1 reviews | Active since Mar 2015
Med aid changes dr's code then rejects all!
My son was hospitalised as per med aid auth Aug 2015. Dr does procedure. Dr + all hospital practitioners submit ACC's to med aid. Med aid changes procedure code afterwards to one that isn't covered on my plan then rejects all bills leaving me as a single mom of 2 + my disabled mother trying to fend off lawyers!
Dear Vanessa
Thank you for discussing the authorisation for your dependant with me.
The authorisation was declined based on the benefits that apply. The treating doctor has charged you for a procedure that is a general Scheme exclusion. We can review the decision if you send us the histology report.
Please email me if you need any further guidance and I will gladly assist.
Regards
Sirgree
Dear Vanessa
Thank you for discussing the authorisation for your dependant with me.
The authorisation was declined based on the benefits that apply. The treating doctor has charged you for a procedure that is a general Scheme exclusion. We can review the decision if you send us the histology report.
Please email me if you need any further guidance and I will gladly assist.
Regards
Sirgree