1 reviews | Active since Jan 2015
Claim lodged but not paid out
I submitted a claim to Camaf on the 04/12/2015 using their [Email Removed] e-mail address as I have done for previous claims. I found out the ICD10 code was missing from the invoice submitted, which I then re-requested from the Doctor in question. This was provided in the form of a new invoice, which I resubmitted using the above e-mail address on the 06/01/2016.The missing ICD10 code should have been communicated via an e-mail, requesting that the ICD10 code be present on the invoice for payment. I have contacted the contact centre on two occasions in the last 6 weeks to request when the claim would be paid out. On both occasions I was told that the claim had not yet been processed after having told by the claims agent, that the claim will be processed and payment made the following Friday. As today, I am STILL waiting for the claim to be paid out. I was promised a phone call by a claims agent to explain what had transpired and to keep me up to date with the progress of the claim, which surprisingly wasn't done. If this is not resolved asap, I will cancel my medical aid with Camaf and move to Discovery.
We have tried contacting you on cellphone however we were unsuccessful at reaching you.
Please be advised that due to a system error, the claim had rejected. We have contacted the practice for an amended claim.
As soon as we receive the amended claim, we will facilitate the reversal of the claim in order for it to refunded to you.
I trust this information will be useful to you.
Yours Sincerely,
Tertia Louw
CAMAF
Client Relations Supervisor
We have tried contacting you on cellphone however we were unsuccessful at reaching you.
Please be advised that due to a system error, the claim had rejected. We have contacted the practice for an amended claim.
As soon as we receive the amended claim, we will facilitate the reversal of the claim in order for it to refunded to you.
I trust this information will be useful to you.
Yours Sincerely,
Tertia Louw
CAMAF
Client Relations Supervisor
