AfricaComplaints.com » Health & Medicine » Complaint / review: Bankmed - Claim Not Being Paid | #87728

Bankmed
Claim Not Being Paid

I found out that a claim had not been paid in full and queried it via email on 2 /1/13. It was rejected on 22/1/13 due to "duplicate claim", which it was not. I queried it again via email on 23/1/13 and again on 15/2/13. There was no response at all so I called them on 12/3/13. I was told that an incorrect code had been put on the statement but the account that I submitted with my first email actually ahd the amened code on it, which the person I spoke to could see. I was told that she would submit it to claims with her motivation and that I could leave it with her.
I went on leave and when I got back I found another rejection, which states "ICD 10 code omitted". This despite the fact that the correct code is on the statement. In the meantime I received two sms's stating that I will be placed on ITC. I have now paid the account the account myself.
Unfortunately I am forced to be with Bankmed because I work for a bank, which basically means they don't have to give decent service because they cannot lose clients.

Date:

Company: Bankmed

Country: South Africa   City: Cape Town

Category: Health & Medicine

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