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Thabo M

1 reviews | Active since Dec 2017

15 Mar 2021, 13:26

Payment for medical services and treatment declined by Medical Aid

My general health practitioner referred me a specialist doctor with a referral note, which note I presented to the specialist doctor's secretary. Bonitas Medical Scheme paid for examination and tests, but declined the claim by the same doctor for consultation fee on the basis that I did not have a referral number. ( Rejected claim no:100321QH06N4 ) Naturally the specialist doctor has now invoiced me directly for that balance of the claim. Who is responsible for ensuring that a patient has both a referral note AND number before consultation?

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply15 Mar 2021, 14:36
Official
Hello Thabo M,

Thank you for notifying us of your complaint. we are sorry to hear about this, we are glad that you have brought this to our attention.
 
 We are currently investigating this matter. 
  
 We appreciate your patience while we are resolving this query for you.
 
Regards,
  
Bonitas Team



 
Bonitas Medical Fund
Bonitas Medical Fund's reply17 Mar 2021, 16:02
Official
Hello Thabo M,

Thank you for submitting a comment to us through Hellopeter.

According to the email communication, we hereby confirm that your concern has been addressed and this matter has been resolved.

As Bonitas we strive to give the best customer service to our clients and appreciate it when you bring your concerns to our attention when we have failed to deliver this service.

We apologise for any inconvenience caused to you.

Providing superior customer service is important to us and any feedback we receive from our clients is an opportunity for us to measure our service. Please do rate our service.

Thanks and regards,

Bonitas Team