Lack of response and unresolved claims impacting healthcare providers

Align Medical Bureau manages medical billing and claims follow-ups on behalf of a number of medical practitioners. We are raising this complaint due to ongoing operational challenges experienced with Sizwe Hosmed that remain unresolved despite repeated attempts to engage through standard channels.

Over an extended period, we have been unable to:

Obtain assistance via telephone (calls are not answered or not returned)

Successfully query or resolve matters through the online portal

Receive responses to emails sent regarding outstanding claims

These communication challenges have resulted in multiple claims remaining unresolved and, in turn, several of our doctor clients not being paid for services already rendered to Sizwe Hosmed members.

Our intention is not to apportion blame, but to highlight a breakdown in communication and claims support that is materially affecting healthcare providers and their practices. Timely claim processing and accessible query channels are essential for the sustainability of medical practices.

We are requesting:

A reliable point of contact for claims-related queries

Functional access to effective portal support

Urgent engagement to address outstanding claims and payments

We would welcome direct communication from Sizwe Hosmed to resolve these matters constructively and restore an effective working relationship.

Align Medical Bureau