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Janet S

1 reviews | Active since Feb 2018

25 Jan 2019, 17:55

Useless Organisation

I am registered for a chronic PMB condition, which requires regular check ups with a specialist, I presented to the specialist for this purpose at the end of November 2018. As is my preference due to the tardiness exhibited by the Scheme, I prefer to settle the practitioner for his services at the time of the visit. I submitted the paid invoice for reimbur*****t to the claims department the same day. Shortly afterwards I received a processing notice stating that I would not be reimbursed as my savings were exhausted. I immediately phoned, stated that this was a chronic PMB condition and was told to resubmit. I heard nothing further, to cut a long story short, it transpired that the practice had used the wrong ICD10 Code.(I discovered this myself thanks to the Internet). I was told when I phoned to get a corrected invoice from the practice and resubmit. By the time the error came to light, the practice had closed for the festive season . When they reopened on the 14th January, I phoned and they immediately sent a corrected invoice, which I submitted. Since then I have be subjected to all sorts of reasons why I have not been paid, promised phone calls that never happened and generally treated with contempt. This Scheme needs a complete overhaul from top to bottom, as at present it is a disgrace and a insult to their paying members.

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Replies (1)
Momentum Health
Momentum Health's reply28 Jan 2019, 14:28
Official
 Dear Janet Sanders  As per your telephone discussion with one of our consultants, I believe your query has been resolved.  Kind regards  Roger Naidoo