JC
Johann C

1 reviews | Active since Mar 2010

06 Apr 2022, 12:28

Contradicting statements, poor customer service.

The client service is non existent. An anesthesia claim is submitted and out of the 3 codes on the claim, 2 are paid and 1 is rejected. In lodging a query I am told that the claim is paid as a whole and that the individual lines are not processed. My objection is that you paid parts of certain lines/codes and reject others - this is clearly shown on the claims statement. The fact is Fedhealth says they pay the claim as a whole, but they do not. It is impossible to speak to someone who can clarify or not contradict themselves. The end result, they pay an anesthesist for pre-op consults, but not for the actually anethesia.

No help, no recourse, only contradicting statements.

0
Replies (2)
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply06 Apr 2022, 14:07
Official
Dear Member, 
 
Thank you so much for your message, we are sorry you’re having such a bad experience, please bear with us while we do some investigating.  One of our consultants will be in touch with you as soon as we have a result. 
 
Best Wishes
Fedhealth 
Fedhealth Medical Scheme
Fedhealth Medical Scheme's reply07 Apr 2022, 12:00
Official
 A consultant has been in contact with you and detailed feedback has been provided. 

Kind Regards 
The Fedhealth Family