CG
Chris G

1 reviews | Active since May 2010

30 Nov 2017, 13:57

No response after submitting claim enquiry 3 times in 7 weeks

I had a jaw operation and had my wisdom teeth removed in February 2017 at Stellenbosch Mediclinic. My hospital bill was settled by Momentum, but after months of receiving an account for my anaesthesia from the anaesthetists office and eventually a lawyers letter, I presumed I was liable for payment and not Momentum since all bills which were supposed to be paid by Momentum had been paid.

So, I paid the bill and thought I would claim the anaesthetists fee back from my Gap Cover. Then my Gap Cover insurers let me understand that Momentum was supposed to have paid the anaesthetics bill.

So it is obvious why the claim bill was not submitted in the first 4 months. When I telephoned the secretary of the anaesthetist, she said that Mediclinic Stellenbosch supp**** their offices with the wrong patient information and subsequently the account was never forwarded to Momentum from the anaesthetists office.

I called Momentum 2 months ago telling them this story and they told me to submit the anaesthetist claim, which I then did. They also told me to explain what happened, which I also did.

I received a reference no. ( ********** 63) saying that my request wsa forwarded to the claims department.

I have heard nothing back in 2 months after a number of emails.

Chris la Grange

0
Replies (5)
Momentum Health
Momentum Health's reply30 Nov 2017, 14:51
Official

Good day Mr La Grange

Thank you for bringing this enquiry to our attention. We will investigate and provide feedback shortly.

Kind regards

Jody Saunders

Momentum Health
Momentum Health's reply30 Nov 2017, 15:28
Official

Good day Mr La Grange

As discussed i have been in contact with the accounts department for Dr De Jager. i will provide further feedback shortly.

Kind regards

Jody Saunders

CG
Chris G's update30 Nov 2017, 16:18
Reviewer Update
Thank you
CG
Chris G's update07 Dec 2017, 14:20
Reviewer Update
Hi, any further development with the claim?
Momentum Health
Momentum Health's reply14 Dec 2017, 09:08
Official

Good day Chris

As discussed your query has been resolved.

Kind regards

Jody Saunders