LJ
Lilisa J

1 reviews | Active since Mar 2012

11 Sept 2020, 09:42

*********** service; very disappointing

I have been in contact with Momentum for various claims and authorizations since August 2020. The following has become clear from my various emails and phone calls. 1. A claim never gets resolved on the first submission. The onus is on the member to assist the employees of Momentum to do their jobs and to explain to them what they are supposed to do.

2. They will approve a claim, make a mistake on the documentation and as soon as you fix the mistakes, they will turn around and reject the same claim.

3. The system of not being able to deal with one person regarding a claim is so frustrating. Every time you query a problem, your query goes back into the system and you have to explain the whole situation again to a new person who has new opinions that differ from the first person you spoke to.

4. If there is any uncer*****y from Momentum's side, they will not contact you to clarify (although I already explained everything in detail on an email), they will continue to reject, authorize the wrong items or pay back the wrong party. Again, it's up to the member to try and resolve their mistakes.

5. The overall experience from Momentum Health is that their staff is *********** and not willing to go the extra mile. It's like dealing with Home Affairs.

6. They will try and reject every possible claim as far as possible. But I guess this is true of all medical aids and insurance companies.

0
Replies (1)
Momentum Health
Momentum Health's reply15 Sept 2020, 17:00
Official
A consultant will contact you in order to obtain all the relevant information required to assist in resolving the above enquiry.

Kind Regards
Debbie