I submitted a claim to Sizwe on the 09th January 2014 for a consultation with a specialist which I had to pay cash.
A few days later I followed up with Sizwe and was advised that the claim had been received and would be refunded in due course. On the 18th Jan 2014 when I had still not received my refund I made a follow up and was advised that the claim was rejected as there was no ICD10 code on the invoice advising what the consultation was for and that I should return to the doctor and request an amended invoice.
My arguement is that I went to the specialist and further tests are been done to get a diagnosis. I have never seen a doctor put a reason for the consultation on a invoice.
Once again I phoned Sizwe on the 20th Jan 2014 and asked to speak to a manager the consultant tried to assist and advised that according to there policy payment would not be made until the revised invoice is received, I asked to speak to a manager again, the consultant put me on hold and returned saying that the manager agrees with what is been said and was unable to talk to me so I left my contact details for them to call me back.
I am disgusted to say that I have still not received a call.
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