1 reviews | Active since Feb 2017
Why should I pay, when you don't?
<p>Every now and then I am hassled by doctors, pathologists, etc. because Essential Med does not pay their service providers. I have medical insurance so that I don't have to deal with this, I don't understand why it comes down to me every time to follow up over and over and over again until Essential Med eventually pays those accounts. Note that these are services for which I am covered, at service providers within the network.</p> <p>I mailed my complaint directly to the Day to Day email address, I emailed the customer service address, I even emailed a lady called Nicolene after being advised to do so by the online assistance consultant. None of these people bothered to even reply to me.</p> <p>I'm sick of this. Really. My financial reputation is extremely important to my career, so you are essentially *****ing with me at a whole separate level, without even considering how much of a head ache it is to have to poke at a process that should be runnign properly already.</p> <p>I want to know by COB TODAY whether the pathologists are going to be paid or not, and I also want to know what Essential Med is planning to do to fix this issue...because my patience is now completely spent!</p>
Good day,
Thank you for bringing your concerning matter under our attention. The account that you sent on the 23rd of February 2017 was sent to the Administrators for processing. From the time a claim is received, it takes 30 working days in order to process and finalize a claim.
Our administrators confirmed that they only received the claim on the 3rd of February 2017 from the practice when they submitted it via EDI. The claim is in for processing and will be covered according to what is covered on the formulary.
Essential Med strives to provide 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. The account that you sent on the 23rd of February 2017 was sent to the Administrators for processing. From the time a claim is received, it takes 30 working days in order to process and finalize a claim.
Our administrators confirmed that they only received the claim on the 3rd of February 2017 from the practice when they submitted it via EDI. The claim is in for processing and will be covered according to what is covered on the formulary.
Essential Med strives to provide the best service delivery towards all our valued clients.
Kind regards,
Essential Med
