ES
Elize Scheepers-Starbuck

1 reviews | Active since Mar 2019

15 Sept 2023, 13:42

Account rejected incorrectly - Still unpaid

Practice Number - *** Membership Number - *** Date of Service - 02/07/2023

Account still not paid still rejecting or not even accepted for payment. Account was rejected by the scheme as Declined - Non payment of claims due to late auth.

Account was queried and agent refer account back for reprocessing as it was according to the agent a system error. Account still not paid or processed.

This account is suppose to be send back for PMB review with this tempo the account will be send back for PMB only after 4 months and then the scheme will rejecting our request again stating the account is stale.

What more must we do.

0
Replies (1)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply15 Sept 2023, 14:00
Official
Dear Elize, 

Thank you for the provided information. 
Kindly be advised that we are working on the query and will provide feedback as soon as it is available.

Sizwe Hosmed team.