I was discharged from the hospital on January 2008. I be shocked when I was told that I inevitability to pay RM612.00. On the impressively first day when I be admitted to the hospital, I have already presented my medical card to the hospital's admission organization. I was shocked why this amount be not covered by the insurance and hence has to be borne by me? So I without delay called up my insurance agent to find out what's going on. She promised to nickname me back but she didn't. I even ring her several times but no answer. I had no choice but to phone call the insurance company directly and I was told by your customer service that near no referral report from previous doctor Dr. Rajban, one of the doctor treated me. Finally i wrote a complaint letter to the insurance company something like the poor service of the insurance agent. After few day suddenly she go to my house with the memo to argues. I get shocked how she have the photocopy of the letters. May i own a sample missive of complaints for above matters?
Answers: If I be you I'd spend some time on that Dr that didn't properly refer you out - instead of blaming the insurance agent for a Dr's mistake.
The Dr can correct that mistake and then hold the hospital re-submit the claim for payment
This be simple advice & I agree you should've gotten this suggestion from YOUR insurance agent...but the complaint letter be kind of rude
You be told the problem was the Dr - and you took NO bustle towards him at all?...that be your mistake in my belief - an agent shouldn't have to hold your appendage thru these things unless you are UNable to do them yourself.which your phone calls & letter-writing proves is NOT true - you be able bodied ample to do that!
I am not sure which country you are staying.
However in my homeland here contained by Singapore, insurance company and agents are operating under code of Ethics and govern by the MAS.
We also own a organisation setup to help solve dispute or complaints from consumers. So do find out if your country do own such govt bodies or organisation where you can bring up your travel case for assistance.
hope you are doing well in a minute
If you are in the USA, try discussion to your State Insurance board. They might be able to endow with some pointers or perhaps even resolve this event if they see something wrong. Nobody likes have the State investigate them. I agree with Tori, the Doctor poor to file the report so the claim be denied. That is NOT the agents fault OR the insurance companies.
Have the doctor wallet and then the hospital resubmit the claim. When adjectives this is reported to the DOI, they will most likely favor the company because you slipshod to follow through.
The agent should have call you back though. And simply because she had not call you back or answered the phone, does not show she wasn't tracking the answer down for you.
If you have a plan that requires that you acquire a referral from your primary care physician up to that time being see by another doctor then the up to date doctor's staff should have not see you with out this referral within hand. Let your primary consideration know of this situation, they can remedy it for you. Don't complain about the agent, explicitly the last article that you should have done, it is not her mission to go around getting you referral every time you go to the doctor. Shame on you, apologize to your agent and ask her to explain the specifics of your plan again.
Answers: If I be you I'd spend some time on that Dr that didn't properly refer you out - instead of blaming the insurance agent for a Dr's mistake.
The Dr can correct that mistake and then hold the hospital re-submit the claim for payment
This be simple advice & I agree you should've gotten this suggestion from YOUR insurance agent...but the complaint letter be kind of rude
You be told the problem was the Dr - and you took NO bustle towards him at all?...that be your mistake in my belief - an agent shouldn't have to hold your appendage thru these things unless you are UNable to do them yourself.which your phone calls & letter-writing proves is NOT true - you be able bodied ample to do that!
I am not sure which country you are staying.
However in my homeland here contained by Singapore, insurance company and agents are operating under code of Ethics and govern by the MAS.
We also own a organisation setup to help solve dispute or complaints from consumers. So do find out if your country do own such govt bodies or organisation where you can bring up your travel case for assistance.
hope you are doing well in a minute
If you are in the USA, try discussion to your State Insurance board. They might be able to endow with some pointers or perhaps even resolve this event if they see something wrong. Nobody likes have the State investigate them. I agree with Tori, the Doctor poor to file the report so the claim be denied. That is NOT the agents fault OR the insurance companies.
Have the doctor wallet and then the hospital resubmit the claim. When adjectives this is reported to the DOI, they will most likely favor the company because you slipshod to follow through.
The agent should have call you back though. And simply because she had not call you back or answered the phone, does not show she wasn't tracking the answer down for you.
If you have a plan that requires that you acquire a referral from your primary care physician up to that time being see by another doctor then the up to date doctor's staff should have not see you with out this referral within hand. Let your primary consideration know of this situation, they can remedy it for you. Don't complain about the agent, explicitly the last article that you should have done, it is not her mission to go around getting you referral every time you go to the doctor. Shame on you, apologize to your agent and ask her to explain the specifics of your plan again.