Chronic claims

<p>The fact that I actually had to take time out of my day to type this is freaken ridiculous! Let's start with calling in with a query. WHY DO YOU HAVE A DIRECT TELEPHONE NUMBER FOR THE CHRONIC DEPARTMENT WHEN YOU ALWAYS GET THROUGH TO CLIENT SERVICES??? THAT SERIOUSLY BOGGLES MY MIND!!!!!!!!! </p> <p>Today I spent 20min on the line with a useless agent in the chronic department, I then dropped the line as he could not resolve a simple query of logging a claim reversal. I then called back spoke to another agent after first getting through to client services of course requested to speak to a manager and GUESS WHAT? The call got dropped. Called me rude or sarcastic but I think I am entitled to be a disgruntled client when I have to call in about a claim that SHOULD HAVE BEEN PROCESSED CORRECTLY IN THE FIRST ****ING PLACE! My contacting SHOULD NOT be necessary AT ALL. I mean I pay R4500 per month so I can get decent medical cover to have my claims processed from incorrect benefits and then wasting time from my day is just ridiculous! Info you will require:</p> <p>Membership number: ********** 60</p> <p>Main member: Laura Anne Knipp</p> <p>DOS: 2015-05-09</p> <p>Claim by: Schuin Villa Pharmacy</p> <p>Claim amount: R840.87</p> <p>Medication claimed: Lamictin</p> <p>The increase in dosage was approved from 17 APRIL 2017!!!!!. i RECEIVED THE CONFIRMATION LETTER ON 2 MAY 2017!!!!! The idiots who I spoke to could not see that this was a simple reprocessing claim that paid from MSA insteacd of chronic. Please see that the reversal takes place. Thank you.</p> <p> </p> <p>P.s. Train your staff to be more effecient and if you're going to have designated telephone numbers for certian departments make sure they work. Even if you call 0 ********** 77 and select chronic department, you go through to client services. Now how daft is that. Makes no sense in my mind, indicates ineffiency. </p>