CG
Corli G

1 reviews | Active since May 2009

14 Sept 2015, 15:18

Utterly disappointed with your service!

My child was admitted to hospital last year November and had to spend 4 days in ICU. The hospital sent the claim through to the medical aid on the day my child was discharged. Now almost a year later I get a letter from the hospital showing their endless efforts to get the medical aid to pay. <br> <br> I have since been in contact to figure out why the claim was never paid and discovered that the medical aid is claiming that my child was not sick enough for ICU! How can you make such claims if an experienced pediatrician saw the need for this?!<br> <br> The hospital is claiming that they were never informed of this rejection and then when they started following up on non-payment they were told that the case is stale?! <br> <br> My response from liberty: \The scheme can not be held liable for this account has we didn't receive all the required information & there was no follow ups with the 4 months period of the service dates & scheme rules dictates if this step were not followed the account will be stale & the scheme will unfortunately not be liable."<br> HOW CAN YOU MAKE SUCH A CLAIM IF YOU CANNOT EVEN SEND ME PROOF THAT YOU INFORMED THE HOSPITAL OF NON PAYMENT?!"""

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Replies (1)
LMS Medical Fund
LMS Medical Fund's reply14 Sept 2015, 15:23
Official
Hello corligouws,

I am sorry to hear that you are not happy with the service you have received and will be in contact with you soon.
Thank you for taking the time to post your dissatisfaction with our service. I would like to discuss the matter with you personally so that we can resolve it quickly. I will look into your complaint and be in touch to provide you with feedback within the next 2 days at the latest but sooner if possible.

Again, I apologise for your unpleasant experience and guarantee that I will do my very best to resolve the issue so that Liberty Health can continue to provide you with better service in future.

Yours sincerely
Gillian Solomon

Liberty Medical Scheme
Escalations Officer