LH
Lauren H

1 reviews | Active since Jan 2019

14 Mar 2020, 20:42

In-Hospital claim rejected

On the 19th of October 2019, I underwent emergency abscess drainage at Durbanville Medi Clinic hospital. At the time, my abscess was so large and dangerous that we were forced to proceed according to the attending maxilo-facial surgeon's schedule. I paid my co-payment and according to my plan Momentum Custom, all in-hospital procedures are covered. To this day, I am still receiving emails from the health care provider saying that I am now liable for this IN-HOSPITAL procedure. Momentum simply rejects the claim each time they submit and say that it was performed OUT-OF-HOSPITAL. Which is in fact, a total and complete lie. My abscess was drained WHILE I was in hospital. No, my husband is worried that he will be blacklisted because Momentum won't do their job! Why are we paying over R6000 per month and they can simply reject as and how they feel.

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Replies (2)
Momentum Health
Momentum Health's reply16 Mar 2020, 10:37
Official
Dear Lauren Henry

We will contact you shortly to assist.

Kind regards

Roger Naidoo
Momentum Health
Momentum Health's reply16 Mar 2020, 16:35
Official
Dear Lauren
 
I tried to call you, reached your voice mail. I am currently looking into your query and will provide feedback to you.
 
Kind regards
 
Roger Naidoo