Inefficient service

<p>I attended to a child with burns from July 2016. Two weeks after treatment i requested authorisation in liue of hospitalisation for this Prescribed Minimum Benefit. For 4 months i have phone and emailed to "beg" for authorisation. On 12 December i finally got authorisation. On 13 December i submitted claims for which i had to reduce my claim as i was told that the benefit covered was only R14 000, despite the bill being in excess of that amount. In good faith i submitted the claim. Only to have the claim rejected because it was stale. Of course it would be stale as claims period is four months. Is it 4 months from treatment date? In wich case Bonitas delayed the process and i am staring to believe done so purposefully to be outside the claims period. Or is it 4 months from authorisation date? In which case a day later makes it valid. However it has since transpired that it is neither and that we the service providers are hard done by because there is no common sense on the part of the medical fund. i requested a meeting in person to present the case to a person as the emails back and forth and endless telephone calls with numerous refernce numbers are just pushed from pillar to post. With no accounability or insight displayed. I spoke to Patricia and was just rudely told there is nothing that can be done. Is this how Medscheme/ Bonitas disregards their service providers? I am disgusted.</p>