Complaint-56000013312

To whom it my concern, I’m writing to formally lodge a complaint regarding the recent denial of my medical claim. On the 04 July 2024 Claim request was submitted via the doctors’ rooms for authorisation on consultation to see the doctor . I believe this decision is unjustified for the following reason : The following reference number was provided to doctor’s clerk (1853428) stating funds are depleted . After that I therefore contact the medical aid and spoke to Candice with reference number (1853474) stating I do have funds under General Benefit Limit. Prior to this on the 10th of July 2024 when to see the same doctor for first referral consultation similar issue happened ,when the doctor’s clerks’ phone to get authorisation claim was declined stating insufficient fund however when I call as a customer to intervene, I was told it was mistake from the Agent I do have funds claim was authorised . The question is this the kind of service myself and other customers are exposed to I had go back home been sick and without seeing the doctor. I trust that Imperial Med will uphold its commitment to providing fair and equitable service to its policy holders . I look forward to your prompt response . Regards image001.png Stephen Mokotong Road Assistance Teamleader Tel: +27 11 663 7000 Direct: +27 11 663 1273 Roadside Assistance: +27 861 113 408 Email: stephenm@liquidcapital.co.za www.liquidcapital.co.za View disclaimer