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Elvera S

1 reviews | Active since Jun 2017

28 Sept 2023, 08:47

Claim not paid due to outdated practice information at Momentum

On 28-July I submitted a claim paid for in cash to Momentum. (***) which was "rejected as the practice number is not registered or invalid". I have confirmed the practice number of Dischem, Brooklyn was indeed correct. Their practice number changed in Jan 2023 so my only conclusion can be that Momentum's systems are out of date and there is nothing anyone but Momentum can do about it.

So in essence it comes down to money due to me not being paid because of a fault on Momentum's side. I am not going to re-submit a claim for the 3'rd time as it will have the same outcome. So I suggest someone pick up the phone, call Dischem Brooklyn to confirm the practice number and get this claim settled please.

My next step will be to approach the Ombudsman.

0
Replies (8)
Momentum Health
Momentum Health's reply29 Sept 2023, 09:48
Official
Good day Mrs. Van Rooyen 

Thank you for bringing this enquiry to our attention, please note we will investigate and contact you shortly to discuss further.

Kind Regards
Cerys Wilkinson
ES
Elvera S's update03 Oct 2023, 08:04
Reviewer Update
Still no response?
Please note that I am not contactable since I am in Mozambique.
Please email me at *** should you need to communicate.
Not that I see there is anything to discuss.
I submitted a valid claim with a valid practice number.
Please settle the claim urgently.
Momentum Health
Momentum Health's reply03 Oct 2023, 14:35
Official
Good day Mrs. Van Rooyen 

As requested your response will be sent via email shortly!

Many Thanks
Cerys Wilkinson 
ES
Elvera S's update10 Oct 2023, 09:12
Reviewer Update
The claim has now been rejected again because it was outside a 4 month period. So it was rejected because of Momentum's incompetence of not having up to date practice numbers which caused the delay. Fix this urgently as my next communication in this regard will be with the Ombudsman.
ES
Elvera S's update18 Oct 2023, 06:51
Reviewer Update
This is still now solved!

Now only 1 month was paid where the claim was clearly for 6 months as accompanied by a doctor letter as I am/was travelling for 6 months.

Please advise urgently :(
ES
Elvera S's update18 Oct 2023, 06:57
Reviewer Update
I mean still "NOT" solved...

Now only 1 month was paid where the claim was clearly for 6 months as accompanied by a doctor letter as I am/was travelling for 6 months.

Please advise urgently :(
ES
Elvera S's update25 Oct 2023, 08:08
Reviewer Update
FINAL NOTICE that I will be lodging a ombudsman complaint if this is not dealt with in the next 48-hours
Momentum Health
Momentum Health's reply25 Oct 2023, 15:05
Official
Dear Mrs. Van Rooyen 

Thank you for bringing this matter forward. We will investigate and look further into the query. Will be contacting you shortly.

Kind regards, 
Cerys Wilkinson