SOLVING THE STATEMENT PUZZLE
Help is at hand!
If your general experience of account statements is more like piecing together a puzzle, don’t worry – we got you.
Empowering you with the knowledge you need to make the most of your healthcare journey is one of our greatest goals here at OMSMAF, which is why we have made your monthly claims statement super simple to read with a straightforward claims summary block.
Below is an example of the summary that appears on your statement, indicating the amounts paid for all claims processed in the ‘Claims Details’ section, which you will find further down in your statement.
Opening Balance: If you have an amount owing to the Fund from the previous month, it will appear in the opening balance.
Claims Payable from Benefit: This line represents the total rand value of all the claims paid during the month’s payment runs, which are further itemised below as being “Paid into Bank” either to Suppliers/Doctors/Providers or directly to you, the member.
If you have any queries about your claims statement, each one of our contact centre agents is highly trained and available to assist you. And if you just want to talk to another human, face to face, you can visit our walk-in centres at Mutual Place in Sandton where Zain Roskin is ready and waiting to assist you and Mutual Park in Pinelands where Anele Williams and Faye Stemmet are ready with any queries you may have about your membership account.
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