Bupa Customers Urged to Review Past Claims
Bupa is reviewing claims and eligibility checks going back to 2018.
- Bupa is reviewing certain claims from May 2018 to August 2023.
- The review focuses on mixed coverage and uncategorized item claims.
- Customers who believe their claim was incorrectly assessed should contact Bupa.
- Those already contacted by Bupa need not take further action unless they have concerns.
Between May 2018 and August 2023, Bupa processed approximately 34 million hospital and medical claims; **is your claim among those being reviewed for potential errors?** The insurer is now urging customers and providers to check if their claims were correctly assessed.
Reviewing Past Claims
Bupa is reaching out to customers and providers who may have been affected by incorrectly assessed claims between May 1, 2018, and August 31, 2023. The company acknowledges that, despite processing a vast number of claims correctly, errors did occur.
Who is Affected?
The review focuses specifically on “mixed coverage claims” and “uncategorized item claims.” If you submitted a claim of this nature during the specified period, it’s worthwhile to investigate further.
What To Do If You Think You Were Affected
If you believe a hospital or medical benefit claim or eligibility check was incorrectly assessed between May 1, 2018, and August 31, 2023, Bupa encourages you to take action. To request a review, you can submit an online enquiry, call 134 135, or visit a store. A team member will assist with your enquiry and, if necessary, escalate your case to a specialist team for review.
If You Have Already Been Contacted
If you’ve already heard from Bupa regarding an incorrectly rejected claim or eligibility check, rest assured that no further action is required from your side, unless you have further questions.
Bupa stated: “While in the vast majority of cases, we get things right, in these instances we did not. We know this is not good enough and we’re committed to doing better.”
