1 reviews | Active since Apr 2012
REFUND DELAY / BAD SERVICE
Two reimbur*****t forms were submitted to Essential Med, one on the 26/08/2015 and the other on the 03/09/2015 and to DATE no reimbur*****t has been done!!!! I never get any feedback or updates unless I call in myself to query what is happening. The last call I made I was told by Eswin that the one reimbur*****t is missing the invoice but he will call the Dr to get it and inform me as soon as it has been received which was NEVER done!!! I have been with Essential med for two years now and when premiums need to go off there is never a problem but now when it comes to the reimbur*****ts I am given the run around. I am dissatisfied with the service received and demand that both my reimbur*****ts be done as it is WAY PASSED 30 days now!!! I am EXTREMELY DISSATISFIED with the service received
Thank you for bringing the concerning matter to our attention.
Upon further investigation the following was established:
o An incomplete reimbur*****t was received on the 23rd of September 2015.
o Teswin contacted the provider on several occasions to obtain the invoice.
o The practice only submitted the detailed account of the 8th of October 2015.
From the date that the completed claim is received it will take 30 working days to process and pay the claim. On our claim form it stipulates that it is the clients responsibility to make sure that when a claim is submitted it is complete.
The claim has been loaded for the next payment run which is the 20th of October 2015. You will be reimbursed according to our Benefit Structure.
Essential Med strives in the best service delivery towards all our valued clients.
Should you have any enquiries please do not hesitate to contact one of our friendly consultants for assistance.
Kind Regards
Essential Group
Thank you for bringing the concerning matter to our attention.
Upon further investigation the following was established:
o An incomplete reimbur*****t was received on the 23rd of September 2015.
o Teswin contacted the provider on several occasions to obtain the invoice.
o The practice only submitted the detailed account of the 8th of October 2015.
From the date that the completed claim is received it will take 30 working days to process and pay the claim. On our claim form it stipulates that it is the clients responsibility to make sure that when a claim is submitted it is complete.
The claim has been loaded for the next payment run which is the 20th of October 2015. You will be reimbursed according to our Benefit Structure.
Essential Med strives in the best service delivery towards all our valued clients.
Should you have any enquiries please do not hesitate to contact one of our friendly consultants for assistance.
Kind Regards
Essential Group