JJ
Juwairriyyah J

1 reviews | Active since Jan 2022

19 Jan 2022, 17:40

Received payment twice from patient

On the 25 October 2021 I rushed my daughter to life Flora hospital, one of the attending doctors at casualty saw her and advised we can go home when he was done we just need to pay for the consultation fee, my husband proceeded to the reception to pay for the consultation

I called my medical aid a week later to find out if we can claim the consultation they advised me to send through the statement with proof of payment and they will reimburse me

Medical aid received the statement the rejected my claim because life Flora hospital used the incorrect consultation code and they told to phone the accounts department for them to amend the claim from code 7601 to 0190 which I did

The accounts clerk instead of amending the claim she submitted the claim with the correct code to my medical aid

I have paid cash for this consultation and my medical aid for the same day, I have requested a refund from the hospital as they received the money twice, the accounts clerk keeps on telling me she will remind the doctor to reimburse me this

Today I tried calling and sent a email as per medical aid they need to reverse the claim they sent to the medical aid and amend the initial account for my medical aid to reimburse me. I haven't received a response on email and the contact number I was provided is just ringing

0
Replies (1)
Life Healthcare
Life Healthcare's reply20 Jan 2022, 08:31
Official
Hi Julius, 

We are sorry to hear about your experience. We have shared your contact details and escalated this matter to hospital management and someone should be in touch soon. 
 
As this matter involves personal information and data, we cannot share any updates via Hellopeter. 
 
Please don't hesitate to contact us should you not hear anything.