PMB claims

<p>I have been struggling with Bonitas form the start, it took me months to get my PMB condition loaded and the the "Care basket" as well. This has all now been sorted out.</p> <p>I keep receiving emails/calls/sms from Ampath where Bonitas is rejecting my claims due to "3 month waiting period" this is not correct as the PMB condition should still be paid regardless of the waiting period.</p> <p>I called Bonitas and they said the claims was not paid as PMB because the correct ICD10 codes were not used.</p> <p>I called Ampath again to tell them to use the correct ICD10 codes, they sent me a form to complete which I did; they sent their claims with the correct ICD10 codes from 20 March.</p> <p>Ampath resubmitted the 3 invoices last week 10/5 with the correct ICD10 codes that were old invoices from January to Bonitas. To date this has not been loaded or attended to.</p> <p>I logged into my Bonitas now and you will note that the two claims from Ampath KLJ33902 and KLM13879 was paid correctly from PMB as it should be.</p> <p>The latest claim KLN89249 was paid from my savings?</p> <p>I chatted to Bonitas and they stated the correct ICD10 code was not used by Ampath - ref 160517Q8SYBT.</p> <p>This is really pathetic and I need to spend hours going back and forth between Bonitas and Ampath.</p> <p>Ampath have sent me the invoices and they have the correct ICD10 codes on.</p> <p>I can not play the administrator for Bonitas to try and get this issue sorted out, that is why I pay for a medical aid!</p>