Complaint / review / scam report
Profmed
Claims not processed

Complaint / review text:
I submitted my claim to Profmed on 26 August 2014. I called a month later when it still showed not processed on their system. I was told that Profmed had 30 working days to process a claim which I accepted. When the 30 days have lapsed I called again and was assured it had been processed an will be updated on the system shortly. When it was finally updated it showed claim payable to provider (even though I was the one who had to be refunded) When I called again I was told that my claim was only processed after my previous call (first lie) and that I had not submitted the proof of payment (second lie) and that is why it showed payable to provider. When they searched for my claim they couldn't find my submission so I resent everything. I was then assured that it would be paid into my account om 12 October 2014. Now it shows that the claim has not been processed yet (although it previously showed processed and paid) and payment has been reversed. I have even directed my complaint to the escalations department who emailed me confirming the issue had been resolved. It seems that Profmed is simply too incompetent to process claims and to their clients about the progress.

Contact information:
Author: Contact with Author


Offender: Profmed

Country: South Africa   State: All Country   City: Head Office - Claims

Category: Health & Medicine

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