RL
RG L
1 reviews | Active since Aug 2012
29 Jan 2015, 14:54
CRM***
We used the plan for a Pathology claim, the invoice has been submitted to One Plan, they have now suspended the services. How does that work??<br> Are your staff really so *********** that they cannot allocate a simple invoice??
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Oneplan Insurance's replyOfficial
30 Jan 2015, 10:46Hello RGL,
Thank you for bringing the above to our attention.
Please note that the claiming process for out of hospital cliams is as follows:
Once the claim is loaded, we require an invoice (Account statement) from the service provider stating the amount paid to them by the insured in order for our claims department to process this claim.
As per telephonic discussion with Renias, the document that you have sent is a pathology request form and not an invoice stating amounts paid to service providers, therefore we have contacted the service provider on your behalf requesting a proof of payment, which they have agreed to send to us directly.
Once we recieve this proof of payment, our claims department will be able to assist with assessing the claim.
We do appologise about any inconvinience caused regarding our claiming process not being clear to you.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department
Thank you for bringing the above to our attention.
Please note that the claiming process for out of hospital cliams is as follows:
Once the claim is loaded, we require an invoice (Account statement) from the service provider stating the amount paid to them by the insured in order for our claims department to process this claim.
As per telephonic discussion with Renias, the document that you have sent is a pathology request form and not an invoice stating amounts paid to service providers, therefore we have contacted the service provider on your behalf requesting a proof of payment, which they have agreed to send to us directly.
Once we recieve this proof of payment, our claims department will be able to assist with assessing the claim.
We do appologise about any inconvinience caused regarding our claiming process not being clear to you.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department
Oneplan Insurance's reply30 Jan 2015, 10:46
Official
Hello RGL,
Thank you for bringing the above to our attention.
Please note that the claiming process for out of hospital cliams is as follows:
Once the claim is loaded, we require an invoice (Account statement) from the service provider stating the amount paid to them by the insured in order for our claims department to process this claim.
As per telephonic discussion with Renias, the document that you have sent is a pathology request form and not an invoice stating amounts paid to service providers, therefore we have contacted the service provider on your behalf requesting a proof of payment, which they have agreed to send to us directly.
Once we recieve this proof of payment, our claims department will be able to assist with assessing the claim.
We do appologise about any inconvinience caused regarding our claiming process not being clear to you.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department
Thank you for bringing the above to our attention.
Please note that the claiming process for out of hospital cliams is as follows:
Once the claim is loaded, we require an invoice (Account statement) from the service provider stating the amount paid to them by the insured in order for our claims department to process this claim.
As per telephonic discussion with Renias, the document that you have sent is a pathology request form and not an invoice stating amounts paid to service providers, therefore we have contacted the service provider on your behalf requesting a proof of payment, which they have agreed to send to us directly.
Once we recieve this proof of payment, our claims department will be able to assist with assessing the claim.
We do appologise about any inconvinience caused regarding our claiming process not being clear to you.
Trust that you will find the above in order.
Kind Regards,
Shanice Maistry
Customer Care Department