1 reviews | Active since Mar 2009
Chaos with my Hospital Claim and on top 30 working days to transfer!
I called EssMed on the 13.12.2017 Elize van der Merwe send me the Claim Form (2017-12-13 12:55, via Email) I returned it on the same day. 02.01.2018 - I called in and ask how far they are? They didn't get anything. 2018/01/02 10:43 again via email to Elize direct. Ask for conf. (didn't happen!) 2018/01/03 Call and ask for Elize (She is on leave!) We got nothing!!! 2018/01/03 14:31 send all info to Chantelle Pedro Answer: 2018/01/03 14:51 Your claim has been send through for processing.!!!
Call on the 2018/01/11 9:33 - Redine there is no claim!!! something, you are back on the hospital plan???? what is changed???
I never changed anything!!!
Call on the 2018/01/11 - 11:02 - Zelda MANAGER now they need the hospital bill to send the claim for processing!
I organized the bill because Essential Med would have needed another 1-2 month!
2018/01/11 15:09 Email direct to Zelda incl. the Hospital Bill!
2018/01/12 10:23 Email direct to Zelda to confirm the email, amount and date of transfer! NO ANSWER!!! 2018/01/13 Call to speak with Zelda (She is not available) I ask for a callback! NO CALL BAC**** 2018/01/16 Call to Zelda : She got all info and (again) will give it for processing! When is the transfer? WE NEED 30 WORKING DAYS!!! Maybe longer Backlog over Xmas! Promise on the Website: Why Essential Med? • Prompt and efficient claim payment
This is a Joke!!!
Thanks Michael Schuchardt
Good day,
Thank you for bringing your concerning matter under our attention.
Please be advised that before any admission you need to obtain authorisation. In the event that you did not have authorisation in place then you need to complete the claim form. With the form we need the detailed hospital account in order to see what was the reason for the admission as well as the length of stay as we cover stated benefits for each day you as member spends in hospital. The claims forms was send on the 13th of December 2017 and the completed claim form was received by Chantelle the first time the 4th of January 2017 which was then send however the detailed hospital account was not attached.
Zelda requested the detailed hospital account with a full explanation as to why we need the detailed account.
From the date the completed claim is received then it takes 30 working days in order to process and finalise the claim. Once the claim has been approved then only will payment be made. This is unfortunately a requirement from our Insurer.
Essential Med strives in the best service delivery towards all our valued clients.
Kind Regards,
Essential Med
Good day,
Thank you for bringing your concerning matter under our attention.
Please be advised that before any admission you need to obtain authorisation. In the event that you did not have authorisation in place then you need to complete the claim form. With the form we need the detailed hospital account in order to see what was the reason for the admission as well as the length of stay as we cover stated benefits for each day you as member spends in hospital. The claims forms was send on the 13th of December 2017 and the completed claim form was received by Chantelle the first time the 4th of January 2017 which was then send however the detailed hospital account was not attached.
Zelda requested the detailed hospital account with a full explanation as to why we need the detailed account.
From the date the completed claim is received then it takes 30 working days in order to process and finalise the claim. Once the claim has been approved then only will payment be made. This is unfortunately a requirement from our Insurer.
Essential Med strives in the best service delivery towards all our valued clients.
Kind Regards,
Essential Med
Good day,
Thank you for bringing your concerning matter under our attention.
Please be advised that before any admission you need to obtain authorisation. In the event that you did not have authorisation in place then you need to complete the claim form. With the form we need the detailed hospital account in order to see what was the reason for the admission as well as the length of stay as we cover stated benefits for each day you as member spends in hospital. The claims forms was send on the 13th of December 2017 and the completed claim form was received by Chantelle the first time the 4th of January 2017 which was then send however the detailed hospital account was not attached.
Zelda requested the detailed hospital account with a full explanation as to why we need the detailed account.
From the date the completed claim is received then it takes 30 working days in order to process and finalise the claim. Once the claim has been approved then only will payment be made. This is unfortunately a requirement from our Insurer.
Essential Med strives in the best service delivery towards all our valued clients.
Kind Regards,
Essential Med
Good day,
Thank you for bringing your concerning matter under our attention.
Please be advised that before any admission you need to obtain authorisation. In the event that you did not have authorisation in place then you need to complete the claim form. With the form we need the detailed hospital account in order to see what was the reason for the admission as well as the length of stay as we cover stated benefits for each day you as member spends in hospital. The claims forms was send on the 13th of December 2017 and the completed claim form was received by Chantelle the first time the 4th of January 2017 which was then send however the detailed hospital account was not attached.
Zelda requested the detailed hospital account with a full explanation as to why we need the detailed account.
From the date the completed claim is received then it takes 30 working days in order to process and finalise the claim. Once the claim has been approved then only will payment be made. This is unfortunately a requirement from our Insurer.
Essential Med strives in the best service delivery towards all our valued clients.
Kind Regards,
Essential Med