R
Rowan
1 reviews | Active since Aug 2024
29 Aug 2024, 16:06
Claims process is cumbersome
Claims process is cumbersome. You deal with a different person in correspondence and each doesn’t refer back on previous conversations. You need to resend the same documents multiple times. My claim got rejected because they processed the incorrect information.
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Replies (2)
Total Risk Administrators's replyOfficial
29 Aug 2024, 18:00Good day, Rowan. We will investigate the incident and will provide you with feedback as soon as possible. TRA Management
Total Risk Administrators's reply29 Aug 2024, 18:00
Official
Good day, Rowan. We will investigate the incident and will provide you with feedback as soon as possible. TRA Management
Total Risk Administrators's replyOfficial
29 Aug 2024, 18:20Dear Rowan,Thank you for bringing your concerns to our attention. We deeply regret any frustration you experienced during the claims process. Upon review, we found that your initial online claim submission included only the medical aid statement for the hospital account but did not include the statement for Dr. Potgieter.To assist you, we obtained the necessary medical aid statement on your behalf, and we are pleased to confirm that the claim was processed and paid to you on 14 August 2024.Furthermore, according to the medical aid statement, our Customer Care Department has advised you that according to the medical aid statement, you are not liable for the short payment on the hospital account. The hospital is responsible for adjusting their account accordingly and writing off the outstanding amount.We sincerely apologize for any inconvenience caused and appreciate your understanding as we work to improve our processes. TRA Management
Total Risk Administrators's reply29 Aug 2024, 18:20
Official
Dear Rowan,Thank you for bringing your concerns to our attention. We deeply regret any frustration you experienced during the claims process. Upon review, we found that your initial online claim submission included only the medical aid statement for the hospital account but did not include the statement for Dr. Potgieter.To assist you, we obtained the necessary medical aid statement on your behalf, and we are pleased to confirm that the claim was processed and paid to you on 14 August 2024.Furthermore, according to the medical aid statement, our Customer Care Department has advised you that according to the medical aid statement, you are not liable for the short payment on the hospital account. The hospital is responsible for adjusting their account accordingly and writing off the outstanding amount.We sincerely apologize for any inconvenience caused and appreciate your understanding as we work to improve our processes. TRA Management