Lancet provided an in-hospital pathological service to me in May this year. The claim Lancet submitted to my medical aid provider had some items which were correct and subsequently paid. The problem is that the remaining items had ICD10 codes which "do not follow industry standards". In order to correct this I have proactively engaged with Lancet to correct the problem. Since patients have no knowledge of ICD codes and industry claim practices the Medical aid provider kindly requested Lancet's pathologists to contact their own pathologists so that the people with the knowledge can resolve the problem. The action is on Lancet as it is their claim. Lancet's account resolutions agents have deliberately ignored requests to call the medical aid provider but instead re-submit the same claim. Not surprisingly, the claim has yet again being rejected as the core issue of "following industry standards" is not being addressed by Lancet. In terms of CONTRACT LAW Lancet can be seen to be operating in BAD FAITH by refusing to help resolve the problem. Is it too much to expect professional service from Lancet?
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