1 reviews | Active since Jul 2011
ANSWER DUE BUT NO ANSWER
<p>I received an answer from the council on medical aids that Fedhealth's answer is due on the 28th BUT I RECEIVED NOTHING ITS THE 1ST TODAY I NEED FEEDBACK REGARDING THE FOLLOWING I RECEIVED FROM FEDHEALTH </p> <p> </p> <p>The following claim query has been received and reviewed.</p> <p>Membership number: ********** 1445 00<br />Name and Surname: Mr Frans D Roodt<br />Provider: ********** Dr Manoussakis D</p> <p>The following claim has been approved and will be sent to be reversed and reprocessed accordingly.</p> <p>ICD 10: G40.9<br />Date of service: 23/03/2017<br />Tariff codes: 0192, 2711, 2712</p> <p>Kind regards<br />The ambulatory PMB team</p> <p>Processed accordingly will the claim be paid then uf so then on which date</p>
Thank you for your comment. We will do some investigating and get back to you soonest.
Kind Regards
The Fedhealth Online Team
Thank you for your comment. We will do some investigating and get back to you soonest.
Kind Regards
The Fedhealth Online Team
ELECTRONIC REPLY
ELECTRONIC REPLY
The council advised me I am to receive an answer from Keyhealth by the 28th which did not happen however Keyhealth is persisting i must wait for the council and thus avoiding giving an answer
The council advised me I am to receive an answer from Keyhealth by the 28th which did not happen however Keyhealth is persisting i must wait for the council and thus avoiding giving an answer
i received from Fedhealth above Claim Reviewed unless this didn't come from a Fedhealth representitive please confirm i can't believe i can't get an answer on an email Fedhealth sent me!
i received from Fedhealth above Claim Reviewed unless this didn't come from a Fedhealth representitive please confirm i can't believe i can't get an answer on an email Fedhealth sent me!
The council advised me I am to receive an answer from Feyhealth by the 28th which did not happen however Feyhealth is persisting i must wait for the council and thus avoiding giving an answer.
i received from Fedhealth above Claim Reviewed unless this didn't come from a Fedhealth representitive please confirm i can't believe i can't get an answer on an email Fedhealth sent me!
However i'm looking for an answer on the email Fedhealth sent me above please confirm whether the message came from Fedhealth as it looks like either the answer is being avoided. Or ignored. Or not send by Fedhealth
Reply from the council: Dear Mr. Roodt,
Kindly note that the scheme’s response is only due on Friday 28 May 2017. We will forward you a copy of the response once it becomes available.
Regards,
The council advised me I am to receive an answer from Feyhealth by the 28th which did not happen however Feyhealth is persisting i must wait for the council and thus avoiding giving an answer.
i received from Fedhealth above Claim Reviewed unless this didn't come from a Fedhealth representitive please confirm i can't believe i can't get an answer on an email Fedhealth sent me!
However i'm looking for an answer on the email Fedhealth sent me above please confirm whether the message came from Fedhealth as it looks like either the answer is being avoided. Or ignored. Or not send by Fedhealth
Reply from the council: Dear Mr. Roodt,
Kindly note that the scheme’s response is only due on Friday 28 May 2017. We will forward you a copy of the response once it becomes available.
Regards,
Thank you i received a reply from the council but i still need an answer on when which date and What Amount will be refunded as i need more clarity on that
Thank You
Thank you i received a reply from the council but i still need an answer on when which date and What Amount will be refunded as i need more clarity on that
Thank You
Thank you i received a reply from the council but i still need an answer on when which date and What Amount will be refunded as i need more clarity on that
Thank You
Thank you i received a reply from the council but i still need an answer on when which date and What Amount will be refunded as i need more clarity on that
Thank You
Good day could you please confirm the payment run dates via online chat i was informed by Claire every Tuesday and Thursday as i already converted this complaint which i think is fair but i don't want to log another thus far i have not received an answer on the previus post's question
Good day could you please confirm the payment run dates via online chat i was informed by Claire every Tuesday and Thursday as i already converted this complaint which i think is fair but i don't want to log another thus far i have not received an answer on the previus post's question
Good day please note that the amount of R 611 is incorrect according to Mrs Begemann of CMS.
Dear Mr. Roodt,
Kindly note in response to your query below, the scheme responded as follows:
· On the account the Scheme received on 24 March 2017, from Dr Manoussakis (a non Fedhealth specialist partner) amounting to R1, 700 for services rendered on 23 March 2017, this account was rejected as the member had no savings available. The service provider charged for the following procedure codes:
Ø 0192 - New and established patient: Consultation/visit
Ø 2711- Electro-encephalography
Ø 2712- Electro-encephalography
· Upon receipt of the CMS complaint the Scheme found that he above procedure codes forms part of the member’s treatment plan. Please refer to the attachment for the member’s detailed treatment plan.
· The Scheme has reversed and reprocessed the above account. The Scheme will pay an amount of R1,019.80 to the member by 18 May 2017.
· The short payment of 680.20 was due to the account being paid up to the Scheme rate.
Trust that this clarifies your query below.
Kind regards,
Good day please note that the amount of R 611 is incorrect according to Mrs Begemann of CMS.
Dear Mr. Roodt,
Kindly note in response to your query below, the scheme responded as follows:
· On the account the Scheme received on 24 March 2017, from Dr Manoussakis (a non Fedhealth specialist partner) amounting to R1, 700 for services rendered on 23 March 2017, this account was rejected as the member had no savings available. The service provider charged for the following procedure codes:
Ø 0192 - New and established patient: Consultation/visit
Ø 2711- Electro-encephalography
Ø 2712- Electro-encephalography
· Upon receipt of the CMS complaint the Scheme found that he above procedure codes forms part of the member’s treatment plan. Please refer to the attachment for the member’s detailed treatment plan.
· The Scheme has reversed and reprocessed the above account. The Scheme will pay an amount of R1,019.80 to the member by 18 May 2017.
· The short payment of 680.20 was due to the account being paid up to the Scheme rate.
Trust that this clarifies your query below.
Kind regards,