1 reviews | Active since Jun 2010
Given the run around!!!
<p>I have a valid claim with Stratum. I am disabled due to a back injury and had a pain implant. The hospital, anesthetist and implant was covered by my medical aid - Discovery. Stratum has been asking for documents, and as soon as I send it they ask for different documents. Now they don't understand or agree the way Discovery pays and records invoices. Discovery paid about R18000 of the surgeon, it is recorded by a formal email in summary and detail, supported by the specialist's accounts, but they just duck and dive. It is simple - the surgeon operating on me charged a higher rate than normal and Discovery paid R18000 with a R25000 shortfall, yet they query individual line items that weren't paid but it all forms part of the specialist's account, including ICD10 codes and authorization codes. Shame on you Stratum for trying every angle to get out of paying a simple specialist bill which my medical aid paid in part. I am disabled, cannot work again and you never queried my monthly payments? Even the specialist and my medical aid said they have NEVER come across a gap cover that doesn't accept their documents and is so difficult. I see Discovery has their own gap cover now. They obviously did their research and saw your ratings on Hellopeter. I know many people with Stratum gap cover - I will email the facts to every single one of them! Well done for cheating a disabled person.</p>
Good day,
We confirm that our claims department has contacted you and this matter has been resolved.
Should you have any further queries, please do not hesitate to contact me directly.
Regards,
Michele
Compliance Manager
Good day,
We confirm that our claims department has contacted you and this matter has been resolved.
Should you have any further queries, please do not hesitate to contact me directly.
Regards,
Michele
Compliance Manager
My issue has been resolved thanks to the amazing service and efficiency and speed and even working on it over last weekend and keeping me updated by JENNIFER CORIN. Jennifer you have really done a super and amazing job and thank you so much for going the extra miles and miles because this was a rare and very complicated claim. Keep on your work Jennifer, it is purely because of you that I change my rating to a 5 star!
My issue has been resolved thanks to the amazing service and efficiency and speed and even working on it over last weekend and keeping me updated by JENNIFER CORIN. Jennifer you have really done a super and amazing job and thank you so much for going the extra miles and miles because this was a rare and very complicated claim. Keep on your work Jennifer, it is purely because of you that I change my rating to a 5 star!
