DJ
Debbie J

1 reviews | Active since Mar 2010

05 Dec 2016, 11:06

BENEFITS

<p>Part of our benefits are that each member gets 1 GP Visit per year. I took my daughter to the GP (which is on the Fedhealth network) then they let me know that the claim is not going through. Claim nr: EDI ********** 528. I contacted your customer services and Brad told me that the GP used the incorrect code. The code is correct as per the GP. They used the normal code for the visit. Please help with this. </p>

0
Replies (6)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply05 Dec 2016, 13:52
Official

Thank you for your comment. We will do some investigating and a consultant will be in touch as soon as we have a result.

Kind Regards
The Fedhealth Online Team

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply05 Dec 2016, 13:52
Official

Thank you for your comment. We will do some investigating and a consultant will be in touch as soon as we have a result.

Kind Regards
The Fedhealth Online Team

DJ
Debbie J's update13 Dec 2016, 13:10
Reviewer Update

I refer to my Hello Peter complaint dated 5 December 2016. I was contacted by someone from Fedhealth, regarding my daughter's doctor visit that wasn't paid. We have 1 normal doctor consultation once per year. Now more than a week later I'm still waiting for feedback.

Both myself and my husband still have our 1 each doctors consultation left, but can't go, because we don't know if Fedhealth is going to pay the fee. I would like to go for a checkup asap.
Fedhealth, this is now the 2nd time this year that there is a problem when it comes to a doctor consultation fee. Please get back to me asap. The doctor already started to place pressure on us to pay the consultation cash. In the mean time the claim for the Pathologist also was not paid in full. Supposed to be cover for chronic tests. EDI ********** 470 All tests that were done are on the benefits.Hoping to hear from you soon.

DJ
Debbie J's update21 Dec 2016, 09:35
Reviewer Update

Fedhealth, please contact me urgently regarding the solution for this?

Thank you

DJ
Debbie J's update04 Jan 2017, 07:30
Reviewer Update

I contacted the call centre yesterday to get a follow-up on my queries, just to hear that is has not been sorted out yet. Please contact me urgently with answers on my 2 queries. Thank you

Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply14 Feb 2017, 13:42
Official

A consultant has been in contact with you and detailed feedback has been provided.

We trust you are happy with the feedback provided.

Kind Regards

The Fedhealth Family