SB
Sharon B
1 reviews | Active since Sept 2025
08 Sept 2025, 17:21
Authorization not updated since 5 July 2025. Numerous calls as well as the hospital calling and doing the update.
We have a PMB hospital admission on the 5 July into ICU. All accounts for the hospital and Drs have been rejected. I have called the scheme at least 10 times to sort this out. I have sat at the hospital while they called the case manager to sort this out. Only to find out that this has not been updated. I am now sitting with over R150 000.00 bills that need to be paid. After endless calls to the scheme i still do not have the correct Authorization and PMB status even though this was a PMB.
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Replies (5)0
Replies (5)
Sizwe Hosmed Medical Scheme's replyOfficial
08 Sept 2025, 20:16 Dear Sharon,
Thank you for submitting your query, and apologies for the inconvenience caused.
Kindly share the query's reference numbers. We will investigate this matter and escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Thank you for submitting your query, and apologies for the inconvenience caused.
Kindly share the query's reference numbers. We will investigate this matter and escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Sizwe Hosmed Medical Scheme's reply08 Sept 2025, 20:16
Official
Dear Sharon,
Thank you for submitting your query, and apologies for the inconvenience caused.
Kindly share the query's reference numbers. We will investigate this matter and escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
Thank you for submitting your query, and apologies for the inconvenience caused.
Kindly share the query's reference numbers. We will investigate this matter and escalate the query for urgent attention.
We appreciate your patience.
Your Choice for Quality Care
Sizwe Hosmed team
SB
Sharon B's updateReviewer Update
08 Sept 2025, 20:48Hi, All the updates were sent by the hospital manager. his name is Kevin. I also sat with Keven when he personally called Sizwe in July to update the authorization and to update the case to a PMB event.
The ref numbers i have are.
WF***8N***0, WF***5N***1, WF***5N***1,WF***5N***, N***, WF***2N***5. I have nearly R150 000.00 outstanding for shortpayments to Drs.
The ref numbers i have are.
WF***8N***0, WF***5N***1, WF***5N***1,WF***5N***, N***, WF***2N***5. I have nearly R150 000.00 outstanding for shortpayments to Drs.
SB
Sharon B's update08 Sept 2025, 20:48
Reviewer Update
Hi, All the updates were sent by the hospital manager. his name is Kevin. I also sat with Keven when he personally called Sizwe in July to update the authorization and to update the case to a PMB event.
The ref numbers i have are.
WF***8N***0, WF***5N***1, WF***5N***1,WF***5N***, N***, WF***2N***5. I have nearly R150 000.00 outstanding for shortpayments to Drs.
The ref numbers i have are.
WF***8N***0, WF***5N***1, WF***5N***1,WF***5N***, N***, WF***2N***5. I have nearly R150 000.00 outstanding for shortpayments to Drs.
Sizwe Hosmed Medical Scheme's replyOfficial
08 Sept 2025, 20:51Received with thanks, Sharon.
Feedback will be provided.
Sizwe Hosmed.
Feedback will be provided.
Sizwe Hosmed.
Sizwe Hosmed Medical Scheme's reply08 Sept 2025, 20:51
Official
Received with thanks, Sharon.
Feedback will be provided.
Sizwe Hosmed.
Feedback will be provided.
Sizwe Hosmed.
SB
Sharon B's updateReviewer Update
09 Sept 2025, 19:24I have not hear anything today. I will now also be going to the medical schemes council
SB
Sharon B's update09 Sept 2025, 19:24
Reviewer Update
I have not hear anything today. I will now also be going to the medical schemes council
SB
Sharon B's updateReviewer Update
11 Sept 2025, 22:50I AM STILL WAITING FOR FEEDBACK. SOMEONE CALLED ME FROM THE MARKETING DEPARTMENT AND PROMISED THEY WILL GO AND DISCUSS THIS WITH THE AUTHORISATIONS DEPARTMENT. THREE DAYS LATER I AM STILL WAITING. YOU DONT TAKE PEOPLE SERIOSLY. I HAVE NOW GONE TO THE MEDICAL SCHEMES COUNCIL. ABSOLUTELY NO SERVICE AT ALL. DISGUSTING SERVICE.
SB
Sharon B's update11 Sept 2025, 22:50
Reviewer Update
I AM STILL WAITING FOR FEEDBACK. SOMEONE CALLED ME FROM THE MARKETING DEPARTMENT AND PROMISED THEY WILL GO AND DISCUSS THIS WITH THE AUTHORISATIONS DEPARTMENT. THREE DAYS LATER I AM STILL WAITING. YOU DONT TAKE PEOPLE SERIOSLY. I HAVE NOW GONE TO THE MEDICAL SCHEMES COUNCIL. ABSOLUTELY NO SERVICE AT ALL. DISGUSTING SERVICE.