Momentum not paying PMB claims.

I was recently in hospital for a specialised procedure. The different providers have submitted their claims to Momentum but Momentum is not paying the claims in full despite being a Prescribed minimum benefit case. I have queried the non-payment with Momentum and they have apparently referred it for PMB review.

I have not received any feedback despite calling in to follow up.

I had a similar frustrating experience with Momentum in 2018 as they try to shy away from their responsibility to pay PMB claims. By keeping quiet they hope members don't realise they are not paying and members have to pay the difference out of pocket.

Shame on you momentum!!

Reference numbers: ******3 04 06 53