FLEXICARE

The FLEXICARE section of your Healthcare portfolio leaves much to be desired. I currently have three claims lodged with them, still awaiting settlement. They advised me that my claim with a Radiologist was not referred to by one of their Network doctors. The referral doctor was however a Network doctor, whom we had previously consulted with, but had subsequently been removed from their Network. I was not advised of the change of status, so proceeded to consult with him for a referral. They are now wanting to wash their hands of this claim, which is not ethical business practice. as I should have been advised by both the doctor and Flexicare. Further, my wife and I were referred to separate specialists, by another Network doctor. They however advised me that they have not received these claims, which results in further time wasted to trace and submit the claims again. When a claim is submitted they also ask for obvious information which is stated on the Invoice, such as the patients name, DOB, the practice name, date of service etc. This again is a time wasting exercise, as the information is clearly provided on the statement.