Claim dispute

NETCARE alberton - Ive been trying since February to get my claim sorted.. Im a member of the dischem plan. And they advised me that there has been no communication from netcare.. The claim was supposed to have been done the morning. Instead i was told to pay first and then claim later. Due to this Dischem does not want to pay... The lady seemed very helpful but, now i realize that she did that to make her job easier.. Much easier making some one pay .. instead of picking up the phone and making the claim . As simple as that.

and it would of been paid for :

below email recieved from dischem

Good day

I trust this email finds you well.

Please accept my sincere apologies for the inconvenience caused.

Kindly note that a letter of motivation outlining the medical necessity and clinical justification for the services rendered is required. This will enable us to resubmit the claim for further review.

We would appreciate it if you could forward the motivation letter at your earliest convenience.

We apologise for any inconvenience caused.

We trust the above is in order.

Yours Sincerely

Nokuthula Cindi

The Escalations Team

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