On 14 Nov 2013 i was referred to the private hosp by my gynacologist and he explained to me that i will have to pay R600 cash on the spot and the rest will be claimed via medical aid. I had no problem with that since after speaking to my med aid, it was explained to me what i needed to do to get a refund (since i have a savings and bonus acc on the med aid). All went according to plan until my med aid rejected the hosp claim saying its a duplicate and they had already paid (of whic they had already refunded me). The problem is that the hosp acc system only creates 1 receipt number for both the cash payment & the med aid claim. Now the med aid sees the same receipts, reference and account number & 2 claims... of course they will reject the second claim because to them they have payed the acc. When i called the hosp and explained they said this is how their system works and there's nothing they can do. This is not fair since the med aid is not refusing to refund but because they received 2 claims with different amounts on the same acc details. The hosp must change their syst to accomodate its customers. This is not too much to ask, just to create 1 receipt for cash & 1 for med aid
0 comments