RR
Ruth R

1 reviews | Active since Jul 2021

02 Aug 2022, 13:11

Incompetence and theft

I recieved communication from Siswe stating they will pay the providers back directly to the value on R3500 from claims adding up to R3800. I had already paid all providers which I made place as I attached all credit card receipts. Now they telling me they wont pay as I did not submit correctly or they say due to such and such a code thy not covering any claim. Why then did you send the email approving 90% of my claims. I just wanted to check if the providers were actually paid twice so I called then and none of them were paid by Siswe-Hosmed. This is ***** and incompetence to the next level. All calls are recorded I want access to all my calls which is my right. I also want my R3500 back.

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Replies (2)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply02 Aug 2022, 13:36
Official
Dear Ruth, we do apologise for the frustration and inconvenience caused. kindly be advised that we are in communication with the service providers regarding the outstanding documents. Feedback will be provided accordingly. 

The Sizwe Hosmed Team  
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply26 Sept 2022, 13:55
Official
Dear Ruth, kindly be advised that the claim was reprocessed and paid. 

The Sizwe Hosmed Team .