RESOLUTION HEALTH - SOPHIE MOKAUTU- TEAM LEADER OF THE CLAIMS DEPARTMENT - OUTSTANDING ACCOUNT FOR DRS VAN RENSBURG AND PARTNERS RADIOLOGISTS.

<p>SOPHIE MOKAUTU - CLAIMS DEPARTMENT TEAM LEADER FROM RESOLUTION HEALTH HAS BEEN VERY HELPFUL AND GONE OUT OF HER WAY TO GET MY CLAIM CORRECTLY RE-PROCESSED AND PUT THROUGH FOR A CHEQUE RUN TODAY - 28/04/2017. I WOULD LIKE TO THANK HER AND LET HER SUPERIORS KNOW WHAT AN EFFICIENT AND PROFESSIONAL EMPLOYEE SHE IS.</p> <p> </p> <p>BELOW ARE THE DETAILS OF MY CLAIMS QUERY WHICH HAS BEEN GOING ON SINCE DECEMBER, I DO THINK THAT IT HAS BEEN A SYSTEM ERROR AND NOT A HUMAN ERROR.</p> <p> </p> <p>I RECEIVED AN AUTHORISATION NUMBER IN DECEMBER LAST YEAR FOR A FACET JOINT BLOCK TO BE DONE BY A DOCTOR IN A RADIOLOGY DEPARTMENT, AND WAS INFORMED THAT IT WOULD BE PAID IN FULL FROM MY HOSPITAL BENEFIT EVEN THOUGH IT WAS NOT DONE IN HOSPITAL, BECAUSE IT IS NOT THEIR PROTOCOL TO BE DONE IN THEATRE.</p> <p>TWO AMOUNTS WERE PAID FROM MY SAVINGS, WHICH SHOULD NOT HAVE BEEN DONE, AND THE REST WAS REJECTED BECAUSE THEY SAID THERE WERE INSUFFICIENT SAVINGS AVAILABLE. TO CUT A LONG STORY SHORT, I HAVE BEEN PHONING THE CLAIMS DEPARTMENT ONCE A WEEK SINCE DECEMBER {THE INFILTRATIONS WERE DONE ON 12/12/2016], TO QUERY THIS, EXPLAINING WHAT I WAS TOLD BY THE HOSPITAL AUTHORISATION DEPARTMENT. I HAVE SPOKEN TO NUMEROUS PEOPLE, RECEIVED NUMEROUS REFERENCE NUMBERS, AND WAS INFORMED THAT THE ACCOUNT WOULD BE ESCALATED, AND RE-SENT FOR PROCESSING, BUT TO NO AVAIL....EVERY TIME I PHONED I WAS TOLD THAT THE CLAIM HAS BEEN REJECTED.</p> <p>MY CALL WAS RE-DIRECTED TO SOPHIE AND WAS SORTED OUT INSTANTLY.</p> <p> </p> <p>THANK YOU VERY MUCH ONCE AGAIN SOPHIE....MUCH APPRECIATED.</p>