HK
Hannes K

1 reviews | Active since May 2016

26 May 2017, 09:31

Horrible service.

<p>This is not the first time i am struggeling with this so called Essential Med. My dentist what to give me on for not paying,the accout is alreagy 90days outstanding. All what i get is (we put it through for payment). So what now? You don't care if i get listed for a bad payer. You don't care about your customers.......PLEASE GUYS DON'T USE ESSENTAIL MED YOU ARE GOING TO REGRET THA HAVE HAVE EVER DID BUSINESS WITH THEM......................................................................</p> <p> </p>

0
Replies (8)
EssentialMED
EssentialMED's reply26 May 2017, 12:06
Official

Good day,

Thank you for bringing your concerning matter under our attention.

Upon investigation we established that the practice never submitted the account. The account was received on the 5th of May 2017 when you submitted the claim. The claim was send the same day to the administrators for processing.

From the date the claim is received it takes 30 working days to process and finalise. This excludes weekends and public holidays. Once payment is made then the practice will receive the remittance and you will be notified what was paid by Essential Med and what you as member will be liable for.

Essential Med strives in the best service delivery towards all our valued clients.

Kind regards,

Essential Med

HK
Hannes K's update26 May 2017, 13:04
Reviewer Update

Sorry don't agree with you. They send the first claim electronic on 20/02/17 and the second one on 07/03/17. And they agreed that they have received it..........the accounts department spoke to Essential Med. Why does Essential Med always have excuses if it comes to pay.... but i must pay every month......

EssentialMED
EssentialMED's reply29 May 2017, 11:43
Official

Good day,

We have received confirmation that the account was rejected due to the practice not being part of the Network.

They have ended their contract with Dental Risk Company end of January 2017.

Before a member can make use of a practice they need to confirm if they are still part of the network.

Essential Med strives in the best service delivery towards all our valued clients.

Kind regards,

Essential Med

HK
Hannes K's update29 May 2017, 12:39
Reviewer Update

No the time when i phoned they where on the Medical still. Thus is easy for you to say. As so many doctors is going off from you because of bad payment, from Essential Med. Essential Med is always looking for excuses not to pay But me as a customer from pay my fee for what. If you keep changing doctor's on your group. I am totally not happy with this answers.

EssentialMED
EssentialMED's reply29 May 2017, 13:49
Official

Good day,

The claim was received that you have paid the account. We have sent this claim in to our administrators for processing, however this does not mean that you will be refunded as the provider is not part of the network.

The practices needs to confirm benefits before assisting a member. Once it is confirmed that they are part of the network then only can we confirm the benefits. The practice cancelled the contract end of January 2017.

Essential Med strives in the best service delivery towards all our valued members.

Kind regards,

Essential Med

HK
Hannes K's update29 May 2017, 14:23
Reviewer Update

We did confirm. And they sad they are one the network. Otherwise i would of use someone on the network. This is not the first time i habmve the same issue with Essential med. I think your admin are poor and there planning,are bad......

EssentialMED
EssentialMED's reply29 May 2017, 14:51
Official

Good day,

Confirmation was received from Rose at the practice that the contract was ended on the 5th of January 2017 as they don't have any sign agreements in place anymore.

They are no longer a Network Practice. Therefore the claim is rejected and we don't cover out of Network Dentistry.

As stipulated the practices needs to confirm benefits and if they are still part of the network.

HK
Hannes K's update29 May 2017, 15:04
Reviewer Update

Your guys don't listen to what i am saying. I phoned Essential med before and they sad that they are still on the network. So its a mistake from Essential Med. Not me. Why will i go to a plays what i now you want pay. And make some trouble for mybself. Essential don't no what they are doing.....