FK
Fayez K

1 reviews | Active since Jan 2019

16 Aug 2019, 00:54

Ridiculous "outstanding balance"

I've received a bill from pathcare n1 city cape town of R3200 for tests that was done and submitted to medical aid and when I queried with medical aid this is the response I get : Dear Valued Member

Provider name: Drs Dietrich Bruce E Street & Partners Treatment date: 03 March 2019 Thank you for your enquiry received regarding reference number 130819QKSWZK.

Thank you for your enquiry, the pathology codes 3974 and 4434 that rejected as rate to be confirmed was rejected correctly at this point in time.

Awaiting a decision on these codes the rejection will remain as is. Queries regards this will only be reviewed once a different decision is received to the existing rule.

You will be informed by the provider on the outcome of this decision until then this query is seen as concluded.

When the status change you may log a new query and we will review these codes based on the new information.

Should you require any further assistance please contact the Medshield Medical Scheme Contact Centre on ***.

Yours sincerely

Engela Banks-Baird. Now how is this my fault when pathcare failed to supply the correct codes and confirm the amount as requested by medical aid. Please rectify this as it is ridiculous for me to have to sort out as there are people in accounts that get paid to attend to these things... This should have only come to my attention at the last instance. This is the sms received from pathcare "Your PathCare bill submitted to Med Aid reflects a balance of R2386.80 Please settle or Call ***. FNB/RMB Bank Acc *** Code 204109 ***"

0
Replies (5)
Pathcare
Pathcare's reply16 Aug 2019, 10:00
Official
Dear Fayez K

Would you be so kind to email me the above info to debtors @ pathcare . org
I am unable to view  your account number the  info  is blocked on the site.
My contact number is zero two one fine nine six two one double four.

Yours sincerely
Sharon van der Berg
Pathcare
Pathcare's reply16 Aug 2019, 12:03
Official
Dear Mr. Khan
As per our telecon and email confirmation. I am pleased that clarity was brought to this matter.
I will keep you duly informed of the outcome as per my discussion with Medshield.
Please do not hesitate to contact me
Yours sincerely
Sharon van der Berg
Pathcare Debtors

FK
Fayez K's update05 Dec 2019, 19:37
Reviewer Update
Sharon I received a mail from you on the 7/11/19 indicating after many emails with medical aid that the matter is resolved and you resubmit the account... I received a statement from medical aid on the 4/12/19 which shows pathcare account not paid because incorrect code used... Then a day later 05/12/19 an email from pathcare accounts for me pay into there account... I submitted the medical aid statement to pathcare accounts att to you sharon van der Berg.its 6months later
FK
Fayez K's update01 Apr 2020, 02:19
Reviewer Update
Received an email for
FK
Fayez K's update01 Apr 2020, 02:22
Reviewer Update
Received an email of the account indicating bad debit collector. Nothing has been done since last account was submitted incorrectly aswell now it's time to hand this over to lawyers. Absolutely ridiculous that pathcare wants me to pay r2300 for their incompetence to submit a correct code to the medical aid.