LB
Leslie B

1 reviews | Active since Jan 2018

30 Aug 2023, 14:58

Putrid service on every level

Claim 1, Torga Optical Menlyn Maine, order confirmation ***, The medical aid has rejected the claim u sent in, with rejection codes 15 and 37, Claim was reinvoiced with updated codes as a well as motivation letter . Bonitas Reference number: 210823QSY87T, Kindly be advised that the claim was rejected for the below required information and not for prescription requirements. The provider has been included on this email so that they can assist with an amended invoice so that we can process claim accordingly. Rejection remarks : 15 The tariff has been overcharged - code 25100 ( price charged is R 1620.00 for both lens and normal price is R460 per lens). 37 The add-on / lens enhancement charged does not correspond with the type of lens dispensed - Single vison base lens is charged but lens add-on is varifocal. The base lens needs to be the same as the lens add on. Claim resubmitted 2 with updated codes to PPN/Bonitas, new Torga order number Order confirmation ***, Claim rejected again Claim 3, Torga generated a third invoice. There is no one from PPN or Bonitas acting as a central contact point. I have been submitting queries to no one in particular and have received no feedback. Bonitas is not coming back to say EXACTLY what needs to be done. I logged complaints via Bonitas website, Twitter, email, Hello Peter and Google reviews and i am getting absolutely nowhere!

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply30 Aug 2023, 15:08
Official
Hello   Leslie B 
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 are investigating this matter.  We appreciate your patience while we are resolving this query for you. 
Kind Regards

Bonitas