1 reviews | Active since Jul 2009
I was in hospital 6/8/2018 to 7/8/2016 a glucose blood test was done which was submit to my medical aid - Medishield. They rejected the claim siting 'Pathology request note required from the laboratory for code to be processed'. I phoned Pathcare and duly inform them of the problem. Pathcare resubmitted the account - J ********** dated 06/08/2018 which was again rejected by my medical aid saying 'Thank you for your email to query the account for Drs Dietrich Bruce E Street & Partners, practice number ********** and treatment date 06/08/2018, kindly forward an amended account for code number 4057 must be changed to code number 4050 to be reprocessed.' I sent an email to Pathcare advising them of the medical aid descision. I was promptly told by Simonay Piet of Pathcare that they cannot change the code and since my medical aid had rejected the claim as an exclusion, I was liable for the account. I cannot accept this as at no time was I advised by my medical aid that this was an exclusion and it is very clear from their email that the wrong code was used but I cannot seem to get this across to Simonay Piet of Pathcare who is demanding I pay the account. Well I am sorry we are all human and make mistakes and if she cannot accept Pathcare's accounts error then I am certainly not paying the account
Dear Kay
We are in the process of investigating the matter and will respond before close of business on the 07/09/2018
Your sincerely
Sharon van der Berg
Pathcare Debtors
Best regards,
Dear Kay
We are in the process of investigating the matter and will respond before close of business on the 07/09/2018
Your sincerely
Sharon van der Berg
Pathcare Debtors
Best regards,
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