1 reviews | Active since Feb 2010

08 Jul 2016, 07:17

MSA for hospital claims

<p>Hi </p> <p> </p> <p>I sent a mail to Denis on behalf of my parents regarding a claim that was processed to their savings account instead of the hospital benefit. Either these people are illiterate or they are just not wanting to answer the question. The one response I received was about a hospital co-payment, totally nothing to do with my question and the 2nd response I received was a printout of the hospital claim which they paid and stating that they cannot process to savings. Again not even looking into what the initial question was. I contacted Bonitas and they said the reason it was processed to the savings was because they don't have any hosp authorisation and they received the claim from the provider. To correct it, I need to contact Denis, however, Denis is not very helpful at all. The claim was for Dietrich Bruce and Partners dated 15/06/2016. This should not have been processed to the savings but from the hospital benefit. Membership number is ********** 7159</p>

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Replies (2)
DENIS
DENIS's reply08 Jul 2016, 13:58
Official

Good day Velesca

As confirmed telephonically we are in the process of investigating your query. The claim referred to is a pathologist claim and Denis does the dental administration for Bonitas, however we will investigate and provide feedback once finalised.

DENIS
DENIS's reply21 Jul 2016, 09:22
Official

Good day Velesca

The pathology claim for services rendered on 15 June 2016 has been reviewed by the scheme. We have received confirmation from Bonitas that the claim has been reprocessed to pay from the risk benefit on the next payment run date and that feedback has been provided to the member.

We thank you for your patience in this regard.