NB
NADIA B
1 reviews | Active since Aug 2015
12 Aug 2015, 12:37
EXTREMELY DISAPPOINTED
I submitted a claim on 18 June 2015. I am a network choice client & submitted a letter from my referral doctor.On the 6 July, I still havent received confirmation that my claim was received & I sent an email to Customer Services explaining that I am not happy. I got a reply from customer services on 8 July, saying they apologise for the delay, but I needed to Initial on the invoice next to the medical aid number & that they could not process my claim as I did not initial on the Invoice. What I fail to understand is, WHY no one could contact me saying the claim cannot be processed. Three weeks passed and I had to follow up. I initialed next to the invoice and sent it back on 13 July. CAMAF confirmed on 15 July that everything was received & my claim will be processed soon. A week passed and I still heard nothing, I phoned customer service just to be told my claim has still not been processed. The consultant assisted me and took my claim to claims department. Another week passed and still nothing. I phoned again 6 August and was told my claim is still not processed. I received a claim statement on 8 July and saw my claim was rejected due to non-referring network doc.I am shocked.
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Camaf's replyOfficial
12 Aug 2015, 15:21Hello NB123,
Please accept our apologies for the inconvenience you have experienced.
I have investigated your query it is noted that the consultants have not educated your correctly with regard to the claim submission requirements.
The claim for M Fourie has been rejected for payment as your network GP's referral practice number was not reflected on the invoice. I have searched on previous emails which you have sent to retrieve the referral note and sent the claim for reprocessing as a matter of urgency.
For ease of convenience, your future physiotherapy claims may be sent directly to *** with a copy of the referral note.
Alternatively, your physiothe****** may include your referring doctor's practice number on the claims itself in order for it to be captured efficiently.
It is kindly requested that you check whether your claims have your member number printed on it before submitting it for processing. If it does not appear on your claims, please write your member number on it and sign next to the addition to authenticate the amendment.
Yours Sincerely,
Tertia Louw
Sanlam Health: Client Relations Supervisor
Please accept our apologies for the inconvenience you have experienced.
I have investigated your query it is noted that the consultants have not educated your correctly with regard to the claim submission requirements.
The claim for M Fourie has been rejected for payment as your network GP's referral practice number was not reflected on the invoice. I have searched on previous emails which you have sent to retrieve the referral note and sent the claim for reprocessing as a matter of urgency.
For ease of convenience, your future physiotherapy claims may be sent directly to *** with a copy of the referral note.
Alternatively, your physiothe****** may include your referring doctor's practice number on the claims itself in order for it to be captured efficiently.
It is kindly requested that you check whether your claims have your member number printed on it before submitting it for processing. If it does not appear on your claims, please write your member number on it and sign next to the addition to authenticate the amendment.
Yours Sincerely,
Tertia Louw
Sanlam Health: Client Relations Supervisor
Best regards,
Camaf's reply12 Aug 2015, 15:21
Official
Hello NB123,
Please accept our apologies for the inconvenience you have experienced.
I have investigated your query it is noted that the consultants have not educated your correctly with regard to the claim submission requirements.
The claim for M Fourie has been rejected for payment as your network GP's referral practice number was not reflected on the invoice. I have searched on previous emails which you have sent to retrieve the referral note and sent the claim for reprocessing as a matter of urgency.
For ease of convenience, your future physiotherapy claims may be sent directly to *** with a copy of the referral note.
Alternatively, your physiothe****** may include your referring doctor's practice number on the claims itself in order for it to be captured efficiently.
It is kindly requested that you check whether your claims have your member number printed on it before submitting it for processing. If it does not appear on your claims, please write your member number on it and sign next to the addition to authenticate the amendment.
Yours Sincerely,
Tertia Louw
Sanlam Health: Client Relations Supervisor
Please accept our apologies for the inconvenience you have experienced.
I have investigated your query it is noted that the consultants have not educated your correctly with regard to the claim submission requirements.
The claim for M Fourie has been rejected for payment as your network GP's referral practice number was not reflected on the invoice. I have searched on previous emails which you have sent to retrieve the referral note and sent the claim for reprocessing as a matter of urgency.
For ease of convenience, your future physiotherapy claims may be sent directly to *** with a copy of the referral note.
Alternatively, your physiothe****** may include your referring doctor's practice number on the claims itself in order for it to be captured efficiently.
It is kindly requested that you check whether your claims have your member number printed on it before submitting it for processing. If it does not appear on your claims, please write your member number on it and sign next to the addition to authenticate the amendment.
Yours Sincerely,
Tertia Louw
Sanlam Health: Client Relations Supervisor
Best regards,