NH
Nicole H
1 reviews | Active since Apr 2012
22 Jul 2015, 20:22
Not paying claim back a month later
So they claim to cover for breast pumps. .You pay and claim and they pay the same week if the claim is submitted before Wednesday thereafter the following week I called several times before I bought it and made sure I co eyes every Base ...Last week my husband calls them they saying the icd10 is incorrect when we weren't informed a icd had to be on I've contacted a supervisor and a month later the money has not been paid into our account and this month we had extra medical bills so we running short and it was promised last week it would be sorted! This is by far the worst medical aid I've been on!!!
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Camaf's replyOfficial
23 Jul 2015, 14:41Hello H-Kitty,
We do apologise for the inconvenience caused with regard to the delay in having your claim processed.
It is noted that the initial claim received did not have the sufficient information reflected on it.
We have contacted the pharmacy on 14/07/2015 to request an amended claim. However, on 15/07/2015 we have received the claim with the correct icd10 code but the charged amount does not correspond to what is reflected on the original claim.
We have thus requested another amended claim on 15/07/2015. Up to date we have not received the requested information.
I have contacted the pharmacy and spoke with Cindy today. She has promised to submit the corrected claim with all the relevant information so that we may expedite payment of your claim as a matter of urgency.
It is important to note that we rely on the practice to submit the claims with detailed information so that we are able to process your claims timeously and efficiently. If the practice do not submit correct information, this causes a delay regard to the payment of your claims.
Yours in Health
Tertia Louw
Client Relations Supervisor
We do apologise for the inconvenience caused with regard to the delay in having your claim processed.
It is noted that the initial claim received did not have the sufficient information reflected on it.
We have contacted the pharmacy on 14/07/2015 to request an amended claim. However, on 15/07/2015 we have received the claim with the correct icd10 code but the charged amount does not correspond to what is reflected on the original claim.
We have thus requested another amended claim on 15/07/2015. Up to date we have not received the requested information.
I have contacted the pharmacy and spoke with Cindy today. She has promised to submit the corrected claim with all the relevant information so that we may expedite payment of your claim as a matter of urgency.
It is important to note that we rely on the practice to submit the claims with detailed information so that we are able to process your claims timeously and efficiently. If the practice do not submit correct information, this causes a delay regard to the payment of your claims.
Yours in Health
Tertia Louw
Client Relations Supervisor
Camaf's reply23 Jul 2015, 14:41
Official
Hello H-Kitty,
We do apologise for the inconvenience caused with regard to the delay in having your claim processed.
It is noted that the initial claim received did not have the sufficient information reflected on it.
We have contacted the pharmacy on 14/07/2015 to request an amended claim. However, on 15/07/2015 we have received the claim with the correct icd10 code but the charged amount does not correspond to what is reflected on the original claim.
We have thus requested another amended claim on 15/07/2015. Up to date we have not received the requested information.
I have contacted the pharmacy and spoke with Cindy today. She has promised to submit the corrected claim with all the relevant information so that we may expedite payment of your claim as a matter of urgency.
It is important to note that we rely on the practice to submit the claims with detailed information so that we are able to process your claims timeously and efficiently. If the practice do not submit correct information, this causes a delay regard to the payment of your claims.
Yours in Health
Tertia Louw
Client Relations Supervisor
We do apologise for the inconvenience caused with regard to the delay in having your claim processed.
It is noted that the initial claim received did not have the sufficient information reflected on it.
We have contacted the pharmacy on 14/07/2015 to request an amended claim. However, on 15/07/2015 we have received the claim with the correct icd10 code but the charged amount does not correspond to what is reflected on the original claim.
We have thus requested another amended claim on 15/07/2015. Up to date we have not received the requested information.
I have contacted the pharmacy and spoke with Cindy today. She has promised to submit the corrected claim with all the relevant information so that we may expedite payment of your claim as a matter of urgency.
It is important to note that we rely on the practice to submit the claims with detailed information so that we are able to process your claims timeously and efficiently. If the practice do not submit correct information, this causes a delay regard to the payment of your claims.
Yours in Health
Tertia Louw
Client Relations Supervisor