CT
Cornelis T

1 reviews | Active since Dec 2021

01 May 2024, 10:58

*** - CP du Toit

Good day

Why didn't you pay the following on the account for Dr Dirk Geldenhuys?

***: Shoulder, scapula, clavicle - R771.90 ***: Basic anaesthetic units - R6,561.05 ***: Deliberate control of blood - R2,315.70 ***: Surgical modifier for persons with a BMI - R3,280.53 ***: Anaesthesia administered - R771.80M

It looks like Bonitas are only paying for what they want.

0
Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply02 May 2024, 08:54
Official
 Hello Cornelis D

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 
CT
Cornelis T's update26 May 2024, 15:32
Reviewer Update
Good day

Bonitas did come back to me as to why they didn't pay for the codes below. The Dr is asking for private rates. It is not private rates. It's rates above the limit Bonitas is paying.

My question is still, why didn't you pay the following on the account for Dr Dirk Geldenhuys? If it's prate rates then Bonitas still has to pay the p[portion of the claims, Not just pay nothing and say it's private rates. They must pay medical rates and the amount above these rates is for my account.

**********442: Shoulder, scapula, clavicle - R771.**********40023: Basic anaesthetic units - R6,561.**********40039: Deliberate control of blood - R2,315.**********40018: Surgical modifier for persons with a BMI - R3,280.**********40032: Anaesthesia administered - R771.80M

It looks like Bonitas are only paying for what they want.