1 reviews | Active since Dec 2014
Incomplete Capturing, Unresolved Enquiries
<p>1: I emailed my claim 10 July 2016 with message "</p> <p>Good day</p> <p>I had to go see a doctor very urgent Saturday and she charged me normal rates and an emergency fee due to being after hours.</p> <p>We were unable to put it through on the medical aid as it was my 1st visit and to spare time I paid by card.</p> <p>Can I claim this back?</p> <p>Doctor was Dr K Magau and Partners on my Doctors Network List.</p> <p>I paid in total Rx,xx</p> <p>Kind Regards<br />Lucinda" </p> <p>2: Received a Reply 11 July asking for the Attached Invoice so I forwarded it. </p> <p>3: I received an Email 20 July saying that it has been received and I must ensure that MY banking details are updated. </p> <p>4: By 5 August I have received NO FEEDBACK and I decided to phone. The Call Center Agent confirmed my details and informed me that there is NO contact details on my profile which I could not believe! I refused to speak to him because he did not listen to what I tried to explain. </p> <p>5: I phoned back and reached a Supervisor/ Manager. She said she will try find out and phone me back. She phones back saying I never gave contact details on my application which made me go back to my application and on Page 9 is ALL MY contact details they apparently did not have. </p> <p>6: She said they paid the dr the claim because I never put an instruction in my original email. Please see point 1. Then she said I should claim it back from the doctor which I REFUSE to do because it's almost 3 weeks back AND the balance due on the bottom was 0 PLUS I said in my email REFUND ME!! </p> <p>7: I was asked to send the Proof of Payment ( slip ) which I did and have not received any feedback yet. </p> <p>- I am so disappointed by the fact that my profile was incomplete nr 1</p> <p>- I am very sad with the fact that my email with instruction was not read properly, If unclear I was not contacted because they did not have details they missed. </p> <p>- I feel my honesty was questioned when they kept on trying every angle to make me the guilty one AFTER the supervisor saw all the emails I sent. </p> <p> </p>
STILL NO REFUND AFTER CONFIRMED??
STILL NO REFUND AFTER CONFIRMED??
The above claim has been processed to be paid to the member.
Our provider liaison has been in contact with the network doctor as he has overcharged on the caim..
Kind Regards
Debbie van der Haar
The above claim has been processed to be paid to the member.
Our provider liaison has been in contact with the network doctor as he has overcharged on the caim..
Kind Regards
Debbie van der Haar
