I had an unbearable back pain on Saturday 18 June 2016. I could not sit down or get out of bed without help. I then went to a hospital (Life Carstenhof). When I got there I was assessed and referred for an X-ray as the doctor could not proceed to diagnose me.</p> <p> </p> <p>The X-ray did not pick anything up and he referred me for a further scan at a different hospital (Waterfall Hospital) as they did not have such a scan at hospital. They then gave me 2 injections to minimize the pain.</p> <p>I was then supposed to be admitted but since I have family around, they opted to take me home.</p> <p> </p> <p>On Monday, 20 June 2016 I submitted my documents for the transaction to be put through to hospital benefits as this was an emergency consultation. I also needed pre-authorisation for the further scan that I was due for to assess me further to enable me to be diagnosed so that I could be given the correct medication and treatment and not the pain ****ers that I have been living on for the past 2 weeks.</p> <p>They told me about ICD codes and processes and eventually was told to speak to a clinical consultant. I did. She opened a file for me (BON ********** 3) and informed me this can be charged to hospital benefits because I received medication during the consultation on 18 June 2016. I then got hold of all the codes and injection names that they needed and forwarded the documents to the hospital admin email address.</p> <p> </p> <p>The next thing I received a letter stating that my claim has been rejected.</p> <p>It does not say whether the claim for the 18 June or the pre-authorization that I need to get. The codes reflected on the letter are not the code that were on the documents that I forwarded to them.</p> <p> </p> <p>So as I am writing this complaint, I am in bed, in pain and want to know what exactly I need to do to go to a hospital where I can be assessed to establish what’s wrong with me and treat me accordingly. What does it take to get a pre-authorisation for hospital from this medical aid. For how long must I be in pain? Why do I even have this medical aid if it doesn’t do what it claims to do?</p> <p> </p>
Hello LetebeleM2
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Hello LetebeleM2
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
