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Johan S

1 reviews | Active since Jul 2021

17 Aug 2021, 15:59

How bad can it get?

I bought and pre-paid for my medication for Jan.2021 to March 2021 and the pharmacy submitted the three invoices for regular monthly standard supply as follows: January 2021 medication on10 January 2021. They did not refund it. February 2021 medication on 11 February 2021. They do not refund it. March 2021 medication on 7 March 2021. I heard nothing about the Jan. and Feb. claims and re-submitted them on 26 Feb. 2021(***) They refunded the March claim on 26 March 2021 but short paid one item, quoting code “Invalid NAPPI suffix” I checked with the pharmacy. The suffix is correct. I write to Compcare. I never hear from them again. On 26 March I reminded them about the two months they have skipped (***) On 12 April I reminded them again. (***) Still nothing. On 11 June 2021 I reminded them again. (*** Universal ***)) Nothing. On 2 July 2021 they suddenly asked copies of the invoices. I send (3rd set) and they acknowledge on 4 July 2021 (***) On 9 July they inform me the invoices are stale!!!! On 4 August they ask for the previous reference numbers to prove they had been submitted in time. I resend all the above They acknowledge (*** Universal ***) Not a word since despite another two further e mails. What is going on in this organisation? Are there deliberate intentions, sinister motives? Where is the management who are suppose to ensure that things run smoothly? I requested a personal meeting with someone senior and it was rejected, quoting Covid as an excuse. I went to the office personally and could not get past reception, yet people were moving in and out all the time. To add insult to injury, these claims and the Nappi code story is one of 6 issues I have with Compcare. Do you really want to know what I think of them?? #WIN

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Replies (1)
CompCare Medical Scheme
CompCare Medical Scheme's reply17 Aug 2021, 16:11
Official
Good day Johan

Thank you for bringing this matter to our attention. Please give us the opportunity to look into this matter and we will revert with an update for you within one business day. 

Kind regards 
The CompCare Medical Scheme customer experience team