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jetenr J

1 reviews | Active since Sept 2016

12 Apr 2018, 08:37

Disgusted with Momentum Health Claims

I had enough with Momentum Health. Firstly my GP got paid 3 times for a consultation, once by myself and twice by Momentum. My 2 year old had to wait to be treated because Momentum could not get the Health and Multiply platforms to be linked and identify that I have a GP consultation available and I need to use it. I had to call Momentum Health and Multiply from the doctors room and I had to eventually pay cash for the consult. I then submitted the claim to Momentum Health as the consultant had told me and the invoice clearly stated that the Member paid cash. Momentum then paid the GP for the consult. I then queried that I have a GP consult available and I need to be reimbursed for this, Momentum Health then decided to pay the GP again but from my Savings. That was the first incident, the next incident was I had taken my 2 year old for his vaccines. He was taken to a registered nurse and I paid Cash which I then sent a claim to Momentum to pay out of the Preventive Benefit as the vaccines were part of the Government schedule. I thereafter received an email stating that the claim has been rejected as my savings has been exceeded. I then contacted Momentum Health this morning and queried this. The consultant then started by saying that I don't Savings available. I told her that it has to be paid from the Preventive benefit. She then checked again and she stated that the Vaccines were captured as if I had received it therefore it has been rejected. I am 37 years old and Momentum has captured that I had my 2 year old vaccine done now........I don't think Momentum claims capturers has gone for any training.

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Replies (1)
Momentum Health
Momentum Health's reply12 Apr 2018, 08:43
Official

Dear Jeten Rajlal

Thank you for bringing this to our attention . A consultant will contact you shortly .

Kind regards

Roger Naidoo