MM
Mokasha M

1 reviews | Active since Dec 2015

17 Dec 2015, 19:05

Momentum Health refuse to pay & they never respond

I would like to vent my frustration towards the way Momentum have administered my claim.<br> I was hospitalised in October at Netcare Polokwane hospital due to Bronco-spasm, and the hospital together with the health professionals have sent claims for payment which Momentum have refused to pay.<br> 1.When i was admitted i was running short of breath and periodically passing out, therefore there was no way of me calling Momentum and ask for per-authorasation.<br> 2.Upon my release i was told before they pay that I need to get a clinical history assessment, which i was not even told when i was joining scheme.<br> 3.I was then contacted by Saksha Singh whom sent me forms to give to my doctor, of which i did and sent the forms to clinicalassessment on 08 Dec 2015 and i have forwaded her the same on the 09th Dec 2015.<br> 4.I then called momentum in the morning of 14th Dec 2015 to get feedback of the authorisation and the gentlemen on the phone marveled at the fact that i only went to the doctor once, due to persistent diarrhea, apparently the doctors information was not sufficient.<br> <br> <br> To add salt to the injury, the gentleman from Momentum promised to call me back, but that never transpire

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Replies (1)
Momentum Health
Momentum Health's reply18 Dec 2015, 07:45
Official
Hello MMashola,

Thank you

Due to you being on the scheme for less than 12 months, a Clinical History Assessment was initiated. We are currently investigating your query and will provide feedback to you shortly.

Kind regards

Roger Naidoo