Oncology treatment not paid

Momentum account number: **********

My Mother is battling Bone cancer. Her oncology treatment requires routine blood tests to be drawn in order to direct the treatment. Momentum health has not made payment for the blood tests associated with her treatment. A past HelloPeter complaint has been lodged for this issue. The problem has now recurred, with payment not being made since August 2017.

Authorisation number for oncology: ********** 16 Authorisation number for blood sample analysis: ********** 94

In addition, there are instances where claims for the Oncology treatment itself have been denied, with the assertion that an Authorisation number has not been obtained.

Please could a senior person review the file and attempt to determine root cause for why these costs are being denied payment? Please could deductions from medical savings also be investigated - it is believed that some of these deductions should have been directed toward major medical benefit.

If it is believed that these amounts are not due for payment per the medical plan, please issue a formal detailed response, in order that I can refer the case to the medical aid ombudsman.