A PathCare Accounts Query/Complaint General Nonsense 13 MAY 2011

Dear PathCare Account Manager

Two days ago I received final notices from PathCare with regards to two outstanding accounts, numbered EB817008 and EB827868, stemming from the premature birth of our baby daughter Jessica and her subsequent stay in the NICU at the Kuilsriver Medi-Clinic hospital. The services dates for the two accounts are marked as 19/11/2010 and 22/11/2010 respectively.

I have gone through my records with Discovery Health and cannot locate any reference to an unpaid claim made by PathCare (noted as Dietrich Bruce E Street And Partners according the Discovery records) with regards to EB817008, the one to the value of R164.00. This doesn’t make sense as any unpaid amount would reflect on the transaction history. I will need to see the claim details for this particular one before I settle the account, because at the moment I am beginning to believe that PathCare never even submitted this account to the medical aid in the first place! (Which would be completely unacceptable of course).

However, with regards to EB827868, valued at R671.70, I do have a transaction history from Discovery Health which clearly states (with a non-payment code of 4) that the reason this claim was not paid out was due to the claim not being submitted to them in time.

At this point I find myself becoming quite angry.

I have full hospital cover (Coastal Core) from Discovery Health, and as such my daughter’s month and a half stay in the NICU at Kuilsriver Medi-Clinic hospital cost the medical aid a LOT of money. PathCare itself made a number of claims during this period, all of which were paid out by the medical aid (to the value of R1390.50 according to the attached transaction history).

However, six months later, I now get a bill from PathCare saying that an account is due and I will be handed over to a Credit Bureau because Discovery didn’t pay, the reason being because they received the claim from YOUR accounts department too late?

That is completely unacceptable. How can I possibly be held responsible for the oversight, negligence or just plain incompetence of your accounts department? Surely it is PathCare’s prerogative to submit their claims to the medical aid in time?

I have attached the transaction history from Discovery with regards to “Dietrich Bruce E Street And Partners” for your perusal and have posted this message to both the supplied e-mail address at accounts@pathcare.co.za as well on hellopeter.com in the hopes of opening up a line of communication with the necessary representative at PathCare who will be able to bring some clarity and hopefully resolve this unpleasant situation that I now find myself in.

Regards,
Craig Lotter

Jessica versus the Hiccups Jessica | My Life 07 MAR 2011

It is disarmingly cute when Jessica gets the hiccups, particularly when she was still in her tiny, fit in one hand growth stage. The hiccups literally shake her whole little body, leaving her wide-eyed and rather confused, if not to say more than a little bit uncomfortable.

This particular video was shot on her last day in hospital after her nearly two month long stay in the NICU, with Daddy visiting Mommy and baby in their private little room for the official sleepover ordeal. Needless to say, while Mommy was entertaining herself by watching 7de Laan (again), daddy had to do something to entertain himself! ;)

Photo Gallery: Jessica’s Final Day in NICU (2010-12-29) My Life | Photo Gallery 29 DEC 2010

Well, she couldn’t stay there forever – finally, finally, after a month and a half, Jessica was released from the NICU and allowed to come home! :)

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Homecoming Princess Jessica | My Life 29 DEC 2010

I guess I have been pretty quiet on the Jessica front in terms of the blog lately, but that is mainly because nothing big has been happening and everything has been pretty much status quo, smooth sailing if you know what I mean.

Hello world - or should that be kitty?

My beautiful daughter is currently sitting around 42 centimetres long and weighs in at just over the 2.5 kg mark, though this varies as she tends to lose a little, gain a little now that she is almost exclusively feeding on the breast.

And yes, her hair is still red.

Continue reading →

Jessica versus the Aqueous Cream Jessica 19 DEC 2010

Having enjoyed her bath (well possibly enjoyed it), next up is Jessica versus the Aqueous cream as Chantelle does her best to smear it all over that tiny little body!

Jessica Getting Soaped Up Jessica 18 DEC 2010

Bath time is a rather soapy affair for little Jessica and mommy Chantelle – while Daddy stays firmly stuck in the wings, trying to get as much info into his thick skull so that he can handle the job next time around!

Jessica Getting Her Hair Washed Jessica 17 DEC 2010

Captured another video moment for the fans out there, this time of the oh so professional Mommy showing me how one washes a red head baby girl’s hair. Needless to say, I didn’t pick up on all that much considering I was far to busy taking this oh so professional video footage! :P

Jessica being Niggly Jessica 16 DEC 2010

It is about time we shared our little one with you, so here is the very first video footage ever taken of our little dribble monster. It is aptly entitled “Jessica being Niggly in the NICU”. Enjoy!

(And you will. Because she’s so cute. Not because I told you that you will :P)

Jessica and the Nipple Jessica | My Life 16 DEC 2010

Can you believe that little Jessica has been with us for a whole month now already?

Although still “incarcerated” at the neonatal intensive care unit (NICU) at the fabulous Kuils River NetCare hospital, our little dribble monster is doing exceedingly well, outside of the danger zone, unplugged from almost all sensors and drips and now focussing entirely on bonding with mommy and daddy, picking up weight and learning to breast feed.

And to think, she was only meant to come out of Chantelle’s tummy in a month’s time!

I've got my eye on you!