SMdV
Samantha Miles-van der Vyver

1 reviews | Active since Jul 2015

24 Jul 2015, 15:09

Claims

So I am told the issue has been sorted. That the claims paid by a non-active number were reprocessed against the active number. The fact that authorization was granted against a non-active number was no fault of mine, as your admin department only notified me approximately 21 days AFTER the number was changed. The member was is an active paid up member of Fedhealth, just under another number. Your Finance department now wants us to reimburse you and then I can claim it back as I long as I can prove that I paid the doctor. But, that is impossible as YOU have the paid the doctor. I received confirmation that this has been sorted and there are no suspensions or monies outstanding. But today I get a letter stating if I don't pay, then beneficiary will be place on the credit database. Is there any communication between the claims and finance department or I am receiving the incorrect information. I don't mind paying if I was actually liable for the amount. How are claims on an inactive number processed by the fund my fault. Please sort thisout

0
Replies (1)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply27 Jul 2015, 09:56
Official
Hello svmiles,

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