SM
Sizakele M

1 reviews | Active since Oct 2019

12 Sept 2022, 11:05

Doctors Nay Wells Hutton Piccolo - Netcare Milpark Hospital

On 28 February 2022, my daughter was badly injured at school and her school immediately called me to come in and on my way the school notified me that I go straight to the hospital as she was on the way to the hospital in an ambulance. I rushed to Melpark Netcare Hospital as she was taken to an emergency section where she had to get immediate attention from the doctors because of the severe of her injury. She was treated by a number of doctors and had the x-rays done, and I was then referred to their hospital branch, Netcare Garden City by one of the doctors who was treating her, as there was a good Orthopeadic Surgeon as she needed to have a surgery done on her arm. The surgery was done a day or two days later at Garden City and everything went well. I never had a call or any communication with the Melpark Hospital after that as Garden City Clinic had taken over, except when I went to collect the X-Ray report for her physiotherapy sessions.

However three months down the line, this is after my daughter went through various treatments, in June I get a call from one of their staff members that there is an outstanding amount due from me. I then asked the gentleman that according to my knowledge everything that had to do with my medical aid claim was settled and he told me that my medical aid had rejected the claim, only to find that when I engaged with my medical aid is they didn't request authorization from them nor did they notify me to do it when they were busy with my daughter while we were in the hospital therefore the claim was rejected based on that. I still don't understand why they will wait for 120 days to pass before they let me know about this and when I ask them why was I not told to get the authorisation from my medical aid and why didn't they do it from their side because in every Netcare hospital that i have went to that is a standard procedure, and this after they wrote an incorrect name on my daughter's file and I had to follow up with them to rectify this mistake as it might jeorpadise the claim being paid. Now I receive numerous calls from them that I owe them when I asked them to engage with my medical aid as this is not my problem and they need to sort it out themselves because of their incompetence staff.

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Replies (1)
Doctors Nay Wells Hutton Piccolo
Doctors Nay Wells Hutton Piccolo's reply12 Sept 2022, 11:08
Official
Good day

We have liaised with you regarding this matter on a private platform already