LD
Lee-Anne Dennis

1 reviews | Active since Jul 2016

13 Sept 2016, 10:08

*********** staff

<p>This pertains to a claim I have been fighting Bonitas with for months now. The provider that claimed was DRS DU BUISSON, BRUINETTE, KRAMER INC, Practice number ********** 200431, service date 06/04/2016. The shortfall I was liable for was R2771.20. Finally Bonitas agrees to approve it as a PMB as my son has many food and inhalant allergies. In particular the peanut allergy is life threatening if not treated in time. I expressed my gratitude for them having a change of heart but then this happened. In the process of me trying to resolve this claim with Bonitas I settled the account with DRS DU BUISSON, BRUINETTE, KRAMER INC on the 19 July 2016 after which the practice confirmed via e-mail on 28/07/2016 that the amount was received and the account is reflecting a zero balance. I then advised Bonitas of this initially via email on 27/07/2016 from my work address ********** I included proof of payment. On the 25 August they asked again for proof of payment and I responded the same day from my personal e-mail address ********** Despite this they paid the provider R2251.60. I then made contact again on 8 September from ********** saying I paid this account in full and instead of paying me they paid provider!!! Now again they asking for proof of payment! Unbelievable! Then it doesn’t end there. There was a shortfall of R 519.60. I pointed out on 23 August this was claimed for by the same provider for the same code 4514 and this reflected on their medscheme website as 3 entries R 173.20, 6 April 2016, KJZ92062 with description awaiting payment. On 5 Sept Bonitas processed claim, ref KJZ92062 for R 346.40 leaving a shortfall of R 173.20 and I bit this will be paid to provider as well. So to make a long story short the staff attending to correspondence cannot read with understanding or do not take the time to check the history of a claim. They complicate and cause huge frustration to the client and are not apologetic or show any empathy for what they put you through. I am so fedup and glad I am leaving this company</p>

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply14 Sept 2016, 07:31
Official
Hello Lee-Anne Dennis, 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
LD
Lee-Anne Dennis's update19 Sept 2016, 15:02
Reviewer Update

I got absolutely no response to this complaint. Only a lady by the name of eunice nhlapo from the live chat team. I can appreciate her honouring to me back but to date she has not been able to have this monies paid back to me. I need a manager now!I am fed up. I have waited almost a month now