SK
Salome K

1 reviews | Active since Feb 2012

14 Aug 2017, 20:50

Ridicules acount rejected : PMB APPROVED

I am a hemiplegic and had an ankle operation to address my unstable ankle. My impairment is classified as a PMB. I received an account from dr Visser. To my surprise Bonitas rejected the account "no more funds" The account is for a plaster cast and after care. How possible not to pay for my plaster cast, my impairment is an approved PMB (ICD-10-CM Code G81.1 ******* hemiplegia) and indicated on the account that was submitted to Bonitas. ICD 10 CODE WAS G80.2 According to the rules: Once your Scheme limits are used up further services, as listed in your Care Plan, will continue to be paid from a RISK POOL. Code used on account is Hemiplegia G81.9- con******* (cerebral) G80.8 ******* G80.2 ******* G81.1- con******* G80.2 The same condition under umbrella. Must the account icd 10 code be changed?

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Replies (2)
Bonitas Medical Fund
Bonitas Medical Fund's reply16 Aug 2017, 10:31
Official

Hello Salomek,

Thank you for submitting a comment to us through Hello Peter.

This is to confirm that we have received your comment and that we are currently investigating this matter.

Our representative will be in touch with you shortly to discuss this matter and ensure that it is speedily resolved.

Kind regards,

Bonitas Team

Bonitas Medical Fund
Bonitas Medical Fund's reply18 Aug 2017, 15:12
Official

Hello Salomek,

Thank you for submitting a comment to us through Hellopeter.

According to the conversation with our representative; we hereby confirm that your concerns have been addressed and this matter has now 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.

Thanks and regards,

Bonitas Team