1 reviews | Active since Sept 2017
Hospital file is private
I was admitted for 20 days due to renal failure in May 2017. I submitted a claim with clientele and they requested a whole bunch of documents inclueding my "private personal hospital file" which has my medical history. My question (which has still not being answered) what do they need it for? They have the hospital statement, tests results from radiology, etc. Payment from medical aid. What do they want with my file from the hospital??? What happened to Doctor/patient confidentiality?
Thank you for raising your concerns with us.
Your query has been escalated to the relevant department for investigation and we will be in contact to assist you further with the matter.
Yours sincerely,
Benita Steyn
Service Recovery Specialist
Thank you for raising your concerns with us.
Your query has been escalated to the relevant department for investigation and we will be in contact to assist you further with the matter.
Yours sincerely,
Benita Steyn
Service Recovery Specialist
Thank you for raising your concerns and bringing this matter to our attention.
At the outset we would like to apologise for any delays you might have experienced in the assessment of your claim. This is not the level of service we aim to provide our clients and we assure you of our best intentions.
We confirm that our Claims Assessor (Tricia) was in contact with you regarding this claim, and confirmed the outstanding documents needed in order finalise your claim.
We refer to your Policy Terms & Conditions under Claims heading states:
“The insured person or Beneficiary shall supply in writing, at his/her own cost, any reasonable information that the Company may request. A full medical history may be requested at claims stage together with reports by the regular and attending doctors. The Company reserves the right to call for any additional documentation, as may be required from time to time, to validate the information provided”
Your claim will not be finalised until complete hospital file, blood tests and radiology reports are submitted
Should you require any further assistance in this regard please feel free to contact us again.
Kind Regards
Claims Department
Thank you for raising your concerns and bringing this matter to our attention.
At the outset we would like to apologise for any delays you might have experienced in the assessment of your claim. This is not the level of service we aim to provide our clients and we assure you of our best intentions.
We confirm that our Claims Assessor (Tricia) was in contact with you regarding this claim, and confirmed the outstanding documents needed in order finalise your claim.
We refer to your Policy Terms & Conditions under Claims heading states:
“The insured person or Beneficiary shall supply in writing, at his/her own cost, any reasonable information that the Company may request. A full medical history may be requested at claims stage together with reports by the regular and attending doctors. The Company reserves the right to call for any additional documentation, as may be required from time to time, to validate the information provided”
Your claim will not be finalised until complete hospital file, blood tests and radiology reports are submitted
Should you require any further assistance in this regard please feel free to contact us again.
Kind Regards
Claims Department