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Shaun C

1 reviews | Active since Mar 2009

13 Dec 2017, 17:45

Medicross Rangeview

After lengthy arrangements and e mails confirming ( which I have copies of )payment options for my implant, Netcare Rangeview thought it still pertinent to take my R2022.80 on the 12 9 2017 and then still send a claim to my medical aid {Tiger Brands who are just as ***********} for the total bill of R6914.70. I then called "Rangeview Medicross" and asked why they submitted the full amount and not the R4678.80, "they are sorry" was the reply [Magdeline Lechuti ] I must send a whole lot of documentation ( ID, bank statement, letter requesting refund) through to get my moneyback in approx 6 weeks including a letter to the finance dept requesting such refund, this to add to the fact that I had wanted to pay the R2022.80 the day of treatment [ 5 9 2017 ] but could not due to the fact their card machine was not working, then to be accused of paying late, after the lady behind the counter at Rangeview said I could do an internet payment at a later stage and would send the statement through confirming the amount, I am still waiting for such statement. I have sent numerous e mails, of which I have copies to the staff of Netcare, let me name [ Judith Nkula - Joeanne Knighton - Venesa Combrinck - Peter Heilig - Junita Van Der Merwe - Madelaine Janse Van Vuuren - Paty Rampersad - Magdeline Lechuti ] with absolutely not one reply from anyone other than Magdeline Lechuti who sends mails / requests to depts and never gets a satisfactory reply or resolve to my issue. I am as in principle / fairness not willing to wait "how long" for Netcare to refund me, when I made all necessary arrangements prior to treatment with all parties to ensure the payments were done correctly and split correctly, as I wanted to have a certain credit avail in my medical aid for the balance of the year, only to be apologised to by "Madelaine Janse Van Vuuren for loading the codes and payment incorrectly. I am now faced with Tiger Brands saying they cannot split the payment due to "lab code issues" that's another story, read that one now now, I'm not finished yet. I am now faced with the matter when my funds are cancelled 31 Dec 2017 and cannot submit claims for 2017 in 2018 year if tiger Brands and Netcare cant resolve my issue, I have warned them that I will not be responsible for any costs in 2018 not sorted out by Netcare in 2017 as arranged.

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Replies (2)
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Shaun C's update14 Dec 2017, 08:35
Reviewer Update
Is there ***** being undertaken at Medicross Healthcare Group, I now receive a claim sent to my medical aid for R6986.70 yesterday 13 12 2017, I have a mail clearly stating that the total is R4678.40 after I have also paid an amount of R2022.80 See below copies of communications From: Magdeline Lechuti Sent: Wednesday, October 4, 2017 12:52 PM To: Peter Heilig Subject: RE: Claim query : Universal Healthcare receipt of Tiger Brands Medical Scheme claim : ********** 20141 Member No : ********** Good morning Mr Cruickshank The following codes, unfortunately did not pull through to the medical aid on the day of submission of your claim. Dr Grobler granted/allowed a write off on these codes: • 8109 x 2 = R37.00 • 8110 X1 = R47.60 • 8107 X 1 = R83.00 • 8600 X1 = R273.60 Total amount = R441.20 We are awaiting the next remittance advice from your medical aid and should payment be processed, we will request that this amount be reversed. Unfortunately this problem can only be resolved when the remittance advice has been received and payment is reflected on the account. Dear MR SD CRUICKSHANK Membership Number - ********** Tiger Brands Medical Scheme We acknowledge receipt of the following claim/s, that will be processed. Payment of the claim/s are dependent on your scheme rules and available benefits. Treatment Date Dependant Name Healthcare Provider Account Reference Account Amount 05-Sep-2017 SHAUN D C J VAN RONGE AND ASSOCIATES I P00006 R 6 986.70 For further assistance please e-mail us at ********** ________________________________________
Netcare Medical Scheme
Netcare Medical Scheme's reply14 Dec 2017, 09:31
Official

Dear Shaun

Kindly note that you have lodged a complaint on the Netcare Medical Scheme page. We unfortunately will not be able to assist you with your complaint.

Kindly refer your query to the Netcare customer service centre in order for your issue to be addressed: ***

Kind regards

Netcare Medical Scheme