RP
Rudie P
1 reviews | Active since Mar 2010
01 Jul 2024, 09:24
Not paying outstanding claims
I have been struggling to get Bonitas to pay an outstanding claims for almost 3 months now. The have excuse after excuse and literally take weeks between answers. It bas been 3 weeks again after they promised to resolve the issue and pay the outstanding claims within 10 days, without any feedback. The only only answer I get from the call center is that it is being processed by the PMB department and they can't give me an update. The providers' accounts are almost 3 months behind, and I am liable for this until Bonitas pay them the money that they owe them. This is the worst service I have ever had from any company!
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Replies (2)
Bonitas Medical Fund's replyOfficial
01 Jul 2024, 09:36 Hello Rudie
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
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
Bonitas Medical Fund's reply01 Jul 2024, 09:36
Official
Hello Rudie
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
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
RP
Rudie P's updateReviewer Update
05 Jul 2024, 08:56I received the "generic" response from Bonitas where they say that they require a partogram document to be able to finalise the claim (AFTER 3 MONTHS!). Both the doctor and hospital told me that they don't need to do a partogram (especially in an emergency) and that they don't have a partogram. After weeks of emails and phone calls, I still can't get an answer of what to do next and how to process the claim without the document that Bonitas is insisting on.
As it currently stands, I am threatened by legal action from the providers for the outstanding Bonitas payments. Bonitas is still refusing to pay for any of the emergency costs involved in having an emergency c-section (which is a massive amount), even though my baby's heart beat was dangerously low and the hospital confirmed that a c-section is the only solution.
Bonitas clearly would have preferred my baby to die.
As it currently stands, I am threatened by legal action from the providers for the outstanding Bonitas payments. Bonitas is still refusing to pay for any of the emergency costs involved in having an emergency c-section (which is a massive amount), even though my baby's heart beat was dangerously low and the hospital confirmed that a c-section is the only solution.
Bonitas clearly would have preferred my baby to die.
RP
Rudie P's update05 Jul 2024, 08:56
Reviewer Update
I received the "generic" response from Bonitas where they say that they require a partogram document to be able to finalise the claim (AFTER 3 MONTHS!). Both the doctor and hospital told me that they don't need to do a partogram (especially in an emergency) and that they don't have a partogram. After weeks of emails and phone calls, I still can't get an answer of what to do next and how to process the claim without the document that Bonitas is insisting on.
As it currently stands, I am threatened by legal action from the providers for the outstanding Bonitas payments. Bonitas is still refusing to pay for any of the emergency costs involved in having an emergency c-section (which is a massive amount), even though my baby's heart beat was dangerously low and the hospital confirmed that a c-section is the only solution.
Bonitas clearly would have preferred my baby to die.
As it currently stands, I am threatened by legal action from the providers for the outstanding Bonitas payments. Bonitas is still refusing to pay for any of the emergency costs involved in having an emergency c-section (which is a massive amount), even though my baby's heart beat was dangerously low and the hospital confirmed that a c-section is the only solution.
Bonitas clearly would have preferred my baby to die.