Unresolved 4 week Claim

I am really disgusted in the customer service I have received from Bonitas over the same issue I have had for the past month.

I have called in several times and spoken to several agents about the same claim and yet to date this has not been resolved and the claim has not been processed correctly.

The below agents are who I spoke to over the same claim:

Temba – *** Clide – *** Ashton – *** Sechaba – *** Ayanda – *** Dershin -*** Maschella – ***

As a client I should not have to call this many times to get the claim processed correctly. To top it off, I was also given incorrect guidance regarding the claim. This matter was to be escalated by Ayanda who was to come back to me on the escalated matter and she never did. I had to call back and get a response. I have called again only to find out that this claim must be escalated AGAIN!

Bonitas has advised that the claim cannot be processed because the incorrect codes were submitted on a procedure and yet on the last call I made to Bonitas I was told by the agent Maschella that the claim was processed. I asked when, because the last discussion was that it was not? Then only to be told it must be escalated again. The administrator at the doctor's office provided the correct codes and was submitted to Bonitas on 2 separate days.

How is it that I am still having this problem? Why has this not been dealt with between Bonitas and the Doctors office.

I have requested that a manager give me a call back and have this matter resolved. I have not received any call from Alisa, the team leader.

This call for further action, as it is clear that with this being my first claim with Bonitas, since this is already a problem, I am clearly going to have issues in the near future with Bonitas. This leaves me with very little confidence in Bonitas in the medial aid that can process claims efficiently, provide correct guidance and information.

I will never recommend Bonitas to anyone.