JW
John W

1 reviews | Active since Nov 2013

12 Dec 2019, 09:15

Mecical claims

I am utterly disappointed in the way my query was handled and it it still not resolved after submitting my claims for processing with all the relevant documentation that they needed. All this started on 2019/10/16 when I submitted my claims for processing after receiving a final letter of approval from ex gratia which was also attached to my claims. I have been driving up an down to the pharmacy to get invoices which I did submit, cellphone calls to Polmed all this is costing me money having to resolve things which Polmed should be doing.

No feedback on the process of the claims until today if I want to know whats happening then I have to call a call center agent who tells me a different story every time and cannot keep me up to date even with a simple sms or email with whats happening with the claims, I receive several query numbers from submission of claims till to date these were 161019QP17Y8,181019QP41JJ,221119QRX4FN,181019QP41JJ 011119QPW02F,221119QRX4FN,271119QS4Z3P,281119QS6HWR,091219QSNRN0,091219QSPWHP,041219QSHWVK, these are just a few of the query numbers but for the same claims.

Then keep being told it will take 7 to 14 working days to have it resolved, it has been almost two months now and I have to keep calling to fin out what is going on with the claims, If you working on one system why does the one not know whats going on in the other department, this is not acceptable as I am a paying client and not receiving this service for free, your clients services should step up on their s****s to resolve client queries.

The last people I spoke to was Nosisha who informed me that she informed Michelle about the query and that she will inform me before the end of business 2019/12/12 not sure about what though as I am fed-up with being sent around and having re explain everything from start to finish, and sorry is not acceptable I want this claims to be sorted out. It is only fair that if there is an issue call the client and inform him or her because that is just decent and the right thing to do.

Kind regards

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