NZ
Nombulelo Z

1 reviews | Active since Nov 2016

05 Oct 2020, 14:38

Terrible claim service

They don't even deserve the star I gave them. On the 28th August I went to the Dentist to clean my teeth. Before claiming I called oneplan to ask if it's OK if the Dr is using the cash sale recipe which is stamped and they said I must go ahead it's fine. I don't even have to submit the atm slip showing the withdrawal. I then loaded the claim and went to consult. In September I received an email saying they are busy processing the claim. Today the 5th October they telling me that they rejecting my claim via SMS. I called to find out why they saying it's only written the code and not description. I believe these codes have descriptions that would be known to those who are working with them. I pay monthly without fail but come claim time we always have to go back nd forth before they can process yet they take money monthly. Sometimes they would change how things should be done without even informing the clients.

0
Replies (2)
Oneplan Insurance
Oneplan Insurance's reply05 Oct 2020, 15:51
Official
Hi Nombulelo,

Thank you for taking the time to bring this to our attention. We appreciate the feedback and will use it as an opportunity to improve on our services.

As per our telephonic discussion the claim was rejected because the invoice/receipt did not indicate the services rendered at the dentists rooms. Our claims processes require this information for auditing and approval purposes.

Kind regards
Oneplan
NZ
Nombulelo Z's update07 Oct 2020, 11:02
Reviewer Update
I would like to thank Kgomotso for assisting in resolving this matter. He deserves a 5 star. He called daily till the matter was resolved.