1 reviews | Active since Sept 2015
I PAY THEY DO NOT!
<p>YOU ARE PATHETHIC. I HAVE BEEN STRUGGLING FOR MONTHS TO GET A MEDICAL BILL PAID. HAVE BEEN A MEMBER AS FROM 01/05/2016. BECAME VERY ILL AND WENT TO MEDICROSS WHO WAS PART OF THE PREFERED LIST WHEN I JOINED. WAS DIAGNOSED WITH GASTOENTERITIS AND COLITIS OF INFECTIOUS ORIGIN ON 07/09/2016, WAS DE-HYDRATED AND FEVERISH. RECEIVED A DRIP FOR BOTH. ONLY BECAME AWARE THAT THIS BILL WAS NOT PAID ON 17 JAN 2017 WHEN I AGAIN VISITED MEDICROSS RUSTENBURG, AS NO STATEMENT FROM ESSENTIAL MED WAS RECEIVED, I IMMEDIATELY CALLED THEIR CUSTOMER CARE AND SPOKE TO CLAYTON MURRY. HE INFORMED ME THAT MEDICROSS WAS NOT CONTRACTED ANYMORE AND THAT THERE WAS SOME ISSUES WITH BILLS AS ESSENTIAL MED MOVED TO ANOTHER ADMINISTRATOR. HE ASKED THAT I SUBMIT CLAIM TO HIM WHICH I IMMEDIATELY DID. AFTER SEVERAL INQUIRIES FROM MY SIDE I RECEIVED FEEDBACK THAT CLAIM WAS REJECTED AS STALE!? NOW IF ESSENTIAL MED ALLOWS A NEW ADMINISTRATOR TO REJECT MY CLAIM DUE TO THEM CHANGING ADMINISTRATORS THEY SHOULD BE LIABLE. IF ESSENTIAL MED DOES NOT PROVIDE ME WITH MONTHLY STATEMENT OF ACCOUNT THEY SHOULD BE LIABLE NOT ME! THE MINUTE I BECAME AWARE I MADE THEM AWARE NOW THEY TELL ME I AM LIABLE????? EVEN A NEW CLAIM IN JAN 2017 WAS STILL NOT PAID THERFORE I NOW HAVE AN ACCOUNT OF R 1096.82 TO PAY AS ESSENTIAL MED ENDED UP PAYING NO CLAIMS AS FROM 07/09/2016. SO ESSENTIAL MED RECEIVED INSTALLMENTS FROM ME FOR SIX MONTHS AT R 1586.00 (TOTAL R9516.00)PER MONTH ANDCOULD NOT PAY AN MEDICAL BILL FOR R 1096.82 BUT INSTEAD PAID R0...... I HAVE CANCELLED MY POLICY AND WILL SEEK LEGAL ADVICE. ESSENTIAL MED YOU SUCK!</p>
Good day,
Thank you for bringing your concerning matter under our attention.
We have been in contact with the practice to request the proof of submission for account for 2016. Once the requested documentation is received then we will be able to review the claims. The account for the 10th of January 2017 is in for processing and the account for the 25th of January 2017 was paid on the 3rd of March 2017.
We have a signed agreement with our Network of Providers and we cover according to the agreed rates within our benefit guidelines.
Essential med strives to provide quality service towards all our valued members.
Kind regards,
Essential Med
Good day,
Thank you for bringing your concerning matter under our attention.
We have been in contact with the practice to request the proof of submission for account for 2016. Once the requested documentation is received then we will be able to review the claims. The account for the 10th of January 2017 is in for processing and the account for the 25th of January 2017 was paid on the 3rd of March 2017.
We have a signed agreement with our Network of Providers and we cover according to the agreed rates within our benefit guidelines.
Essential med strives to provide quality service towards all our valued members.
Kind regards,
Essential Med
