Poor Service

<p>Good day, to whom it may concern:</p> <p>I'm publishing a complaint directly from the Hospital. We had one of Polmed's members admitted in our hospital.</p> <p>The medical aid has released the authorisation, updated and approved the LOS for this patient's admission. After 120 days the medical aid has still not paid the claim in full because they have a miscommunication between the claims department and the case managers department. I've been on the phone trying to sort out this patient's claim since 08:00am this morning and it's 10:43am and I still have not had any joy from Polmed nor Medscheme. The Medscheme claims department advises me to speak directly to Polmed's case manager department. The Polmed's case manager department is referring me to speak directly to Polmed's claims department, the Polmed call centre advises me I cannot speak directly to Polmed's claims department and I must speak directly to Medscheme claims department in order for Medscheme to sort out my claims enquiry with the Polmed case. Then I phone back Medscheme's claims department and they are referring me back to the circle again. I have been phoning and speaking to people in circles hoping there will be someone to help, but still no joy. After 120 days and after 13 enquiries done on this same claim, no joy from the medical aid. </p>