Terrible service! And I just pay pay pay!!!!
<p>To whom its may concern,</p> <p> </p> <p> </p> <p> </p> <p>I'm continuously re-submitting my claim from April and June from Dr. Antoniades (Practice number: ********** ) and also now from August. The claim for Dr. Chirstodoulou has also not been refunded to me from March 2016.</p> <p> </p> <p><br />The ICD 10 code is evident on the receipt and have asked on several occasions what Bonitas requires regarding a "motivation letter" etc, with no response STILL to this date! I therefore took the onus upon myself and got a motivation letter FOR you.</p> <p> </p> <p><br />Resolve this matter IMMEDIATELY before I start taking further measures and contact superiors or hellopeter and social media. I moved to this medical aid for BETTER service than discovery. not worse!</p> <p> </p> <p><br />PROCESS MY CLAIM AND PAY ME BACK MY MONEY SINCE MARCH 2016/11 IT IS OCTOBER AND I HAVE CONTACTED YOUR COMPANY REPEATEDLY AND AM SICK OF THIS TERRIBLE SERVICE!! I HAVE BEEN PAYING MY BACKSIDE OFF FOR EVERYTHING AND YOU ARE NOT EVEN HELPING ME!! YOU JUST CLOSE THE INQUIRY RANDOMLY AS IT SUITS YOUR COMPANY!</p> <p> </p> <p> </p> <p> </p> <p>Respond VIA EMAIL ONLY!</p> <p> </p> <p><br />without prejudice and judicial consequence,</p> <p> </p> <p><br />Taryn Drazek</p>
Hello taryndra,
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
Hello taryndra,
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
------ Original message------
From: Taryn **********
Date: Tue, 4 Oct 2016 09:48
To: ********** ********** ********** ********** ********** **********
Cc: Taryn Mariana;
Subject:031016QYW4BT - 031016QYW4BT [MI ********** 45]
this is ridiculous! are you completely incapable of opening an attachment and seeing for yourself? I am not employed to do your job for you! AND I am not employed to do computer training for you!
stop being inefficient and unprofessional and do what your company "claims" to do!
Taryn Drazek
From: ********** ********** />Sent: 04 October 2016 08:55 AM
To: ********** />Subject: 031016QYW4BT - 031016QYW4BT [MI ********** 45]
Dear Sir/Madam,
Thank you for your query dated 03/10/2016.
Please be advised that we are unable to assist you, due to document given has no full details. Kindly provide us with full detailed proof of payment that has the following details:
¿ Paper claim with provider name or number
¿ Member number and patient
¿ Service date
¿ Proof of payment
NB: Payment of claims is based on the Scheme Rules and availability of benefits at the time of processing.
We apologize for the delayed response.
Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Should you require any further information, please contact customer services on ***or email us at ********** Or should you wish to compliment on the service received, please do not hesitate to use the following link: http://www.hellopeter.com
Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your membership enquiries on the Bonitas website.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Kind Regards,
Bonitas
------ Original message------
From: Taryn **********
Date: Tue, 4 Oct 2016 09:48
To: ********** ********** ********** ********** ********** **********
Cc: Taryn Mariana;
Subject:031016QYW4BT - 031016QYW4BT [MI ********** 45]
this is ridiculous! are you completely incapable of opening an attachment and seeing for yourself? I am not employed to do your job for you! AND I am not employed to do computer training for you!
stop being inefficient and unprofessional and do what your company "claims" to do!
Taryn Drazek
From: ********** ********** />Sent: 04 October 2016 08:55 AM
To: ********** />Subject: 031016QYW4BT - 031016QYW4BT [MI ********** 45]
Dear Sir/Madam,
Thank you for your query dated 03/10/2016.
Please be advised that we are unable to assist you, due to document given has no full details. Kindly provide us with full detailed proof of payment that has the following details:
¿ Paper claim with provider name or number
¿ Member number and patient
¿ Service date
¿ Proof of payment
NB: Payment of claims is based on the Scheme Rules and availability of benefits at the time of processing.
We apologize for the delayed response.
Kindly update your personal details on a regular basis, to ensure that you receive the latest updates from Bonitas.
Should you require any further information, please contact customer services on ***or email us at ********** Or should you wish to compliment on the service received, please do not hesitate to use the following link: http://www.hellopeter.com
Did you know?
You can access medical aid benefits, tax certificates, claims statements and any other information relating to your membership enquiries on the Bonitas website.
Register at www.bonitas.co.za today, and enjoy the convenience of having access to your medical aid information 24 hours a day, 7 days a week.
Kind Regards,
Bonitas
From: ********** ********** />Sent: 07 October 2016 09:31 AM
To: ********** />Subject: Claim Acknowledgement - ********** 3366 [MI ********** 00]
Dear Miss Taryn Mariana Drazek
Membership Number - ********** 3366
We have received the following claim/s, which we are busy processing.
It is important to note that this e-mail serves only to confirm that we have received your claim.
Payment of your claim is dependent upon scheme rules and available benefits.
Service Date
Patients Name
Service Provider
Account Reference
Charged Amount
17-AUG-2016
Taryn
ANTONIADES
71
R5,750.00
28-JAN-2016
Taryn
ANTONIADES
77
R350.00
06-JUN-2016 - 21-JUN-2016
Taryn
ANTONIADES
39
R4,300.00
For further details on claims processed log onto Bonitas member website at www.bonitas.co.za
Kindly take note of the following contact details for specific enquiries to ensure ongoing efficiency
in our processes and our commitment to render premium service to you, our Valued Customer:
Membership Maintenance (option changes, addition of dependants, ********** />Scheme Finance Enquiries (suspension queries, ********** />Submission of New Membership ********** />Hospital Benefit Management ********** />First time submission of current **********
Office hours 08:00 - 16:00 Mon - Fri
Closed on weekends and public holidays
Expected query resolution time
5 working days from date of receipt excluding weekends and public holidays.
Should you require any further assistance please contact customer services on ***
or email us at **********
Kind Regards
From: ********** ********** />Sent: 07 October 2016 09:31 AM
To: ********** />Subject: Claim Acknowledgement - ********** 3366 [MI ********** 00]
Dear Miss Taryn Mariana Drazek
Membership Number - ********** 3366
We have received the following claim/s, which we are busy processing.
It is important to note that this e-mail serves only to confirm that we have received your claim.
Payment of your claim is dependent upon scheme rules and available benefits.
Service Date
Patients Name
Service Provider
Account Reference
Charged Amount
17-AUG-2016
Taryn
ANTONIADES
71
R5,750.00
28-JAN-2016
Taryn
ANTONIADES
77
R350.00
06-JUN-2016 - 21-JUN-2016
Taryn
ANTONIADES
39
R4,300.00
For further details on claims processed log onto Bonitas member website at www.bonitas.co.za
Kindly take note of the following contact details for specific enquiries to ensure ongoing efficiency
in our processes and our commitment to render premium service to you, our Valued Customer:
Membership Maintenance (option changes, addition of dependants, ********** />Scheme Finance Enquiries (suspension queries, ********** />Submission of New Membership ********** />Hospital Benefit Management ********** />First time submission of current **********
Office hours 08:00 - 16:00 Mon - Fri
Closed on weekends and public holidays
Expected query resolution time
5 working days from date of receipt excluding weekends and public holidays.
Should you require any further assistance please contact customer services on ***
or email us at **********
Kind Regards
The reference numbers and "do not reply" emails I have is insurmountable.
No one gives me proper answers! And I sit like a fool still paying and waiting, paying and waiting AND in chronic pain
The reference numbers and "do not reply" emails I have is insurmountable.
No one gives me proper answers! And I sit like a fool still paying and waiting, paying and waiting AND in chronic pain
The reference numbers and "do not reply" emails I have is insurmountable.
Zero response!!!!!! Tell me what is going on for Goodness sake!!
The reference numbers and "do not reply" emails I have is insurmountable.
Zero response!!!!!! Tell me what is going on for Goodness sake!!
Good day Refilwe
Your above member, Miss TM Drazek, has been to see Dr. A. Antoniades (PR. ********** ), as stipulated on the invoices sent in to your Claims Dept. According to your response, the Doctor's Practise was not operative.
We would kindly like you to please explain how you came to this assumption? The Doctor pays his annual HPCSA, BHF and PCNS fees. Our other patients do not encounter any problems when claiming.
Thanking you and awaiting your response.
Sincere regards
Mrs. M. Antoniades (for Dr. A. Antoniades)
Good day Refilwe
Your above member, Miss TM Drazek, has been to see Dr. A. Antoniades (PR. ********** ), as stipulated on the invoices sent in to your Claims Dept. According to your response, the Doctor's Practise was not operative.
We would kindly like you to please explain how you came to this assumption? The Doctor pays his annual HPCSA, BHF and PCNS fees. Our other patients do not encounter any problems when claiming.
Thanking you and awaiting your response.
Sincere regards
Mrs. M. Antoniades (for Dr. A. Antoniades)
Hi Taryn, Thank you for your enquiry. We have received feedback from the assessing department regarding your claims sent for reprocessing. Please note that the claims were rejected as you were treated while the practice was not operative. The practice number was not valid and registered for treatment and therefore all claims submitted to the medical aid would be rejected.
Hi Taryn, Thank you for your enquiry. We have received feedback from the assessing department regarding your claims sent for reprocessing. Please note that the claims were rejected as you were treated while the practice was not operative. The practice number was not valid and registered for treatment and therefore all claims submitted to the medical aid would be rejected.
The above reply was from Bonitas Facebook inbox messages i received...
The above reply was from Bonitas Facebook inbox messages i received...
Good day Refilwe
Your above member, Miss TM Drazek, has been to see Dr. A. Antoniades (PR. ********** ), as stipulated on the invoices sent in to your Claims Dept. According to your response, the Doctor's Practise was not operative.
We would kindly like you to please explain how you came to this assumption? The Doctor pays his annual HPCSA, BHF and PCNS fees. Our other patients do not encounter any problems when claiming.
Thanking you and awaiting your response.
Sincere regards
Mrs. M. Antoniades (for Dr. A. Antoniades)
Good day Refilwe
Your above member, Miss TM Drazek, has been to see Dr. A. Antoniades (PR. ********** ), as stipulated on the invoices sent in to your Claims Dept. According to your response, the Doctor's Practise was not operative.
We would kindly like you to please explain how you came to this assumption? The Doctor pays his annual HPCSA, BHF and PCNS fees. Our other patients do not encounter any problems when claiming.
Thanking you and awaiting your response.
Sincere regards
Mrs. M. Antoniades (for Dr. A. Antoniades)
From Bonitas Facebook messenger:
Hi Taryn,
Thank you for the message from Mrs. M. Antoniades.
We can confirm that this is a system rejection that we are receiving when trying to process the claim. If Mrs. M. Antoniades can provide us with a membership number of Bonitas that claims are processing and paying, we will investigate and correct accordingly.
From Bonitas Facebook messenger:
Hi Taryn,
Thank you for the message from Mrs. M. Antoniades.
We can confirm that this is a system rejection that we are receiving when trying to process the claim. If Mrs. M. Antoniades can provide us with a membership number of Bonitas that claims are processing and paying, we will investigate and correct accordingly.
My response:
Exactly... So the problem is Bonitas's system! Not with any other medical aid, nor the Dr (technically professor) nor is it me. Please provide me with a direct e-mail and telephone number to refer to Mrs Antoniades. She has tried repeatedly to phone Bonitas and this is how eventually I had to go to hellopeter and Facebook to get some kind of answer
My response:
Exactly... So the problem is Bonitas's system! Not with any other medical aid, nor the Dr (technically professor) nor is it me. Please provide me with a direct e-mail and telephone number to refer to Mrs Antoniades. She has tried repeatedly to phone Bonitas and this is how eventually I had to go to hellopeter and Facebook to get some kind of answer
The money hasn't even been refunded to me yet from Dr.Christodoulou claim....let alone for Dr. Antoniades. Your "system" is a joke!!!!
The money hasn't even been refunded to me yet from Dr.Christodoulou claim....let alone for Dr. Antoniades. Your "system" is a joke!!!!