1 reviews | Active since Aug 2024
Incomplete claims statements
I am so over the term "it has been escalated" In May, I submitted an anesthetists account for my son who had 2 teeth extracted under sedation. The account was paid in full by myself, I just needed the claims statement as requested by my Gap cover to see if anything can be paid back to me.
I received claims processing notification emails on the following days: 3 June, 5 June, 14 June 2024 for 1 claim submitted for Dr S McQueen (which as already stated, was paid in full by me). When looking at the claims statement, only the value for the claim reflected in the email received on the 14th of June is present. How is it possible that only the value indicated in the email I received on the 14th of June is reflecting on the claims statement yet I received 2 other emails with 2 other values?
I have followed up every single week either via Whatsapp or the Customer Care number, to be met with the following: "your query has been escalated to the manager" NOT ONCE has any manager contacted me with an actual reason for why a complete claims statement can be populated even though I received THREE emails from Momentum regarding this claim.
Then in the beginning of July, I got told I need to wait until the 19th of July, for that payment run to complete, then I *should* receive the correct claims statement.
I waited, and I was still given an incomplete claims statement on the 19th of July. I followed up again, and was told "it has been escalated"
Momentum is making my life extremely difficult as I only have a certain amount of time to submit my claims to my Gap cover.
I have received 1 partial SMS to say that my query is with the IT department, further than that, no other communication from Momentum other than what was mentioned above.
I WANT A CLAIMS STATEMENT THAT SHOWS THE FULL AMOUNT SUBMITTED FOR PROCESSING! THIS IS PURELY FOR MY GAP COVER AS YOU WOULDN'T HAVE PAID IT ANYWAY
Thank you for bringing this matter to us. We will investigate and revert with feedback.
Regards,
Nosipho
Thank you for bringing this matter to us. We will investigate and revert with feedback.
Regards,
Nosipho
