*** Outstanding Account

Outstanding account of Dr JH Venter for hospitalisation during September 2021. I have logged a query via email to the claims department on 2 occasions where feedback receive on 12/11/21 and 30/11/21 with answer "we are pleased to tell you it has been resolved". No confirmation that the outstanding account was paid. On 3 December 2021 I called the medical aid and explain once again the outstanding account who told me that there was no authorisation obtained from the medical aid. There was for all day authorisation obtained as per Wilgers Hospital and said they will investigate and revert back to me - Ref: N********** - since today 15/12/21 no feedback received. What I do not understand is that the hospital account was paid in full but not the physician!!!! How do you pay a hospital account if there was according to the medical aid no authorisation obtained for dates 18, 22 - 27 September 2021? The follow up visit at the physicians room on 04/10/21 is also not paid!!!!! I am disappointed in the service received from the medical aid. I someone can call me it would be greatly appreciated

Sizwe Hosmed Medical Scheme's reply: 15 Dec 2021, 09:21

Dear Magrieta,

We acknowledge receipt of your comments. One of our consultants will contact you shortly to assist with your query.

With Care Team Sizwe

No feedback received since 15 December 2021