Resolution health looks for reasons not to pay hospital accounts.

<p>I treated a child in sept 2015 in the hospital for a PMB condition. The medical aid was contacted several times by the mother requesting that they change the babies name from Baby to his actual name Diann. The medical aid did not do this. When the bil was sent through to the medical aid, it was rejected stating that the patients name was incorrect. when I called the medical aid on 27/11/15 they were off line and were unable to help me or provide me with a reference number, so I sent an email to them with the paper claim. They never got back to me and never responded to the email. All the patients information was on the claim and the only information that was different was the babies name. I sent several emails, but because they do not respond to emails and do not provide reference numbers for emails, when I did have a moment to call them it was after the 4 month period and the medical aid stated that the claim was stale and that my emails that are well within the relevant time frame were not relevant and thus they were not going to pay the account. I contacted the medical board and finally got this answer as mentioned above from the medical aid. I feel that this account should be paid in full as I still have proof of the relevant email being sent to them within 2 months of treating the child. THis is the twentieth century and technology is time stamped with the proof of when it was sent. I feel the medical aid should improve their service by providing ref numbers for emails and secondly actually responding to emails that are sent with relevant responses. if they had responded to my email on the 27/11/16 I would have known that they had still not changed the babies name to the right name and could have sent an email back with the ammended account. previous members from this medical aid have had similar problems with their accounts not being paid and I am tired of dealing with a substandard medical aid.</p>