Unpaid Claim & Inconsistent Information Provided by Call Centre Agents

There was an amount of R16092,15 that was not paid by the medical aid to the Netcare hospital group.

The cardiologist has provided a statement and motivational letter in order for this payment to be made. I submitted this to the medical aid for consideration on 10/04/2018.

I followed up with this query on: 15/05/2018; 20/05/2018; 06/06/2018 and 12/06/2018. The reference numbers for these calls were: 150518QSD9L8 280518QT1343T 060618QTH7YK 120618QTT1X2

I have been repeatedly told that the claim was sent for processing and that payment will be made to Netcare on the Thursday the following week. This has never materialised. In the interim, the matter has been handed over to attorneys.

On 12/06/2018 I was transferred to the hospital claims department and was told they did not receive any instruction to pay.

I am running around in circles and this matter is causing more stress. I am writing this letter in an attempt to resolve this query and calling the Bonitas call centre does not bring any resolution to this matter.