1 reviews | Active since Jul 2011
Unprofessional Priya
I am lodging this complaint to expose serious billing ***** and coercive admission practices under Dr. Poobalan Naicker's care.
WHAT HAPPENED:
1. BAIT & SWITCH ON ADMISSION:
Original quote: R7,020 for 5 days of doctor consultation Day of admission: Changed to R23,080 for 4 days (NO PRIOR NOTIFICATION) Forced acknowledgement of debt under duress before my wife could receive treatment
2. FALSE REPRESENTATION ABOUT MEDICAL AID: Their practice manager, Priya Pillay, explicitly told me: "Medical aid will not cover anything. You must pay cash in full."
Based on this LIE, I made cash payments totalling approximately R17,000:
R10,870 to doctor's account R6,132.73 for medication (Dischem)
3. DUPLICATE BILLING — THE *****: After reviewing my Bonitas statements, I discovered:
Bonitas DID pay for doctor consultation (contradicting what Priya said) Bonitas DID pay for medication (despite me paying Dischem out of pocket) Hospital ALSO claimed for the same services
So I was billed TWICE for medication and doctor fees.
4. LACK OF TRANSPARENCY: The hospital has never provided:
Itemised breakdown of charges Explanation of what the R7,020 vs R23,080 covered Copies of Bonitas claims Reconciliation of what was paid by whom Receipts for Dischem medication purchase
5. EVASION & DISMISSAL:
I emailed detailed questions on 4 Aug — NO RESPONSE I reforwarded on 18 Aug — NO RESPONSE When I called Priya today to resolve this, she said: "Your email doesn't make sense. Escalate if you want." She now claims "portion was from medical aid, portion from me" — but NEVER explained this upfront
6. PRIYA'S BEHAVIOUR: Dismissive, rude, refusing to provide documentation, deflecting to payment demands without explanation.
WHAT I NEED RESOLVED IMMEDIATELY:
Complete itemised breakdown of all charges (5 days admission, daily doctor visits, medication, procedures — everything) Exact explanation of what the original R7,020 quote covered vs what the R23,080 changed to Copies of ALL Bonitas claims submitted by Dr. Naicker's practice Complete reconciliation: Total amount charged Amount Bonitas paid Amount I paid in cash Actual outstanding balance (I dispute R19,320 — should be R7,020 per original quote) Explanation for why I was told medical aid won't cover, then claims were submitted to Bonitas anyway Refund of overpaid amounts (I paid for medication they also billed Bonitas for) Meeting with Dr. Naicker directly to explain the billing structure.
MY POSITION: I agreed to a payment arrangement based on false information. I want to revert to the original R7,020 quote for 5 days and will NOT accept the inflated R23,080 figure given without explanation or notification.
EVIDENCE I HAVE: ✓ Bank statements showing cash payments (R10,870 + R6,132.73) ✓ Bonitas statements proving claims were submitted ✓ Copies of emails sent 4 Aug & 18 Aug (unanswered) ✓ WhatsApp conversation with Priya ✓ Hospital billing statements
This is duplicate billing, I am escalating to:
Bonitas Medical Aid (to investigate duplicate claims) Health Ombudsman (patient billing complaints) My legal representatives (formal demand) HPCSA (professional conduct against Dr. Naicker)
I expect immediate action from Dr Naicker
