Incorrect application of scheme tariff
On 27 Nov 2015 I submitted a claim to Bonitas to be refunded to me the member. I've paid the vendor and attached the invoice & proof of payment to be refunded. The treatment date was 19 Nov 2015 & ref nr **********36. However the same mistake was made as with my previous claim (treatment date 28/9/2015 Ref nr **********36), the vendor was paid and not me and at the incorrect scheme tariff amount. The Sep claim was corrected but the 19 Nov claim after several queries I was finally refunded but still with the incorrect amount. Under nappi code 511312 I was refunded for 3 units totaling R153.65, instead of 90 units (3 boxes x 30 units/box) totaling R2,688.98. I buy 2 months supply and claim bi-monthly 60 units (claims **********80,**********15 &**********) and get refunded R1659. November I ordered 3 months supply and get refunded R153 for 90 units? The mistake was that I was refunded R51/box and not per unit. Various calls, emails, query nr's 060116QKGMT1,040116QKB9BT, 271115QJJ51F, 011215QJMJWF, 011215QJMKXL, 011215QJMTKG, 111215QJZBY0, 221215QK6LG3, 281215QK7ZY1 and 7 weeks later still no resolve. Being paraplegic is tough but lodging a successful claim at Bonitas is a bigger challenge!