Bonitas
NOT PAYING ACCOUNT AFTER AUTHORISATION WAS GIVEN

Health & Medicine

After calling your call centre to obtain authorisation for a scan, I am now told that it won't be covered.

When I originally called in to query the account for services rendered on the 29/07/2013 AT PR 0471623, I was told, that the authorisation was not linked and therefore not paid.
The agent explained to me, that authorisation was linked to the account and would now be processed.

After getting an account from my Doctor, I again called your call centre and was told by your team leader, that the specific scan will not be paid from the radiology benefit.

I am shocked at the service received from your call centre and Team Leader, as I was abruptly told, that the scan I had done was not requested and therefore not covered.

As a member, I had done my part to call in and request if the scans are covered from the radiology benefit and was informed YES, but subject to authorisation, at no point was I informed, that only specific scans are covered, the membership guide does NOT stipulate which scans are covered and due to incorrect information given to me by the call centre, I am now kept liable for an account.


Company: Bonitas
Country: South Africa
City: Johannesburg
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