LM
Lehlohonolo M
Active since Oct 2022
2
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2 reviews1 month ago
Lenmed Wilmed Park Hospital – Five Years of Dispute and Delayed Resolution
I am posting this complaint after struggling for several years to resolve a dispute with Lenmed Wilmed Park Hospital in Klerksdorp. In October 2019 I received treatment at Wilmed Park Hospital while I was a registered main member of Bonitas Medical Aid (Boncap Option). Authorisation for the procedure had been issued at the time. However, the hospital later claimed that my medical aid did not cover the account and held me personally liable for the hospital bill. Instead of resolving the claim with the medical aid, the matter was handed over to attorneys and a court judgment was obtained against my name in 2021. This judgment had devastating consequences for my life and business. Because of this judgment: • I was declined vehicle finance multiple times • I was unable to obtain business funding • My credit profile was severely damaged • I lost opportunities including a property purchase worth approximately R266,800 After several years of raising the matter with the hospital, Lenmed has now written off the debt and instructed their attorneys to apply for rescission of the judgment. While I appreciate this step, the process has taken far too long and has caused significant financial and personal harm. I am also still waiting for important documentation that would clarify how the medical aid claim was processed, including: • Claim submission records • Medical aid responses and rejection codes • Proof of service of the original court summons I am requesting Lenmed to assist in bringing this matter to final closure by ensuring the rescission process is completed and by providing the documentation needed to understand how this situation occurred. I hope Lenmed will respond and assist in resolving this matter fairly. Lehlohonolo Exley Motitimi Klerksdorp
0 replies
1 month ago
Not responding to my emails
Title: Bonitas Medical Aid – No Response to Request for Claim Records I am requesting assistance regarding the lack of response from Bonitas Medical Fund. My name is Lehlohonolo Exley Motitimi, a former Bonitas member (Boncap Option) under membership number 47002774751. I sent a formal request to Bonitas requesting my claim records relating to treatment at Wilmed Park Hospital in October 2019. These records are necessary to clarify a billing dispute that has resulted in serious financial consequences for me. Specifically, I requested: • Confirmation of my membership status during 2019 • Claim history submitted by Wilmed Park Hospital • Authorisation records • Explanation of Benefits (EOB) and rejection codes • Claim audit trail for the hospital submission This information is part of my personal membership records and is required to resolve a dispute affecting my credit profile. Despite sending a detailed request, Bonitas has not responded. I am simply requesting access to my own claim records so that I can understand how the claim was processed. I kindly ask Bonitas to assist by providing the requested documents or advising the correct process to obtain them. Lehlohonolo Exley Motitimi
1 reply
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