MB
Merike B

1 reviews | Active since Aug 2015

25 Mar 2025, 10:57

No IN hospital payment even with AUTH

Sizwe refused to pay IN-Hospital Grommet Procedure done even though I obtained Authorization with the ICD10 codes and Procedure codes given to me by the specialist.

I send through a query with no reply as yet and the doctor now wants payment from me (RE: FW: ACC8379 [ WF***7N***4 ])

This specific doctor says that he is struggling with all his Sizwe patients for payment?

0
Replies (3)
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply25 Mar 2025, 10:58
Official
Dear Merike,

Thank you for submitting your query, and apologies for the inconvenience caused. 
Thank you for providing the query reference number. We will investigate and escalate the query for urgent attention. 

We appreciate your patience. 

Sizwe Hosmed team 
MB
Merike B's update31 Mar 2025, 15:20
Reviewer Update
Im awaiting response please

This doctor is sending me statement and I feel this is not my statement to pay

Thank you
Sizwe Hosmed Medical Scheme
Sizwe Hosmed Medical Scheme's reply31 Mar 2025, 15:33
Official
Thank you for bringing this to our attention.
A consultant has reached out via email. Kindly respond to their email. 

Sizwe Hosmed.