EV
Ellenor V

1 reviews | Active since Nov 2015

04 Aug 2016, 11:06

Doctor's bill not paid

<p>I was in hospital from 6 May 2016 - 10 May 2016, with auth nr V ********** , and visited by Dr Ahmed (Ear, nose & throat specialist) on 7, 8 & 9 May 2016. The hospital bill was paid in full but I was contacted by Peggy from Dr. Ahmed's practice to say that there was no auth for him, but my hospital stay was auth and he visited me in hospital, and I owe him R2675.60. I phoned the medial aid twice and spoke to Esther, ref nr ********** 99 & ********** 67, but nothing has since happened. Dr. Ahmed practice number is ********** .</p> <p>I need the query solved ASAP, as auth was given for me to be taken up in hospital.</p> <p> </p>

0
Replies (2)
Netcare Medical Scheme
Netcare Medical Scheme's reply04 Aug 2016, 12:13
Official

Dear Ellenor

As discussed telephonically - your complaint will be investigated by the relevant department and we will give you feedback in due course.

Kind regards

PrimeMed Administrators (on behalf of Netcare Medical Scheme)

Netcare Medical Scheme
Netcare Medical Scheme's reply05 Aug 2016, 10:02
Official

Dear Ellenor

Thank you for allowing us the opportunity to investigate your complaint. We have found that the account was processed using the incorrect dependant code which resulted in the rejection.

We can confirm that the account was reversed and correctly processed and will be paid in our payment run on 15 August 2016 to the doctor.

We apologise for any inconvenience.

Kind regards

PrimeMed Administrators (on behalf of Netcare Medical Scheme)