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Nonhlanhla N
1 reviews | Active since Jun 2021
10 Dec 2024, 09:20
One plan insurance claim rejection
Opened the plan for my mom who is in the hood and Dr’s there have no swiping machines and printers. After paying them for months they rejected a 400 claim because the invoice that was on a letterhead signed and stamped is hand written.
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Oneplan Insurance's replyOfficial
10 Dec 2024, 10:32Dear Nonhlanhla,
Thank you for taking the time to bring this to our attention.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value your mom as our client.
In the last year, we have seen an increase in ********** claims, and this has resulted in increased risk. In response to these challenges, we have implemented interim measures to enhance the security and integrity of our claims process. One such measure involves requiring a detailed computerized invoice reflecting the services rendered, including the proof of payment when claiming for any day-to-day benefits.
While we understand that this adjustment may cause an inconvenience, please know that it is necessary to protect the interests of all our clients and ensure the sustainability of our product.
Kindly note that the terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have our client's best interests at heart, and we will assist with all we can in line with our terms and conditions. Please note we are governed by the FAIS Act and must apply the TCF policy to ensure all our clients receive fair service and cover.
We have acknowledged your complaint, and we have escalated the matter to the relevant department. One of our consultants will be in contact with you regarding the matter at hand.
Once again, we apologize for the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Thank you for taking the time to bring this to our attention.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value your mom as our client.
In the last year, we have seen an increase in ********** claims, and this has resulted in increased risk. In response to these challenges, we have implemented interim measures to enhance the security and integrity of our claims process. One such measure involves requiring a detailed computerized invoice reflecting the services rendered, including the proof of payment when claiming for any day-to-day benefits.
While we understand that this adjustment may cause an inconvenience, please know that it is necessary to protect the interests of all our clients and ensure the sustainability of our product.
Kindly note that the terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have our client's best interests at heart, and we will assist with all we can in line with our terms and conditions. Please note we are governed by the FAIS Act and must apply the TCF policy to ensure all our clients receive fair service and cover.
We have acknowledged your complaint, and we have escalated the matter to the relevant department. One of our consultants will be in contact with you regarding the matter at hand.
Once again, we apologize for the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Oneplan Insurance's reply10 Dec 2024, 10:32
Official
Dear Nonhlanhla,
Thank you for taking the time to bring this to our attention.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value your mom as our client.
In the last year, we have seen an increase in ********** claims, and this has resulted in increased risk. In response to these challenges, we have implemented interim measures to enhance the security and integrity of our claims process. One such measure involves requiring a detailed computerized invoice reflecting the services rendered, including the proof of payment when claiming for any day-to-day benefits.
While we understand that this adjustment may cause an inconvenience, please know that it is necessary to protect the interests of all our clients and ensure the sustainability of our product.
Kindly note that the terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have our client's best interests at heart, and we will assist with all we can in line with our terms and conditions. Please note we are governed by the FAIS Act and must apply the TCF policy to ensure all our clients receive fair service and cover.
We have acknowledged your complaint, and we have escalated the matter to the relevant department. One of our consultants will be in contact with you regarding the matter at hand.
Once again, we apologize for the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan
Thank you for taking the time to bring this to our attention.
We sincerely apologize for the inconvenience caused and the circumstances under which your Hellopeter posting has reached us. We do take customer feedback seriously to improve our service and processes to ensure that we meet our client’s expectations as we do value your mom as our client.
In the last year, we have seen an increase in ********** claims, and this has resulted in increased risk. In response to these challenges, we have implemented interim measures to enhance the security and integrity of our claims process. One such measure involves requiring a detailed computerized invoice reflecting the services rendered, including the proof of payment when claiming for any day-to-day benefits.
While we understand that this adjustment may cause an inconvenience, please know that it is necessary to protect the interests of all our clients and ensure the sustainability of our product.
Kindly note that the terms and conditions of the policy must be adhered to and app**** fairly to all clients. We do have our client's best interests at heart, and we will assist with all we can in line with our terms and conditions. Please note we are governed by the FAIS Act and must apply the TCF policy to ensure all our clients receive fair service and cover.
We have acknowledged your complaint, and we have escalated the matter to the relevant department. One of our consultants will be in contact with you regarding the matter at hand.
Once again, we apologize for the inconvenience caused and we hope to restore the experience.
Kind Regards,
Oneplan