1 reviews | Active since Mar 2013
Polmed not paying valid claim!
My mother-in-law was admitted to hospital on the 21st of January 2022 and discharged on the 22nd of January 2022. Although Polmed gave authorization for 5 days, Netcare Kuilsriver did change the authorization to only 1 day. Netcare did receive confirmation from Polmed that it was changed.
On the 24th of January 2022 she went to her GP for a follow-up appointment. This claim was rejected by Polmed because of the 5 day hospital authorization that was still reflecting on their system. On the 26th of January 2022 Polight with ref no: 260122QZ3DPB confirmed that this was a mistake and that the GP visit will be send for payment. This GP visit is still not paid and today 3 March 2022 when I contacted Polmed, the lady who helped me again started with the authorization that was not changed.
Do I need to refer this to the Council for Medical Schemes to be sorted out?
