LR
Llewellyn R

1 reviews | Active since Jan 2023

03 Sept 2024, 10:03

Specialist providers (two of them) for service 13 August 2024 not paid from PMB.

Specialist providers (two of them) for service 13 August 2024 not paid from PMB.One note paid at all.I was referred from one specialist to another specialist and requested referral auth on 06 August 2024 (060824QG2FZ6 ).On 13 August they rep**** only to say approved from AMP plan and that they require motivation letter from doctor who referred mean it took 7 days to get the referral and on the day that you have to see the specialist they approve but with further requirements. Tey have fully paid the same provider in 17/10/2022(with just a shortfall for the provider not being on network) from PMB.They chop and change the game ad they see fit.Give feedback late, no effort from PMB department to request that motivation themselves etc.The PMB department make not effort to call the customer.The customer has been to the provider 2 years ago and the invoice was paid from PMb!!!!!

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Replies (1)
Bonitas Medical Fund
Bonitas Medical Fund's reply03 Sept 2024, 10:29
Official
Hello Llewellyn V 

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